Men's sexual health

Erectile dysfunction

Common, rarely talked about, and highly treatable. Here's what's really going on, and what a doctor can do about it.

  • 1 in 2

    Men aged 40–70

  • Most

    Cases treatable

  • 45 min

    Private consult

  • TH·EN·ZH

    Spoken here

Medically reviewed by Dr. Noppon Arunkajohnsak (Win)

MOPH-licensed clinic

4.6 from 158 Google reviews

92% five-star ratings

Private & confidential

Symptoms

  • Difficulty getting an erection

  • Difficulty keeping one during sex

  • Reduced firmness when erect

  • Fewer morning erections

  • Lower desire or libido

Common causes

  • Blood flow (vascular), the most common

  • Low testosterone and hormones

  • Stress, anxiety, poor sleep

  • Diabetes, blood pressure, cholesterol

  • Some medications and lifestyle

When to see a doctor

  • It's persisted more than a few weeks

  • It came on suddenly

  • It's affecting your mood or relationship

  • You have heart, diabetes or BP risks

  • You just want a straight answer

Understanding the condition

It's usually physical, and that's good news

For most men, ED isn't only in your head. It's a blood flow problem, the same vessels affected by blood pressure, cholesterol, blood sugar and testosterone. That's why ED is often the first visible sign of something worth checking.

The good news: physical causes are the ones we can measure and treat. A work up tells us whether it's vascular, hormonal, lifestyle or a mix, and the plan follows from there.

Coming in early is one of the smartest moves a man can make, a 45-minute, fully private conversation that's often the start of feeling better across the board.

ED is often the first warning sign of a vascular or hormonal issue we can actually treat. Walking in early is one of the smartest things a man can do for his health.
Dr. Noppon Arunkajohnsak (Win)

Our solutions for ED

Options, matched to the cause

We find the cause first, then choose from these, sometimes one, sometimes a combination. Each links to the full guide.

First line

Sildenafil

The most-studied oral ED medication, dosed to you after a quick cardiac check.

Read the guide

Longer acting

Tadalafil

Covers up to 36 hours, or a low daily dose. For men who prefer less planning.

Read the guide

Alternative tablet

Vardenafil

A close cousin of sildenafil. An option when the first choice doesn't suit.

Read the guide

Fast onset

Avanafil

The newest of the four tablets, designed for quicker onset and fewer interactions.

Read the guide

If tablets don't work

TriMix injections

A doctor-taught injection for men who don't respond to oral medication. Dose-adjusted, prescription only.

Read the guide

Your journey

What happens when you come in

1. Private consult

45 minutes, one to one, no judgment and no audience. Bring your questions.

2. Root cause tests

Bloods, hormones and a vascular check so the plan is based on data, not a guess.

3. Your plan

Matched to the cause, with honest options and prices. You decide, never pressured.

4. Same doctor follow up

The doctor who saw you follows you up. No hand offs, no commissions.

Meet the doctors

Who you'll see

Young, specialized and highly experienced, trained internationally. The same doctor from consult to follow-up.

Dr. Noppon Arunkajohnsak (Win)

Dr. Noppon Arunkajohnsak (Win)

Board-certified Urologist

Dr. Attapol Mahalelakul (Do)

Dr. Attapol Mahalelakul (Do)

Board-certified Urologist

Dr. Chonlatee Roekmongkolwit (Boss)

Dr. Chonlatee Roekmongkolwit (Boss)

Board-certified Urologist

What our patients say

Menscape Clinic Bangkok consultation room

Book your consultation today.

ED medication

After dealing with counterfeit ED medication bought online, I switched to Menscape. Dr. Win prescribed authentic medication and I can actually trust what I am taking. The in-clinic pharmacy is very convenient.

Alan S. · Verified patient review

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Frequently asked questions

Is ED treatable at my age?

Yes. ED is treatable at any age; the approach just differs by cause. Younger men more often have stress or hormone related causes, older men more often vascular ones. The work up tells us which.

Do I need an appointment or can I walk in?

Walk-ins are welcome, but booking secures your slot and keeps waiting to a minimum. Same-day appointments are usually available.

Is everything confidential?

Completely. Private consultation rooms, PDPA-protected records, discreet billing, and nothing is shared with anyone without your consent.

Will I get medication on the first visit?

Often, yes. If the consult and a quick cardiac check show oral medication is safe for you, you can leave with a prescription the same day. If tests are needed first, you'll know exactly why.

It only happens sometimes. Should I still see someone?

Yes. Occasional difficulty is normal, but a pattern over a few weeks is worth a conversation. A quick, confidential visit gives you a straight answer and often rules out anything serious.

Take control of your Sexual health today

Take control of your
Sexual health today
Illustration of an online doctor consultation room at Menscape Clinic Bangkok