{"id":10335,"date":"2026-05-18T08:00:26","date_gmt":"2026-05-18T01:00:26","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10335"},"modified":"2026-08-15T00:21:55","modified_gmt":"2026-08-14T17:21:55","slug":"%e9%98%b3%e7%97%bf%e6%9b%bc%e8%b0%b7","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/zh\/services\/erectile-dysfunction-bangkok\/","title":{"rendered":"\u66fc\u8c37\u52c3\u8d77\u529f\u80fd\u969c\u788d\u6cbb\u7597"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Erectile Dysfunction Treatment in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Comprehensive, evidence-based care for men experiencing erectile dysfunction (ED) \u2014 from oral medications to advanced surgical options \u2014 delivered with complete discretion at Bangkok Hospital Headquarters.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"background-color:#c8102e\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Confidential Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Is Erectile Dysfunction?<\/h2>\n<p>Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity. Population studies put it at roughly <strong>10\u201316% of men under 40<\/strong> and more than <strong>half of men over 60<\/strong> \u2014 yet it remains significantly underdiagnosed because of stigma.<\/p>\n<p>ED is more than a sexual health issue. It is often the earliest clinical manifestation of cardiovascular disease, diabetes, or hormonal imbalance. Modern urological evaluation can both restore sexual function and identify underlying systemic conditions before they become life-threatening. <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/31\/erectile-dysfunction-ed\/\">Explore the 4 pillars behind ED \u2192<\/a> Dr. Soarawee also explains the mechanisms, causes, and treatment of ED in depth in his <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/content\/erectile-dysfunction\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital article on erectile dysfunction \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Common Causes of ED<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Vascular causes<\/strong> \u2014 arterial insufficiency, venous leak, atherosclerosis<\/li>\n<li><strong>Metabolic causes<\/strong> \u2014 diabetes, obesity, obstructive sleep apnea, metabolic syndrome<\/li>\n<li><strong>Hormonal causes<\/strong> \u2014 <a href=\"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/\">low testosterone (hypogonadism)<\/a>, thyroid disorders<\/li>\n<li><strong>Neurogenic causes<\/strong> \u2014 nerve damage, spinal injury, <a href=\"https:\/\/drsoaraweeurology.com\/services\/robotic-prostatectomy\/\">post-prostatectomy<\/a><\/li>\n<li><strong>Psychogenic causes<\/strong> \u2014 anxiety, depression, relationship stress<\/li>\n<li><strong>Medication-induced<\/strong> \u2014 antihypertensives, antidepressants, prostate medications<\/li>\n<li><strong>Lifestyle factors<\/strong> \u2014 smoking, alcohol, sedentary behavior<\/li>\n<\/ul>\n<p>One point worth making before the treatment ladder below: <strong>if a medication you take is the likely cause, do not stop it yourself<\/strong>. Several of the drugs on that list are dangerous to stop abruptly, and there is usually an alternative that can be substituted under supervision.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Diagnostic Evaluation<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">A complete ED workup at Bangkok Hospital includes:<\/p>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83d\udd2c Clinical Assessment<\/h3>\n<p class=\"has-white-color has-text-color\">Detailed sexual history, IIEF-5 questionnaire, physical examination including genital and cardiovascular evaluation. <a href=\"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/\" style=\"color:#c9a84c\"><strong>About the IIEF-5 test \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\uddea Laboratory Testing<\/h3>\n<p class=\"has-white-color has-text-color\">Total &amp; free testosterone, prolactin, LH\/FSH, thyroid panel, HbA1c, lipid profile, PSA (if age-appropriate).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83c\udfaf Penile Duplex Ultrasound (PDU)<\/h3>\n<p class=\"has-white-color has-text-color\">The reference test for classifying arterial insufficiency or venous leak. At Bangkok Hospital Headquarters it is a joint study: Dr. Soarawee gives the injection and stays with the patient throughout, while the ultrasound imaging is performed by a radiologist, and the findings are then read alongside the rest of the urological assessment. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/06\/30\/penile-doppler-ultrasound-for-ed-life-saving-test-or-waste-of-time\/\" style=\"color:#c9a84c\"><strong>Is a penile Doppler worth it? \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\u2764\ufe0f Cardiovascular Risk Assessment<\/h3>\n<p class=\"has-white-color has-text-color\">Because vascular ED commonly appears some years before coronary disease becomes apparent, a cardiovascular risk profile is arranged where indicated.