Erectile Dysfunction
Erectile Dysfunction
Erectile dysfunction (ED) is a common sexual health condition in men, defined as the inability to achieve or maintain an erection sufficient for sexual activity.
In Singapore, studies show that more than half of men aged 30 and above experience some degree of erectile dysfunction. The likelihood increases with age, affecting around 4 in 10 men in their forties and up to 7 in 10 men in their sixties.
What Is Erectile Dysfunction?
Erectile dysfunction (ED) is the ongoing difficulty in achieving or maintaining an erection firm enough for sexual activity. Having erection trouble occasionally is normal and can happen due to factors like fatigue or stress. However, if it occurs frequently, it may affect confidence, relationships, and overall quality of life.
Persistent ED can also be a sign of an underlying health condition that needs medical attention. In some cases, it may indicate a higher risk of heart disease. Early evaluation and treatment can help restore sexual function and improve wellbeing.
Symptoms of Erectile Dysfunction
Signs of ED include:
- Difficulty achieving an erection occasionally or consistently
- Trouble maintaining an erection during intercourse
- Reduced sexual desire or libido
Occasional issues are often situational and not usually a concern. However, if these symptoms persist for more than six months, it is advisable to seek professional assessment to identify underlying causes and explore appropriate treatment options.
Risk Factors for Erectile Dysfunction
Several factors increase the likelihood of ED:
- Age: The prevalence of ED rises with age.
- Medical Conditions: Heart disease, stroke, diabetes, high blood pressure, urinary issues, and certain cancers.
- Lifestyle Factors: Smoking, alcohol consumption, poor diet, and sedentary lifestyle.
Physical Causes of ED
- Poor blood flow to the penis
Heart disease, diabetes, smoking, or hardened arteries limit the amount of blood reaching the penis, making it difficult to get an erection.
- Venous leak (penis cannot trap blood during an erection)
Sometimes blood enters the penis but escape too quickly, making it difficult to sustain an erection.
- Nerve Signal Disruption
Erections require proper communication between the brain, spinal cord, and penis. Diseases such as multiple sclerosis, Parkinson’s disease, spinal cord injuries, or pelvic injuries can interrupt these nerve signals, making it hard to initiate or maintain an erection.
- Diabetes-related complications
Chronic high blood sugar can damage small blood vessels and nerves in the penis. This microvascular and nerve damage reduces sensitivity and blood supply, directly impacting erectile function.
- Effects of Cancer Treatments
Surgery or radiation for prostate, bladder, or colorectal cancers can damage nerves, blood vessels, or surrounding tissue critical for erections. Men who have undergone these treatments may experience temporary or permanent ED and should consult a medical professional for sexual health support.
- Medication side effects
Certain medications for conditions such as high blood pressure, depression, or prostate enlargement can interfere with hormonal balance, nerve signals, or blood flow, potentially reducing erectile ability.
Emotional and Psychological Causes of Erectile Dysfunction
- Stress, anxiety, or depression
These conditions can reduce sexual desire and make it difficult for the brain to signal the penis to become erect.
- Relationship conflicts
Emotional tension or unresolved issues with a partner can affect sexual arousal and performance.
- Work or home pressures
Chronic stress from professional or personal responsibilities can lower libido and contribute to ED.
- Performance anxiety or cultural pressures
Worrying about sexual performance, social expectations, or cultural norms can create a cycle of ongoing erectile difficulties.
How Is Erectile Dysfunction Diagnosed?
Diagnosis usually involves:
- Medical history review: Symptoms, sexual history, medications, and lifestyle factors
- Physical examination: Assessment of the penis, testicles, and vascular health
- Blood tests: Hormone levels, testosterone, cholesterol, and blood sugar
- Specialised tests: Ultrasound to check penile blood flow and vascular function
Treatment Options for Erectile Dysfunction
Treatment depends on the cause, severity, and patient preference:
The most common approach is oral medication, which enhances the effects of nitric oxide, a natural chemical that relaxes the muscles in the penis. This allows increased blood flow, enabling an erection sufficient for sexual activity.
Other ways to treat erectile dysfunction include penis pumps, surgery or implants
Extracorporeal Shockwave Therapy for Erectile Dysfunction
Extracorporeal Shockwave Therapy (ESWT) is a non-invasive, drug-free treatment that uses acoustic waves to stimulate blood flow and promote vascular growth in the penis. Studies show that up to 70%* of men experience improvements, with effects lasting 12–24 months. The procedure is generally well-tolerated, requires no anesthesia, and is associated with minimal side effects, such as mild redness or tingling at the treatment site, which usually resolve quickly.
This treatment is offered at DR+ Medical & Paincare East Coast.
Are Your Symptoms Affecting Your Quality Of Life?
Consult one of our DR+ today for a detailed consultation & personalised treatment plan.
