Erectile Dysfunction Treatment

Erectile Dysfunction affecting your quality of life? Consult with our specialist today.

Dr Png Keng Siang
Consultant Urologist & Robotic Surgeon

What is Erectile Dysfunction?

A condition in which a man finds it challenging to achieve or maintain an erection firm enough for sexual intercourse. It’s not unusual for men to occasionally experience ED during times of stress. Frequent ED can be a sign of more complex health problems that need treatment.

Causes of Erectile Dysfunction

Erectile dysfunction is a complex condition that can be caused by various physical, hormonal, and psychological factors. Here are some of the common causes:

  • Risk Factors: Age, heart disease, hypertension, diabetes, as well as obesity and metabolic syndrome can contribute to blood flow changes due to vascular health changes, contributing to ED.
  • Psychological Factors: Issues like stress, anxiety, and depression can interfere with the brain’s ability to respond to sexual arousal.
  • Side Effects of Medications: Certain medications can have side effects that impact erectile function. These may include drugs to treat hypertension, certain types of antidepressants, antihistamines, and some types of prostate medications.
  • Hormonal Causes: Hormonal imbalances like low testosterone levels can decrease interest in sex and cause ED. Conditions like thyroid disorders can also interfere with hormone levels and lead to sexual dysfunction.
  • Lifestyle Factors: Heavy alcohol use, tobacco use, and drug abuse can all lead to erectile dysfunction by damaging blood vessels and reducing blood flow. Sedentary lifestyles can contribute to ED by promoting conditions like obesity and heart disease, which are known risk factors for erectile dysfunction.

Symptoms of Erectile Dysfunction

Symptoms of an ED condition are not limited to the inability to have an erection and may include:

Inconsistent erections

Achieving erections at certain times, such as when waking, but not during sexual activity.

Difficulty in maintaining an erection

Being unable to keep an erection firm enough for sexual intercourse.

Reduced sexual desire

Experiencing a lower desire to engage in sexual activity.

Premature ejaculation

Involuntary ejaculation that occurs too soon during sexual intercourse.

Delayed or inhibited ejaculation

The inability to ejaculate even with sufficient stimulation.

Diagnosing Erectile Dysfunction

A detailed consultation with your urologist, discussing symptoms and medical history. Physical examination and various diagnostic tests such as blood tests, urine tests, and ultrasounds may be carried out to identify any underlying conditions contributing to ED. A psychological examination may be included to determine whether depression, stress, or anxiety may be causing erectile dysfunction.

Types of Erectile Dysfunction

Erectile dysfunction can be categorised in different ways depending on the underlying cause or how the symptoms present. Some common types include:

Conditions like cardiovascular disease, high blood pressure, or diabetes can contribute to problems with blood flow to the penis, causing ED.

Associated with problems related to the nervous system, conditions like multiple sclerosis, Parkinson’s disease, or spinal injuries can cause this type of ED.

If the ED is related to psychological factors rather than physical ones, it’s termed psychogenic. Anxiety, depression, and relationship issues are often the cause.

Hormone imbalance, such as low testosterone levels, can lead to Hormonal ED.

Erectile Dysfunction Treatment Options

Numerous treatment options exist for erectile dysfunction, each catering to the individual’s specific needs and underlying causes.

Medication

PDE5 inhibitors like Viagra, Cialis, Levitra, and Stendra may be used to treat ED. By enhancing the effects of nitric oxide, a natural chemical your body is produced to relax muscles in the penis and increase blood flow, helping to maintain an erection in response to sexual stimulation.

Counselling

Where erectile dysfunction is rooted in psychological issues such as stress, anxiety, or depression, counselling can help men address the psychological barriers to healthy sex life, improving overall well-being and sexual performance.

Vacuum Erection Devices

Also known as penis pumps, these non-invasive devices draw blood into the penis, leading to an erection. Once erect, a tension ring is slipped onto the base of the penis to maintain the erection for the duration of intercourse.

Surgical Treatments

In more severe cases of erectile dysfunction, surgical treatments may be considered. This may include penile implants where malleable or inflatable devices are inserted into both sides of the penis and other procedures like vascular surgery.

Cost Of Treatments

The cost of erectile dysfunction treatments can vary significantly depending on the chosen treatment method, the underlying cause of the ED, the clinic and the geographic location.

Dr Png Keng Siang

Consultant Urologist & Robotic Surgeon

Dr Png is a United States fellowship-trained urologist who received his urology specialist board certification from Singapore. He is the first and only urologist in Singapore to be inducted into the Fellow, American College of Surgeons (FACS) after completing a minimally invasive surgery fellowship in the USA at the Indiana University School of Medicine, where he sub-specialised in robotic and laparoscopic surgery for urological cancers.

  • Joint Committee of Specialist Training Site Accreditor, Urology Residency Program
  • President of the Robotic Surgery Society of Singapore
Prior To Private Practice:
  • Director of the Robotic Urological Surgery Fellowship Program, Tan Tock Seng Hospital
  • Director of the National Healthcare Group Urology Residency Program & Adjunct Assistant Professor, NUS Yong Loo Lin School of Medicine
  • Member of the American Urological Association, Endourological Society (USA)
  • Executive Committee of the Singapore Urological Association, 2013 to 2020
Read Full Bio

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    Erectile Dysfunction Treatment In Singapore

    Frequently Asked
    Questions

    Can lifestyle changes improve erectile dysfunction?

    Yes, lifestyle changes such as regular exercise, a healthy diet, quitting smoking, and reducing alcohol consumption can significantly improve ED symptoms.

    Is erectile dysfunction a sign of heart disease?

    As the blood vessels that supply the penis are smaller than those supplying the heart, they are more susceptible to blockages, possibly signalling other possible underlying health condiitons like heart disease.

    Can erectile dysfunction be reversed?

    By addressing the underlying cause, whether it’s physical or psychological, erectile dysfunction can often be effectively managed and even reversed. Lifestyle changes, medication, or other treatment options can all contribute to significant improvement in symptoms.