Medications, Options & Expert Advice
Erectile dysfunction (ED) isn’t exactly table talk, but let’s face it—it’s common, treatable, and nothing to be embarrassed about. If you’re here, you’re already taking the first step to understanding your options and getting the right treatment. Good call.
In this guide, we’ll cover:
✔️ What ED is and when to seek treatment
✔️ Symptoms and common causes
✔️ Available ED treatments in Singapore
✔️ How to get prescription medication—without stepping into a clinic
ED is when you struggle to get or keep an erection firm enough for sex. Everyone has an off night—stress, exhaustion, or too many drinks can lead to a performance dip. That’s normal.
But if it’s happening more than half the time, it’s worth looking into treatment.
At What Age Should You Seek ED Treatment?
While ED becomes more common with age, it’s not just an “old man’s problem.”
📌 40% of men in their 40s experience ED.
📌 50% of men in their 50s experience ED.
📌 Even 8% of men in their 20s & 11% of men in their 30s report ED symptoms.
So no, you’re not too young for this to happen—and you’re definitely not alone.
ED is often linked to underlying health conditions, including:
✔ Type 2 diabetes
✔ High blood pressure
✔ Heart disease
✔ Obesity
✔ High cholesterol
✔ Hormonal imbalances
✔ Stress, anxiety, or depression
Fixing the underlying cause could also improve your ED.
⚠ Trouble getting an erection
⚠ Difficulty keeping an erection
⚠ Lower libido or lack of interest in sex
A bad night once in a while? Nothing to worry about.
If these symptoms persist, though, it’s time to talk to a doctor and explore treatment options.
The most common and doctor-recommended ED treatment is PDE5 inhibitors, including Viagra (Sildenafil), Cialis (Tadalafil), and Levitra (Vardenafil). These medications work by increasing blood flow to the penis, making it easier to get and keep an erection. They won’t boost your libido or give you random, surprise erections—you still need to be aroused.
Like any medication, PDE5 inhibitors can come with mild side effects, including:
Most side effects are temporary and mild, but if they persist or become severe, it’s best to consult a doctor.
📌 Important: You can’t buy ED medications over-the-counter in Singapore—you’ll need a prescription from a licensed doctor. Also, if you take nitrates for chest pain or have severe heart disease, PDE5 inhibitors aren’t safe for you as they can cause a dangerous drop in blood pressure. Always check with a doctor before starting any new medication.
ED meds work, but they aren’t for everyone. If you’re on nitrates for heart conditions or have low blood pressure, mixing them with ED medication can cause a dangerous drop in blood pressure—definitely not worth the risk. Always check with a doctor before starting any new meds, especially if you have existing health conditions or take other prescriptions.
Timing also matters. For best results, take ED medication on an empty stomach—it absorbs better that way. If you must eat, keep it light. A heavy, greasy meal can slow things down and make the medication less effective.
Viagra (Sildenafil Citrate)
Viagra is the household name for sildenafil, a PDE5 inhibitor that boosts blood flow to the penis. It’s taken about an hour before sex and helps make getting and keeping an erection easier. Common side effects include headaches, flushing, indigestion, nasal congestion, and dizziness.
Cialis (Tadalafil)
Cialis (tadalafil) is another popular ED medication, but unlike Viagra, it lasts longer—up to 36 hours—which means more spontaneity. It can be taken as needed or daily. Common side effects include headaches, indigestion, back pain, muscle aches, and flushing.
Levitra (Vardenafil)
Levitra (vardenafil) works similarly to Viagra and Cialis but is often preferred by some men for its slightly longer duration. It should be taken about an hour before sex. Common side effects include headaches, flushing, and nasal congestion.
Stendra (Avanafil)
Stendra (avanafil) is the newest kid on the block in the ED meds family. It works fast—sometimes in as little as 15 minutes—making it a great option for those who want less waiting time. Common side effects include headaches, flushing, nasal congestion, and back pain.
Alprostadil
For those who can’t take oral ED meds, Alprostadil is an alternative. It can be injected directly into the penis or inserted as a suppository into the urethra. It increases blood flow, helping to produce an erection. Side effects can include pain at the injection site, prolonged erections (priapism), and minor bleeding.
