Viagra is one of the most recognized names in men’s health, helping millions of men worldwide achieve erections on demand. But while Viagra works for many, it comes with temporary effects, side effects, and the need to plan intimacy.
On the other hand, Shockwave Therapy (Li-ESWT) has gained popularity as a non-invasive, long-term solution for erectile dysfunction. Unlike Viagra, it doesn’t just treat symptoms — it aims to restore natural erectile function.
So, is Shockwave Therapy better than Viagra? Let’s compare how they work, their results, and what men in Bangkok should consider when choosing between them.
How Viagra Works
Viagra (sildenafil) is a PDE5 inhibitor that:
Increases blood flow to the penis by relaxing blood vessels
Helps achieve erections with sexual stimulation
Works within 30–60 minutes of taking a pill
Lasts 4–6 hours on average
Limitations of Viagra:
Must be taken before sex (not spontaneous)
Temporary solution — only works while active in the system
Possible side effects: headaches, flushing, dizziness, vision changes
May not work well in men with severe ED or underlying vascular disease
How Shockwave Therapy Works
Shockwave Therapy is a regenerative treatment that uses acoustic waves to stimulate natural healing in penile tissue.
Key effects:
Stimulates new blood vessel formation (angiogenesis)
Improves blood flow and circulation
Repairs microvascular damage
Restores natural erectile function without medication
Treatment plan:
6–12 sessions over several weeks
Non-invasive, painless, no needles or anesthesia
Results develop gradually but can last 1–2 years
Shockwave vs Viagra: Key Differences
Feature | Viagra | Shockwave Therapy |
Type of Treatment | Oral medication (PDE5 inhibitor) | Non-invasive regenerative therapy |
Onset of Results | 30–60 minutes | Gradual (weeks 2–6) |
Duration of Effect | 4–6 hours | 1–2 years with maintenance |
Spontaneity | Planned (pill before sex) | Natural, spontaneous erections |
Side Effects | Headaches, flushing, dizziness | Mild redness/tingling (temporary) |
Best For | Occasional, mild ED | Vascular-related, ongoing ED |
Which Works Better?
It depends on your goals and lifestyle:
Choose Viagra if you want:
A quick, convenient solution for occasional use
No long-term commitment to multiple clinic sessions
Relief from mild ED without major vascular issues
Choose Shockwave Therapy if you want:
A long-term solution that restores natural erectile function
To reduce or eliminate reliance on medication
Treatment for vascular-related or moderate ED
Many men start with Viagra but transition to Shockwave Therapy when they want lasting results without pills.
Combining Shockwave and Viagra
Some men use both treatments together:
Short term: Viagra provides immediate performance support
Long term: Shockwave improves natural erectile function over time
Doctors in Bangkok often recommend a combination approach for men with moderate ED — using Viagra during the treatment phase and gradually reducing dependency as Shockwave results improve.
Patient Experience in Bangkok
Bangkok has become a leading hub for both traditional ED medication and advanced regenerative treatments.
Viagra: Widely available in pharmacies with a prescription, lower cost per use, but only temporary support.
Shockwave Therapy: Performed in specialized men’s clinics like Menscape, with discreet, professional care and affordable packages compared to Western countries.
Frequently Asked Questions (FAQ)
1. Is Shockwave Therapy more effective than Viagra?
Shockwave addresses the root cause of ED by improving blood flow, while Viagra only provides temporary results. For long-term benefits, Shockwave is superior.
2. Can I still take Viagra during Shockwave Therapy?
Yes, many men use Viagra during treatment until full results develop.
3. Which is more affordable?
Viagra is cheaper short-term, but Shockwave provides longer-lasting value by reducing the need for ongoing medication.
4. Does Shockwave Therapy have side effects?
Side effects are minimal — usually just temporary redness or tingling.
5. How long does Shockwave last compared to Viagra?
Shockwave results last 1–2 years, while Viagra only lasts 4–6 hours per dose.
Key Takeaways
Viagra is a convenient, short-term ED solution that works on demand but does not repair underlying issues.
Shockwave Therapy is a regenerative, long-term treatment that restores natural erectile function.
Bangkok offers world-class clinics for Shockwave Therapy at affordable costs.
Many men use both treatments together but aim to reduce pill reliance over time with Shockwave.
At Menscape, specialists create tailored ED treatment plans for each patient.
Ready to move beyond pills? Book a consultation at Menscape Bangkok to discover how Shockwave Therapy can help restore natural performance.