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Treatment Options<\/h2>\n<p class=\"has-text-align-center\">Following evidence-based treatment escalation pathways from the American Urological Association (AUA) and the European Association of Urology (EAU) guidelines.<\/p>\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Level 1 \u2014 Oral Therapy<\/h3>\n<p><strong>PDE5 inhibitors<\/strong> (sildenafil, tadalafil, vardenafil, avanafil) remain first-line therapy and work well for the majority of men. This includes daily low-dose tadalafil for men who have both ED and <a href=\"https:\/\/drsoaraweeurology.com\/services\/bph-enlarged-prostate-bangkok\/\">benign prostatic hyperplasia (BPH)<\/a>. They are not suitable for everyone, in particular men taking nitrates. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/03\/26\/how-tadalafil-improved-ed\/\">How tadalafil improves ED \u2192<\/a><\/p>\n<p><strong>The nitrate interaction is the one absolute rule here.<\/strong> Taking a PDE5 inhibitor together with a nitrate \u2014 including a glyceryl trinitrate spray or tablet used for chest pain, and the amyl nitrite sold as poppers \u2014 can cause a catastrophic fall in blood pressure. If you have ever been prescribed a nitrate, say so before any prescription is written, and if you develop chest pain after taking a PDE5 inhibitor, tell the emergency team which drug you took and when.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Level 2 \u2014 Non-Invasive<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Low-Intensity Shockwave Therapy (LI-ESWT)<\/strong> \u2014 aims to improve blood supply in vasculogenic ED. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/08\/06\/erectile-dysfunction-shockwave\/\">How LI-ESWT works \u2192<\/a><\/li>\n<li><strong>Vacuum Erection Device (VED)<\/strong> \u2014 a mechanical option, particularly useful during recovery after prostate surgery<\/li>\n<\/ul>\n<p><em>MUSE (the intra-urethral alprostadil suppository) is not available at Bangkok Hospital Headquarters. Where an injectable is appropriate, intracavernosal therapy is used instead.<\/em><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Level 3 \u2014 Intracavernosal Injection (ICI)<\/h3>\n<p>Injection therapy delivered directly into the erectile tissue produces a reliable erection in most men, including many who do not respond to tablets. The first dose is always given in the clinic so that the response and the correct dose can be judged safely, and patients are then taught self-administration. The main risks that are discussed beforehand are pain at the injection site, bruising, scarring with long-term use, and \u2014 rarely but importantly \u2014 a prolonged erection, which requires urgent medical attention if it lasts beyond four hours.<\/p>\n<p><strong>That last point deserves emphasis rather than a footnote.<\/strong> An erection lasting more than four hours is priapism, and it is a genuine emergency: after roughly that long the trapped blood starves the tissue of oxygen, and delay can cause permanent loss of erectile function. Go to an emergency department \u2014 do not wait until morning, and do not try to resolve it at home.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Level 4 \u2014 Inflatable Penile Prosthesis (IPP)<\/h3>\n<p>A definitive surgical solution for men who do not respond to conservative therapy or who prefer a permanent, on-demand result. Three-piece inflatable devices have consistently high satisfaction in published series; as an implant, infection and the possibility of revision surgery later are part of the discussion before proceeding. One thing to understand before consenting: implantation removes the natural erectile tissue, so it is <strong>not reversible<\/strong> \u2014 if the device is ever removed, the earlier treatments no longer work. <a href=\"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\">Learn more about IPP \u2192<\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Why Choose Dr. Soarawee for ED Treatment<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83c\udf93 Research Scholar &amp; Clinical Observer<\/strong> at Baylor College of Medicine under Professor Mohit Khera (former SMSNA President) \u2014 with access to current, evidence-based ED protocols<\/li>\n<li><strong>\ud83d\udcca Accepted research<\/strong> on first-presentation ED in elderly men and vascular ED in young men at AUA South Central 2026<\/li>\n<li><strong>\ud83d\udd2c The full diagnostic pathway in one place<\/strong> \u2014 history and IIEF-5, hormonal and metabolic bloods, and penile duplex ultrasound