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Vitality & Balance

Spectrum Vitality

Erectile Function Care

Understanding erections beyond performance alone

Understand the program →

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YOUR STORY COMES FIRST

Erection concerns
You do not have to face them alone

If erections are not as they used to be, you are not alone, and it does not mean you are inadequate. Worry about it happening again is something you can discuss with a doctor.

Erections involve blood vessels, nerves, hormones, certain medications and stress. Several factors may coexist, so identify the cause before choosing care.

Options range from lifestyle changes, care for existing conditions and sexual health counselling to medication or suitable treatments. If it recurs or affects life, start a conversation with our doctors without needing to choose a procedure.

Private, nonjudgmental conversations. Your consultations are kept confidential.

UNDERSTAND YOUR OPTIONS

Erections involve blood vessels, nerves, hormones and feelings. What helps one person may not suit another. Begin by identifying causes, then choose care supported by evidence relevant to the problem.

01

Low-intensity Shockwave

Supports erection care in selected people with vascular factors, using low-intensity shockwaves alongside underlying health care.

How it worksMechanical waves stimulate tissue responses associated with blood vessels. The doctor selects use according to the cause and monitors actual erectile response.

Explore the options and key information

Shockwave
The menu includes individual sessions and ongoing plans. Your doctor assesses session numbers and review points.

For selected patients, with response monitored alongside diabetes, lipids, smoking and individual risk factors.

02

Pelvic Care · EMSELLA

Addresses pelvic floor muscle function, which contributes to bladder control and sexual function.

How it worksA magnetic field stimulates repeated pelvic floor contractions, focusing on muscles rather than blood vessels or hormones.

Explore the options and key information

EMSELLA
The menu includes single and ongoing sessions, considered alongside correct muscle training.

Screen for implanted devices and device contraindications first. Benefits for muscles or urination do not establish treatment of every cause of erection difficulty.

03

INDIBA · RF 448 kHz

Uses RF heat as part of localized tissue care when the doctor considers it appropriate to the assessed problem.

How it worksRadiofrequency at 448 kHz heats tissue, unlike the mechanical waves of Shockwave. Treatment site and energy must match the goal.

Explore the options and key information

INDIBA 448 kHz
The area and plan are selected after assessment.

The role of heat does not establish effectiveness for ED. Your doctor must explain why it is included and discuss standard alternatives before treatment.

04

PRP · Regen / P-Shot / PRP S

Understand the use of your own platelets to deliver signals associated with tissue repair. For ED, this is an approach within clinical research.

How it worksA concentrated platelet component is separated from blood before use. It differs from volume-adding filler and from MSC cell products.

Explore the options and key information

Regen / P-Shot
PRP preparation systems or approaches listed in the menu.
PRP S
Another option requiring explanation of the actual procedure and details before consideration.

EAU recommends PRP for ED only in clinical research. It is not standard treatment with established long-term results.

05

MSCs and Botulinum Toxin

Discuss mechanisms of cell products and medications being studied for erections, clearly distinguishing each approach's goal.

How it worksMSCs focus on studying intercellular signaling, while Botulinum Toxin acts on nerve signaling. Both remain experimental for ED.

Explore the options and key information

MSCs
Verify the type, manufacturing source, regulatory status and product-specific evidence.
Botulinum Toxin · Allergan / Neuronox
Use for ED remains off-label with limited evidence.

Evidence is insufficient to recommend these as routine standard ED treatment. Discuss standard options and research conditions before deciding.

06

Vitality · One-Day Plan

Organizes assessment and care into one plan, clarifying which step addresses which problem and how it will be monitored.

How it worksConnects vascular, muscular, hormonal and general-health causes, selecting only necessary components. One-Day refers to coordinating the plan on the appointment day.

Explore the options and key information

Shockwave · INDIBA · PRP · MSCs · EMSELLA · SPT NAD
Components listed in the menu. The doctor must assess the need and evidence status of each separately.

Select components according to the cause; not every item is needed. Experimental options must be clearly distinguished from standard care before deciding.

Start with what you would like to understand
Then discuss options, realistic expectations and follow-up with your doctor.

A consultation at Spectrum. Original photograph with AI-assisted color adjustment. — Original photograph from Spectrum's library with AI-assisted color adjustment

A CONVERSATION, PREPARED

Start with information
That helps us understand you

Note when problems began, morning erections, differences between situations and what you have tried. Bring test results and your medication list.

Prepare for your visit →

WATCH & UNDERSTAND

Hear more from Spectrum

Videos are in Thai.

SPECTRUM WELLNESS · 2:48 minutes

Understanding sexual performance care

Performance Upgrade

SPECTRUM WELLNESS · 2:38 minutes

Begin with your concerns and goals

Spectrum Enhance+ · Previous name used in this performance video

SPECTRUM WELLNESS · SHORTS

A perspective on the first visit

An individual experience · YouTube Shorts

Some videos use previous program names. Refer to current information and your doctor's assessment for details and care plans. Experience videos reflect individual feelings, not guaranteed results for everyone.

QUESTIONS WORTH ASKING

Questions you
May be asking

Explore one topic at a time, then bring
Your remaining questions to your doctor

Do incomplete erections always mean low testosterone?

No. Assessment considers history, symptoms, health conditions, medications and appropriate testing. Hormones should not be started based on one symptom.

Why ask about diabetes, blood pressure and cholesterol?

These factors relate to blood vessels and erections. Sexual performance care is also an opportunity to review overall health.

Is Shockwave suitable for everyone?

Evidence supports use in selected groups, particularly vascular causes. Responses vary, assessment is necessary and stopping medication cannot be guaranteed.

Are PRP and regenerative approaches standard treatments like medication?

Evidence differs between methods. PRP and cell approaches in particular have limitations. A menu listing does not establish effectiveness for everyone.

Should I stop my current medications first?

Tell your doctor about all medications and do not stop regular treatment yourself. Some erection medications must not be combined with nitrates, so suitability must be checked.

PLAN YOUR CARE

Understand your plan
Before deciding

Your doctor will explain suitable options, what the plan includes and follow-up before you begin. You can request costs for your individual plan without committing to treatment.

Start an enquiry →

CARE THAT CONTINUES

Ongoing care
At a pace that fits you

Every program includes follow-up
Review results, how you feel and your questions with the team according to your plan.

Start a conversation →

Further reading for your consultation

EAU · ED assessment and care guidance ↗

General information to support understanding. Your individual care depends on a doctor's assessment.

CONTACT SPECTRUM

Contact us in the way that suits you

Ask a question, book an appointment or plan your journey before we meet.

Enquire through LINE@spectrumwellnessService information and appointments →Call the clinic064 868 5566Clinic hours: 11:00–20:00 →Plan your journeySukhumvit 26Location and contact details →Get to know our spaceInside SpectrumTake a look before your visit →