When pills don’t cut it, penile injections step in. This involves injecting alprostadil directly into the penis, triggering blood flow and creating an erection—usually within minutes and lasting up to an hour. It’s fast-acting and effective, but yeah, it does involve a needle down there (we won’t sugarcoat it). Possible side effects? Minor bleeding, a prolonged erection (priapism), or in rare cases, scar tissue at the injection site. Definitely not a DIY situation—this one needs proper guidance from a doctor.
For men who’ve tried everything and still aren’t getting results, penile implants might be the answer. This surgical procedure places inflatable or semi-rigid rods inside the penis, allowing for an on-demand, reliable erection. It’s discreet, long-term, and highly effective, but it’s not a casual decision—since it involves surgery, there’s no going back. Generally considered a last resort when other treatments don’t work, but for the right person, it can be a total game-changer.
Not a fan of pills or needles? Alprostadil suppositories might be an option. This involves inserting a tiny pellet into the tip of the penis (yes, it sounds uncomfortable—but it works). The medication absorbs through the urethral wall, boosting blood flow and helping you get an erection that can last up to an hour. Side effects? A bit of burning, mild pain, or minor bleeding—nothing dramatic, but something to be aware of.
If you like gadgets, this one’s for you. Penis pumps create a vacuum around the penis, pulling blood in to produce an erection. Once you’re there, a tension ring at the base helps keep things up for around 30 minutes. No needles, no medication—just suction power and patience. It’s simple, effective, and completely non-invasive—just make sure you use it correctly and comfortably.
Not all ED is physical—sometimes, it’s in your head. Stress, anxiety, or even past experiences can mess with performance, and meds won’t fix that. Cognitive Behavioural Therapy (CBT) can help reframe negative thoughts and reduce performance anxiety, while relaxation techniques like breathing exercises and meditation can ease stress. If your mind’s getting in the way, therapy could be just as important as medication.
Medications help, but your daily habits matter too. Regular exercise, a healthy diet, and cutting back on smoking and alcohol can improve blood flow and reduce ED symptoms. Mental health is just as important—stress and anxiety are major mood (and erection) killers. Managing them can make a real difference in both your performance and confidence.
Not keen on the awkward clinic visit? We get it. With Noah, you can skip the waiting room and get expert ED treatment from the comfort of home. Our licensed doctors are just a click away—ready to help you figure out what’s causing your ED, whether it’s physical, psychological, or a mix of both.
If treatment’s right for you, we’ll prescribe the right medication and have it discreetly delivered to your door—within 4 hours, at no extra cost. No stress, no judgment—just real medical advice and proven treatments that work.
It depends on the cause. Some types of ED are reversible—if it’s linked to obesity, stress, or alcohol, addressing those issues can get things back on track. Other cases are treatable but may need ongoing care, like ED caused by high cholesterol or hormonal imbalances. The key? Figuring out what’s behind your ED so you can take the right approach.
There’s no one-size-fits-all answer. If your ED is tied to lifestyle factors (like weight, stress, or drinking), improvements can happen in weeks to months once those are managed. If it’s caused by an underlying medical issue, recovery time depends on how well that condition is treated. The best way to speed things up? Talk to a doctor and get the right treatment plan.
There’s no magic bullet—it depends on what’s causing your ED. Some men see results with lifestyle changes, while others need medication or alternative treatments. If an underlying health issue is to blame, treating that condition could fix your ED too. The best move? Speak with a doctor to figure out what works for you.
Like most medications, ED treatments can come with mild side effects. The most common ones include headaches, nausea, dizziness, flushing, and nasal congestion. The good news? They’re usually temporary and wear off within a few hours.
If side effects persist, worsen, or feel off, it’s best to check in with a doctor. They can help adjust your dosage or explore other treatment options that work better for you.
Articles featured on Noah are for informational purposes only and should not be constituted as medical advice, diagnosis or treatment. If you have any medical questions or concerns, please talk to your healthcare provider. If you're looking for a healthcare provider, click here.