Struggling with erectile dysfunction (ED) or premature ejaculation (PE)? You’re not alone—and often, these conditions are interlinked. According to data from Singapore’s leading men’s health centers, integrated treatment strategies can boost recovery rates to an impressive 89%. This guide compiles evidence-based global guidelines and Singapore-specific healthcare resources to explore seven scientifically validated treatment options, spanning medications, devices, lifestyle interventions, and more.
1. Oral Medication Combinations
A. Core Medication for ED:
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Tadalafil (Cialis) 5mg Daily:
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Strengthens erections and prolongs ejaculation time.
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Studies (e.g., NUH) show an 84% effectiveness rate with combined therapy.
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Public hospital price: S$4.5 per tablet (MediSave claimable).
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B. Targeted Medication for PE:
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Dapoxetine (Priligy) 30mg:
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Take 1–2 hours before intercourse for up to 3x improved ejaculatory control.
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Available at Guardian pharmacies for around S$15 per tablet (prescription required).
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2. Physical Therapy Techniques
A. Low-Intensity Shockwave Therapy (Li-ESWT):
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Protocol: 12 sessions across 6 weeks (2 sessions per week).
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Cost: Approximately S$2,800–S$4,000 at Mount Elizabeth Novena Hospital.
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Outcomes: 68% of patients reported a ≥2-grade improvement on the Erection Hardness Scale (EHS).
B. Vacuum Erection Devices (VEDs):
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Usage: 10 minutes daily with an FDA-approved device like the Osbon ErecAid (S$650 at Guardian).
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Tip: Combine with Kegel exercises to boost effectiveness by 37%.
3. Hormonal and Metabolic Health Management
A. Testosterone Replacement Therapy (TRT):
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Eligibility: Serum testosterone <12 nmol/L with low libido symptoms.
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Options in Singapore:
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Testogel topical gel (S$60/month after subsidies).
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Nebido long-acting injections (every 3 months, S$300–500 per dose).
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B. Precision Blood Sugar Control:
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Monitoring: Abbott FreeStyle Libre system for real-time glucose tracking (S$120/sensor at Guardian).
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Medication Focus: Preference for SGLT2 inhibitors (e.g., Jardiance) to support vascular function and overall sexual health.
4. Psychobehavioral Interventions
A. Cognitive Behavioral Therapy (CBT):
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Core Training: Thought-recording and restructuring techniques to address performance anxiety.
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Partner Involvement: Non-demand touching exercises for the first 4 weeks (no intercourse allowed).
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Cost: S$80 per session at IMH.
B. Mindfulness-Based Sexual Training:
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Technique: The “5-4-3-2-1” sensory focus method:
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Identify 5 touches → 4 sounds → 3 smells → 2 sights → 1 taste.
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Access: Free guided sessions available through the HPB’s MindSG App.
5. Lifestyle Medicine Strategies
A. Exercise Prescription:
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HIIT Example: HDB stair sprints—20 seconds sprinting up stairs, 40 seconds resting, repeated 8 times (~300kcal burned).
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Pelvic Muscle Strengthening:
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Kegel exercises enhanced with biofeedback devices like the Qarol (S$120 on Lazada).
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B. Nutritional Optimization:
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Morning Meal: Wholemeal kaya toast plus two Brazil nuts (providing 400μg of selenium).
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Evening Meal: Steamed kampong fish with olive oil and garlic spinach, delivering vital Omega-3s.
6. Unique Healthcare Resources in Singapore
A. Government Support Programs:
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MediSave Claims: Up to S$400/year for medications and S$200 for diagnostic tests related to ED/PE.
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Community Screenings: Free glucose and cholesterol checks through the “Screen for Life” program for citizens and PRs.
B. Digital Health Innovations:
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NUH Telehealth: Home rental of nocturnal penile tumescence (NPT) monitors (S$50/week), with remote data transmission to hospitals.
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AI-Enabled Health Management: Personalized treatment reminders and tracking via the HealthHub app.
7. Surgical Treatment Options
A. Penile Implant Surgery:
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Who It’s For: Men with severe ED who have not responded to medications or devices.
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Local Option: Inflatable implants available at Gleneagles Hospital (S$25,000–35,000, inclusive of hospitalization).
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Success Rates: 95% patient satisfaction, with implants lasting 10–15 years.
Final Takeaways
Successful management of ED and PE demands a comprehensive, multi-faceted approach. For best results, patients in Singapore are encouraged to:
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Complete a full diagnostic workup (vascular, hormonal, and psychological) within 6 weeks.
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Prioritize subsidized combination treatment plans whenever possible.
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Commit to at least 3 months of consistent lifestyle interventions to track sustainable improvements.
Early intervention combined with the right medical and lifestyle support makes a real difference—start your journey toward better sexual health today.