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First, let’s go through a few questions to better help you.

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Welcome to Seltyca! 💙^*

Take the first step towards confidence. Complete the form and unlock exclusive solutions just for you!

Full Name^*

Age^*

Email^*

Phone Number^*

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Date of Birth^*

Let’s settle the age-old mystery—when’s your birthday?

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Let's Learn about your sexual problems!

Dont worry, You are not alone! 1 out 3 men in India faces sexual problems. Let us help you for your healthy and amazing sex life!

Erectile Dysfuction

Premature Ejaculation

Performance Anxiety

Other

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How long has this issue been bothering you?^*

You’re not alone—1 in 5 men in India experiences the same issue.

< 1 Month

1 - 3 Months

> 3 Months

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Do you ever feel anxious about your sexual performance?^*

Feeling nervous about performance? We are here to help.

Yes

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Do you finish too early?^*

Premature ejaculation is common—and treatable.

Yes

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Have you tried any medication for erectile dysfunction or premature ejaculation?

Let’s find what works best for you!

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Do you have any of following conditions/issues?^*

Let’s check that our medication is not affecting your current condition.

Any heart or cardio vascular condition

High/Low blood pressure

Liver disease

Kidney disease

Any issue of gut or intestine

Diabetes

Eye problem

None

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Are you currently taking any other medication?

Let’s make sure our medication works well together!

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Have you ever had surgery or an injury to your pelvic area?^*

Yes

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Do you smoke or consume tobacco/alcohol?^*

There’s no need to worry—nobody is perfect!

Yes

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Yes!! You did it!! Thank you! 🙌

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