performed jointly with the radiology department, so the cause is classified rather than guessed<\/li>\n<li><strong>\ud83e\udeba Every level of treatment under one roof<\/strong> \u2014 from tablets and shockwave therapy through injection therapy to penile implant surgery, without referral elsewhere<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 internationally accredited facility with full diagnostic and surgical capabilities<\/li>\n<li><strong>\ud83c\udf10 International experience<\/strong> \u2014 nine years treating expatriate and medical-tourism patients across Cambodia and Thailand<\/li>\n<li><strong>\ud83d\udd12 Complete discretion<\/strong> \u2014 confidential consultation environment with English-speaking medical staff<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q1: Is erectile dysfunction treatable?<\/h3>\n<p>Almost always, yes. It is worth separating two ideas: some causes can be reversed \u2014 low testosterone, a medication side effect, poorly controlled diabetes, heavy smoking \u2014 while others are managed rather than cured. Either way, the great majority of men reach a satisfactory result at some level of the treatment ladder, provided the underlying cause is identified first rather than a prescription being issued blind.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q2: When should I see a urologist for ED?<\/h3>\n<p>Consult a urologist if you experience consistent difficulty achieving or maintaining an erection for more than 3 months, especially if you are under 50 \u2014 vascular ED in young men may be the earliest sign of cardiovascular disease and warrants prompt evaluation. <a href=\"https:\/\/drsoaraweeurology.com\/2022\/08\/27\/erectile-dysfunction-preventive\/\">See lifestyle strategies to prevent ED \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q3: Are PDE5 inhibitors safe long-term?<\/h3>\n<p>Sildenafil, tadalafil and the other PDE5 inhibitors have an excellent long-term safety record when prescribed by a qualified physician. They are contraindicated in patients taking nitrates \u2014 including glyceryl trinitrate for chest pain and the amyl nitrite sold as poppers \u2014 because the combination can cause a dangerous fall in blood pressure, and they require caution in severe cardiovascular disease. Self-medication without medical evaluation is strongly discouraged, and medicines bought online are a common source of counterfeit product.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q4: What is Penile Duplex Ultrasound and do I need it?<\/h3>\n<p>Penile Duplex Ultrasound (PDU) is a specialized vascular study that assesses blood flow to the penis. It distinguishes arterial insufficiency from venous leak \u2014 critical information for selecting the right treatment. It involves an injection into the erectile tissue to mimic arousal, after which the imaging is performed by a radiologist with Dr. Soarawee present. PDU is particularly valuable for men under 50 with ED, men who failed oral therapy, or those considering surgical treatment. It is not needed in every case.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q5: An erection that will not go down \u2014 is that an emergency?<\/h3>\n<p>Yes. An erection lasting more than four hours is priapism and needs an emergency department, not a morning appointment. The trapped blood becomes starved of oxygen, and beyond a few hours the damage to the erectile tissue can be permanent. It is an uncommon but recognised risk of injection therapy, and can also occur with certain medications and blood disorders. Tell the emergency team exactly what you took and when.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q6: Does insurance cover ED treatment in Thailand?<\/h3>\n<p>Insurance coverage varies by provider and policy. Some Thai insurance policies cover diagnostic evaluation when ED is associated with underlying medical conditions such as diabetes or cardiovascular disease. International insurance often covers consultation and prescription medications. Coverage and cost questions are handled by the hospital rather than by Dr. Soarawee \u2014 email the Urology department at bhquro@bdms.co.th or contact Bangkok Hospital&#8217;s international patient services.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q7: How do I arrange a consultation with Dr. Soarawee?<\/h3>\n<p>All appointments are arranged exclusively through Bangkok Hospital&#8217;s official booking system, or for the Chonburi clinic through the Samitivej Sriracha department line 088-022-1445. Dr. Soarawee does not provide medical assessment, advice, diagnosis or prescriptions through personal messaging channels or social media. International patients travelling to Bangkok can contact Bangkok Hospital&#8217;s International Patient Services, who assist with scheduling, transfer of previous medical records, and coordination of the visit before arrival.