What is Erectile Dysfunction (ED)?
ED is the condition where it is difficult to get or keep an erection adequate for sexual activity.
This is usually due to insufficient blood flow into the penis, which can be a result of many different physical or lifestyle factors.
How common is ED in Singapore?

In Singapore, ED affects more men than we think.
Over 50% of men reported to have experienced some degree of ED. Of these, around half reported mild ED while the rest have moderate to severe ED. It was also shown that Singaporean men aged 50 and above are more likely to suffer from more severe ED.
Read more: How Common is Erectile Dysfunction in Singapore?
What causes ED?
In general, ED is the result of poor blood flow to the penis, and can be caused by a combination of psychological and physical factors.
Psychological factors such as stress, anxiety, low self-esteem, relationship problems, fatigue, depression, and fear of sexual failure (i.e. “performance anxiety”) can affect your ability to hold an erection.
We explored how overworking and lack of sleep can contribute to ED. We also discuss the reality of porn-induced ED in this article.
Physical factors such as ageing, heart disease, diabetes mellitus, low testosterone levels, and nerve disease can also contribute to ED. These conditions affect blood flow to the penis.
In addition, poor lifestyle choices such as: lack of exercise, excessive alcohol intake, smoking, and obesity also have a role to play in ED. Occasionally, blood pressure medications, antidepressants, and mood stabilisers can also affect the erection process.
Read more:
Can’t get hard? Overworking might be giving you erectile dysfunction
The easiest cure to erectile dysfunction: Get 7 hours of sleep
Only get hard with porn? Porn-induced erectile dysfunction is real.
Can ED be treated?
Yes! Depending on the cause of your ED, there are several options available to treat your condition.
Different forms of treatments may be suitable for you, depending on your condition. These can range from psychological counselling, lifestyle changes, medications or surgery. Here at SIRE, we discuss a case study of three of our clients.
Due to societal pressure and fear of being judged, the majority of men do not seek professional help for this highly treatable condition.
Some even resort to buying “medications” from unregulated sources online and offline. We investigated the risks of obtaining these “medications” or sex enhancement pills such as Tongkat Ali, San Ti Niu Bian (三体牛鞭) and Candy B.
Always seek advice from a licensed medical professional, and never consume medications obtained from unregulated or untrustworthy sources.
Read more:
Is ED curable? A case study of three clients
Is Tongkat Ali safe for erectile dysfunction treatment in Singapore?
What is San Ti Niu Bian (三 体 牛 鞭)?
What is Candy B? Does it work like Viagra?
What ED treatments are available in Singapore?

In Singapore, different forms of ED treatments are available to help to improve blood flow to the penis.
Read our Ultimate Guide to ED Treatment in Singapore (6 Solutions).
Medications