Our Clinics
- Mon, Wed & Fri: 8:30am – 12:30pm, 1:30pm – 4:30pm, 6:00pm – 9:00pm
- Tue & Thu: 8:30am – 12:30pm, 1:30pm – 4:30pm
- Sat: 8:30am – 12:30pm
- Closed on Sun & PH
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(Kindly note that clinic’s last registration is 15mins before closing time.)
Singapore 640221
- Mon, Wed: 8:00am – 4:00pm, 6:00pm – 8:00pm
- Tues, Thu & Fri: 8:00am – 4:00pm
- Sat & Sun: 8:00am – 1:00pm
- PH: Closed
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(Kindly note that clinic’s last registration is 15mins before closing time.)
- Mon, Tue & Thu: 9am to 1pm, 2pm to 4pm, 6:30pm to 9:30pm
- Wed & Fri: 9am to 1pm, 2pm to 4pm
- Sat: 9am to 1pm
- Closed on Sun & PH
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(Kindly note that clinic’s last registration is 15mins before closing time.)
#01-54 The Midtown, Singapore 533971
- Mon to Fri: 8:00am – 12:00pm, 1:00pm – 3:00pm, 6:00pm – 9:00pm
- Sat: 8:00am – 12:00pm
- Sun & PH: Closed
988 Upper Serangoon Rd, Singapore 534733
- Mon to Fri: 8:30am – 2:30pm, 6:00pm – 10:00pm
- Sat & Sun: 8:30am – 12:30pm
- PH: Closed
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(Kindly note that clinic’s last registration is 15mins before closing time.)
- Mon, Wed, Thu: 8:00am – 2:00pm, 6:00pm – 9:00pm
- Tue & Fri: 8:00am – 2:00pm
- Sat: 8:00am – 12:00pm
- Sun: 10:00am – 1:00pm
- PH: Closed
Thomson Imperial Court, Singapore 574424
- Mon to Wed: 8:30am – 10:00pm
- Thu: 8:30am – 3:00pm, 6:00pm-9:30pm
- Fri: 8:30am – 6:00pm
- Sat & Sun: 9:00am – 3:00pm
- PH: Closed
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(Kindly note that clinic’s last registration is 15mins before closing time.)
Singapore 520844
- Mon, Tue, Thu, Fri: 8:00am – 4:00pm
- Wed: 8:00am – 4:00pm, 6:00pm – 9:00pm
- Sat: 8:30am – 12:30pm
- Sun & PH: Closed
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(Our clinic is open during lunch hours)
Singapore 730018
- Mon: 8:00am – 9:00pm
- Tue – Fri: 8:00am – 4:30pm, 7:00pm – 9:00pm
- Sat: 8:00am – 12:30pm
- Sun & PH: Closed
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Kindly note that clinic’s last registration is 15mins before closing time.
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(Last registration timing – Mon: 8:45pm, Tue – Fri: 4:15pm & 8:45pm, Sat: 12:15pm)
#01-95, Singapore 570121
- Mon to Fri: 8:00am – 5:00pm, 6:00pm – 9:00pm
- Sat & Sun: 8:00am – 1:00pm
- PH: Closed
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(Kindly note that clinic’s last registration is 15mins before closing time but may close earlier if the queue is unusually long.)
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Frequently Asked Questions
Will Erectile Dysfunction go away on its own?
Erectile Dysfunction (ED) usually does not improve without treatment. Occasional difficulties caused by stress, fatigue, or alcohol may resolve naturally, but ongoing ED often signals an underlying health issue. Lifestyle changes such as quitting smoking, regular exercise, and a balanced diet can help. Consult a primary care doctor for proper diagnosis and personalised ED treatment.
When should I see a doctor for Erectile Dysfunction (ED)?
Talk to a primary care doctor if you suspect you have erectile dysfunction. They can help diagnose ED, identify its cause and recommend the best treatment option for you. Early medical advice can improve sexual health outcomes.
How do I know if I am suitable for shockwave therapy for erectile dysfunction?
You may be suitable for shockwave therapy for erectile dysfunction (ED) if you have mild to moderate ED, especially if it is related to reduced blood flow or vascular health. This treatment is ideal for men looking for a non-invasive and drug-free option. However, it may not be suitable for those with severe ED, certain medical conditions, or penile implants. Our doctor can assess your medical history, conduct an evaluation, and determine if shockwave therapy is right for you.
How many shockwave treatments do I need for Erectile Dysfunction?
Treatment with shockwave therapy for erectile dysfunction usually involves 6–12 sessions, typically conducted twice a week, with each session lasting 15–20 minutes. Our doctor can assess your condition and design a personalised treatment plan to achieve the best results.
How long do the effects of shockwave therapy last?
Most men experience improved erectile function for 12–24 months after shockwave therapy for ED. Booster sessions may be recommended to maintain these benefits. Our doctor can advise on follow-up care and monitoring.
Are there side effects of shockwave therapy for Erectile Dysfunction?
Side effects are minimal. Some men report mild redness, swelling, or tingling at the treatment site, which usually resolves within a few hours. Our doctor can explain what to expect before and after shockwave therapy for ED during consultation.