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q8: Can I discuss this by video consultation first?<\/h3>\n<p>Yes, and for a subject many men find hard to raise, it is often the easier way to start. Bangkok Hospital operates a Telemedicine service and Dr. Soarawee sees patients through it; arrange it in advance by email to the Urology department at bhquro@bdms.co.th. A video consultation suits history-taking, reviewing previous blood results and current medication, and deciding what testing is actually worth doing. Physical examination, blood tests and penile duplex ultrasound require an in-person visit. Samitivej Sriracha Hospital does not offer telemedicine and is in-person only.<\/p>\n<h3 class=\"wp-block-heading has-text-color\" style=\"color:#1a2e5a\">Q9: What makes Bangkok a destination for ED treatment?<\/h3>\n<p>Thailand offers urological care at internationally accredited hospitals (JCI), with the same diagnostic and surgical technology used in leading centres elsewhere, and with English-speaking staff and genuine privacy for a sensitive condition. For what any part of it costs, email the Urology department at bhquro@bdms.co.th; prices are quoted by the hospital, not by Dr. Soarawee.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Confidential Consultation<\/h2>\n<p class=\"has-text-align-center\">Take the first step toward restoring your sexual health and confidence.<br \/>All consultations are conducted with complete discretion and privacy.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:0880221445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only.<\/p>\n<p class=\"has-text-align-center\" style=\"font-size:14px\"><em>Medical disclaimer: The information on this page is provided for general educational purposes only. It is not medical advice, does not address any individual case, and is not a substitute for consultation with a qualified physician. An erection lasting more than four hours is a medical emergency and needs immediate hospital care. Medical advice, diagnosis and prescriptions are not provided through personal messaging channels or social media. Reading this page does not create a doctor\u2013patient relationship. Please seek in-person medical evaluation for any personal health concern.<\/em><\/p>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\",\n      \"name\": \"Erectile Dysfunction Treatment in Bangkok\",\n      \"headline\": \"Erectile Dysfunction Treatment in Bangkok\",\n      \"description\": \"Evidence-based assessment and treatment of erectile dysfunction at Bangkok Hospital Headquarters, from oral therapy and shockwave treatment to intracavernosal injection and penile implant surgery.\",\n      \"inLanguage\": \"en\",\n      \"lastReviewed\": \"2026-08-14\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": \"https:\/\/schema.org\/Patient\",\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"disambiguatingDescription\": \"MUSE intra-urethral alprostadil is not available at Bangkok Hospital Headquarters; intracavernosal injection is used where an injectable is appropriate. PDE5 inhibitors are absolutely contraindicated with nitrates, including glyceryl trinitrate and the amyl nitrite sold as poppers. An erection lasting more than four hours is priapism and requires emergency department care, because beyond a few hours the damage to erectile tissue can be permanent.\",\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/2020\/07\/31\/erectile-dysfunction-ed\/\",\n        \"https:\/\/drsoaraweeurology.com\/2022\/02\/04\/erectile-dysfunction-assessment\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/06\/30\/penile-doppler-ultrasound-for-ed-life-saving-test-or-waste-of-time\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/03\/26\/how-tadalafil-improved-ed\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/08\/06\/erectile-dysfunction-shockwave\/\",\n        \"https:\/\/drsoaraweeurology.com\/2022\/08\/27\/erectile-dysfunction-preventive\/\"\n      ],\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#condition\" }\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#condition\",\n      \"name\": \"Erectile Dysfunction\",\n      \"alternateName\": [\"ED\", \"Impotence\"],\n      \"code\": { \"@type\": \"MedicalCode\", \"code\": \"N52.9\", \"codingSystem\": \"ICD-10\" },\n      \"associatedAnatomy\": { \"@type\": \"AnatomicalStructure\", \"name\": \"Penis\" },\n      \"description\": \"Persistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity, affecting roughly 10-16% of men under 40 and more than half of men over 60. Frequently the earliest clinical manifestation of cardiovascular disease, diabetes or hormonal imbalance, so evaluation serves two purposes at once.