This class of drugs is often recommended for the initial treatment of ED. They have been clinically proven to be effective, easy to use and have limited side effects.
The four musketeers that belong to this class of “PDE5 inhibitors” are Viagra (sildenafil), Levitra (vardenafil), Cialis (tadalafil) and Spedra (avanafil). According to an analysis published in the Annals of Internal Medicine, all of these options appear to be equally effective.
We explore the uses of Viagra and discuss facts vs myths of this popular ED medication in our article here.
Read more: What is the use of Viagra? 5 uses that few know about
Where can I get PDE5 inhibitors?
In Singapore, all four of these medications are available – the sales of these medications have to be accompanied by a legal prescription.
We discuss the availability of generic and branded Cialis (tadalafil) in Singapore in this article.
Here at SIRE, we have medical professionals who are experienced with dealing with sensitive issues like erectile dysfunction and premature ejaculation.
Consultations are hassle-free as they are done virtually.
You get to speak to a doctor based in Singapore, who understands the local culture and stigma revolving around ED.
Everything can be done in your home and in privacy.
We also guarantee discreet delivery of treatments to your home. No one needs to know.
Read more:
Die cock stand: The Singapore guide to buying Viagra without killing yourself
Direct-to-home Viagra in Singapore: Are they allowed?
Is tadalafil available in Singapore?
If they are all available… How do I choose? It all depends on your lifestyle and preferences leading up to sex.
Check out our detailed discussions between Viagra (sildenafil) and Cialis (tadalafil), Viagra (sildenafil) and Spedra (avanafil), Cialis (tadalafil) and Spedra (avanafil).
At SIRE, we will conduct an online medical evaluation and determine your suitability for our ED treatments, be reassured that it is a safe and discreet place for you to share your concerns. Our doctors will then prescribe a suitable medication and dosage tailored just for you. Please note that our treatment options must be accompanied by a prescription endorsed by our doctors via our online medical evaluation.
As a general rule of thumb, please do not take any medication on your own without discussing with our doctors. Without a diagnosis from licensed medical professionals, committing to wrong treatments can be harmful to you and your general health.
If you have concerns about sex pills addiction, read our article: Can you get addicted to sex pills in Singapore?
Read more:
Viagra (sildenafil) and Cialis (tadalafil)
Viagra (sildenafil) and Spedra (avanafil)
Cialis (tadalafil) and Spedra (avanafil)
Can you get addicted to sex pills in Singapore?
Non-Surgical Devices & Surgery
Non-surgical devices and surgery for ED are often used only if all medication options have been exhausted. The aim ultimately is to improve blood flow to the penis.
Have you ever wondered if penis size has a role to play in ED?
Read about it here: What is the average penis size in Singapore, and what you can do about it?
Psychological Counselling
ED can be caused by both medical and psychological factors such as anxiety and depression. Stress, work problems, family and relationship issues can have a silent contributing role in ED.
Psychological counselling has been shown to significantly improve ED resulting in successful intercourse. This is usually best accomplished by referral to a certified sexual therapy counsellor.
Read our article: When to visit a sex therapist in Singapore (and how they help your relationships)
Lifestyle Changes

The good news is ED can possibly be reversed by adopting good lifestyle habits.
Good lifestyle habits tend to give a boost to your testosterone levels, providing a sense of wellness.
Having good general health and wellbeing plays a central role in ensuring good erectile function. Here we discuss how a simple trick can cure ED.
Adopting a healthy diet with regular exercise and reducing smoking and alcohol use has been shown to be beneficial in ED. Read our article: Is exercise good for erectile dysfunction? (And how to create a plan).
We also examined the research behind Asian ED foods – can herbs and aphrodisiacs help you? We also explored if the King of fruits can make you “King” in bed.
With COVID being the new normal now, you may be interested to find out if you can have sex after COVID vaccination.
Read more:
How a simple trick can cure ED
Is exercise good for erectile dysfunction? (And how to create a plan)
Foods for Erectile Dysfunction. What Local Singaporean Expert has to Say
Can the King of fruits make you “King” in bed?
What are my options for ED treatment clinics in Singapore?

ED can be treated the good old way – with your local GP, public sector doctor, or private system doctor.
In Singapore, the rise of telemedicine has brought much convenience and discretion for sensitive conditions like men’s health or ED. We have many more options now when finding an ED clinic in Singapore. However, is telemedicine for ED illegal in Singapore? Read our article about how we can protect ourselves.
The good news is MOH has a listing of licensed telemedicine providers here, and SIRE is listed under “The Cloud Clinic”. SIRE is a service by The Cloud Clinic, our parent brand, and SIRE only specialises in men’s health. Hence, our doctors are trained in addressing sensitive issues over video call all while exercising discretion. SIRE has been also featured in the Business Times.
We have a comprehensive list of clinics you can visit, whether online or offline, follow this link: What are my options for an erectile dysfunction clinic in Singapore?
Read more:
Is telemedicine for erectile dysfunction illegal in Singapore? Here’s how can we protect ourselves
SIRE featured in Business Times
What are my options for an erectile dysfunction clinic in Singapore?
Disclaimer: Articles on Sire are for informational purposes only and do not constitute medical advice, diagnosis, or treatment. Always consult a licensed doctor for personalised medical advice.

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Speak with a Doctor Online
Get confidential, doctor-led care from home. Our licensed doctors provide personalised consultations for men’s health and wellness using evidence-based medical advice. Private, secure, fully online.




