\",\n      \"signOrSymptom\": [\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Difficulty achieving erection\" },\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Difficulty maintaining erection\" },\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Reduced libido\" }\n      ],\n      \"riskFactor\": [\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Diabetes mellitus\" },\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Cardiovascular disease\" },\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Hypogonadism\" },\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Smoking\" },\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Obesity\" },\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Medication side effects, including antihypertensives, antidepressants and prostate medication \u2014 which should never be stopped by the patient alone, since substitution under supervision is usually possible\" }\n      ],\n      \"possibleTreatment\": [\n        {\n          \"@type\": \"MedicalTherapy\",\n          \"name\": \"PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil)\",\n          \"description\": \"First-line oral therapy, effective for the majority of men, and available as daily low-dose tadalafil where ED coexists with benign prostatic hyperplasia.\",\n          \"contraindication\": { \"@type\": \"MedicalContraindication\", \"description\": \"Absolutely contraindicated with nitrates in any form, including glyceryl trinitrate spray or tablets for chest pain and the amyl nitrite sold as poppers, because the combination can cause a catastrophic fall in blood pressure. Caution is required in severe cardiovascular disease. Product bought online is a common source of counterfeit medication.\" }\n        },\n        { \"@type\": \"MedicalTherapy\", \"name\": \"Low-intensity shockwave therapy (LI-ESWT)\", \"description\": \"Aims to improve blood supply in vasculogenic ED.\" },\n        { \"@type\": \"MedicalDevice\", \"name\": \"Vacuum erection device\", \"description\": \"A mechanical option, particularly useful during recovery after prostate surgery.\" },\n        {\n          \"@type\": \"MedicalTherapy\",\n          \"name\": \"Intracavernosal injection therapy\",\n          \"description\": \"Produces a reliable erection in most men, including many who do not respond to tablets. The first dose is always given in the clinic so the response and correct dose can be judged safely, after which patients are taught self-administration.\",\n          \"seriousAdverseOutcome\": { \"@type\": \"MedicalEntity\", \"name\": \"Priapism \u2014 an erection lasting more than four hours is an emergency requiring immediate hospital care, because the trapped blood becomes starved of oxygen and delay can cause permanent loss of erectile function. Other risks are injection-site pain, bruising and scarring with long-term use.\" }\n        },\n        {\n          \"@type\": \"MedicalProcedure\",\n          \"name\": \"Inflatable penile prosthesis\",\n          \"description\": \"A definitive surgical solution for men who do not respond to conservative therapy or who prefer a permanent, on-demand result, with consistently high satisfaction in published series.\",\n          \"seriousAdverseOutcome\": { \"@type\": \"MedicalEntity\", \"name\": \"Device infection and the possibility of revision surgery. Implantation removes the natural erectile tissue and is not reversible: if the device is removed, the earlier treatments no longer work.\" }\n        }\n      ],\n      \"recognizingAuthority\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" }\n    },\n    {\n      \"@type\": \"MedicalTest\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#penile-duplex\",\n      \"name\": \"Penile duplex Doppler ultrasound\",\n      \"description\": \"Hemodynamic study performed after an intracavernosal injection to distinguish arterial insufficiency from venous leak. At Bangkok Hospital Headquarters the injection is given by the urologist, who remains present, while the ultrasound imaging is performed by a radiologist. Particularly valuable for men under 50, men who have failed oral therapy, and those considering surgery; it is not needed in every case.\",\n      \"usedToDiagnose\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#condition\" }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/#faq\",\n      \"mainEntity\": [\n        { \"@type\": \"Question\", \"name\": \"Is erectile dysfunction treatable?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Almost always. Some causes can be reversed, such as low testosterone, a medication side effect, poorly controlled diabetes or heavy smoking, while others are managed rather than cured. The great majority of men reach a satisfactory result at some level of the treatment ladder, provided the underlying cause is identified first.\" } },\n        { \"@type\": \"Question\", \"name\": \"When should I see a urologist for ED?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Consult a urologist if you experience consistent difficulty achieving or maintaining an erection for more than 3 months, especially if you are under 50, as vascular ED in young men may be the earliest sign of cardiovascular disease.\" } },\n        { \"@type\": \"Question\", \"name\": \"Are PDE5 inhibitors safe long-term?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"They have an excellent long-term safety record when prescribed by a qualified physician. They are contraindicated with nitrates, including glyceryl trinitrate for chest pain and the amyl nitrite sold as poppers, because the combination can cause a dangerous fall in blood pressure, and require caution in severe cardiovascular disease. Self-medication is strongly discouraged, and medicines bought online are a common source of counterfeit product.\" } },\n        { \"@type\": \"Question\", \"name\": \"What is Penile Duplex Ultrasound and do I need it?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"It is a specialized vascular study that assesses blood flow to the penis, distinguishing arterial insufficiency from venous leak. It involves an injection into the erectile tissue to mimic arousal, after which imaging is performed by a radiologist with Dr. Soarawee present. It is particularly valuable for men under 50, men who failed oral therapy, or those considering surgery, and is not needed in every case.\" } },\n        { \"@type\": \"Question\", \"name\": \"An erection that will not go down \u2014 is that an emergency?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Yes. An erection lasting more than four hours is priapism and needs an emergency department, not a morning appointment. The trapped blood becomes starved of oxygen and beyond a few hours the damage to erectile tissue can be permanent. It is an uncommon but recognised risk of injection therapy, and can also occur with certain medications and blood disorders. Tell the emergency team exactly what you took and when.\" } },\n        { \"@type\": \"Question\", \"name\": \"Does insurance cover ED treatment in Thailand?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Coverage varies by provider and policy. Some Thai policies cover diagnostic evaluation when ED is associated with underlying medical conditions. International insurance often covers consultation and prescription medications. Coverage and cost questions are handled by the hospital rather than by Dr. Soarawee; email the Urology department at bhquro@bdms.co.th.\" } },\n        { \"@type\": \"Question\", \"name\": \"How do I arrange a consultation with Dr. Soarawee?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"All appointments are arranged exclusively through Bangkok Hospital's official booking system, or for the Chonburi clinic through the Samitivej Sriracha department line 088-022-1445. Dr. Soarawee does not provide medical assessment, advice, diagnosis or prescriptions through personal messaging channels or social media.\" } },\n        { \"@type\": \"Question\", \"name\": \"Can I discuss this by video consultation first?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Yes. Bangkok Hospital operates a Telemedicine service and Dr. Soarawee sees patients through it; arrange it in advance by email to the Urology department at bhquro@bdms.co.th. A video consultation suits history-taking, reviewing previous results and medication, and deciding what testing is worth doing. Physical examination, blood tests and penile duplex ultrasound require an in-person visit. Samitivej Sriracha Hospital is in-person only.\" } },\n        { \"@type\": \"Question\", \"name\": \"What makes Bangkok a destination for ED treatment?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Thailand offers urological care at internationally accredited hospitals, with the same diagnostic and surgical technology used in leading centres elsewhere, English-speaking staff and genuine privacy. Prices are quoted by the hospital, not by Dr. Soarawee; email the Urology department at bhquro@bdms.co.th.\" } }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Erectile Dysfunction Treatment in Bangkok Comprehensive, evidence-based care for men experiencing erectile dysfunction (ED) \u2014 from oral medications to advanced surgical options \u2014 delivered with complete discretion at Bangkok Hospital Headquarters. Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10875,"parent":10357,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Evidence-based ED treatment in Bangkok \u2014 from PDE5 inhibitors to penile prosthesis. Board-certified urologist, research scholar at Baylor College of Medicine. 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