Two of the most common sexual issues men face are premature ejaculation (PE) and erectile dysfunction (ED) — but while they sometimes occur together, they are very different conditions.
Understanding the difference is key to getting the right treatment. In Bangkok, men’s health clinics offer advanced and confidential therapies to help men regain control, improve performance, and restore confidence.
The Main Difference
Aspect | Premature Ejaculation (PE) | Erectile Dysfunction (ED) |
Definition | Ejaculation occurs too quickly (within 1 minute or before penetration) | Inability to achieve or maintain an erection firm enough for sex |
Sexual Desire | Normal | Normal or reduced (if psychological) |
Physical Control | Ejaculation happens too early | Erection is weak or short-lived |
Main Cause | Nerve sensitivity, hormones, or anxiety | Blood flow issues, hormones, or stress |
Treatment Type | Behavioral, topical, PRP, or hormone therapy | Medication, PRP, shockwave, or surgery |
Both affect sexual satisfaction, but PE is about timing, while ED is about firmness.
Causes of Premature Ejaculation
Psychological → stress, anxiety, or performance fear
Physical → hypersensitive nerves or hormonal imbalance
Medical → thyroid issues, prostatitis, or neurochemical imbalance
Lifestyle → excessive alcohol, lack of sleep, or poor diet
Treatment focus:
Retraining control (behavioral therapy)
Reducing sensitivity (topical or regenerative treatments)
Balancing hormones if testosterone or thyroid is involved
Causes of Erectile Dysfunction
Physical → poor blood circulation, diabetes, high blood pressure
Hormonal → low testosterone or thyroid imbalance
Psychological → stress, depression, or relationship tension
Medication-related → blood pressure or antidepressant side effects
Treatment focus:
Improving blood flow (oral meds or shockwave)
Regenerative therapy (PRP or exosomes)
Hormone optimization (TRT)
Stress and lifestyle management
Symptoms Comparison
Symptoms | Premature Ejaculation | Erectile Dysfunction |
Ejaculation too soon | ✅ Yes | ❌ No |
Difficulty maintaining erection | ❌ No | ✅ Yes |
Reduced sensitivity | ❌ No | ✅ Often |
Anxiety before sex | ✅ Often | ✅ Often |
Weak orgasm or low satisfaction | ✅ Yes | ✅ Yes |
Diagnosis in Bangkok Clinics
A comprehensive assessment includes:
Physical exam (penile sensitivity, prostate, or blood flow)
Hormone blood testing (testosterone, thyroid)
Psychological evaluation (stress, mood, anxiety)
Sexual history & pattern review
Clinics like Menscape offer this process confidentially, ensuring comfort and discretion for every patient.
Treatment Options in Bangkok
For Premature Ejaculation
Topical sprays or numbing creams → reduce sensitivity
Low-dose SSRIs → delay ejaculation
PRP or Exosome Therapy → strengthens control and sensitivity balance
Hormone or peptide therapy → restores natural timing
Behavioral training & counseling → improves control through techniques
For Erectile Dysfunction
Oral medication (Viagra®, Cialis®) → improves blood flow
Shockwave therapy (ESWT) → regenerates blood vessels
PRP / Exosome therapy → restores erectile function
TRT (Testosterone Replacement Therapy) → improves libido and erection quality
Can You Have Both PE and ED?
Yes — many men experience both. Example:
Anxiety from ED can trigger early ejaculation.
Low testosterone can reduce both desire and control.
When both occur, the most effective approach is combined therapy:
TRT or peptides for hormones
PRP or shockwave for erectile function
Behavioral therapy for control
Success Rates
Treatment Type | PE Improvement Rate | ED Improvement Rate |
Behavioral / Counseling | 60–70 % | 50–60 % |
Medication | 70–80 % | 70–85 % |
PRP / Exosome | 75–85 % | 75–90 % |
Combined (multi-therapy) | 90 %+ | 90 %+ |
Bangkok clinics report excellent results when physical and psychological factors are treated together.
Costs of Treatment in Bangkok
Condition | Treatment Type | Cost (THB) |
Premature Ejaculation | Medication or topical | 1,000–3,000 / month |
Premature Ejaculation | PRP / Exosome | 20,000–40,000 / session |
Erectile Dysfunction | Shockwave Therapy | 3,000–6,000 / session |
Erectile Dysfunction | Medication (PDE5 inhibitors) | 1,500–4,000 / month |
Combined Therapy | Multi-treatment program | 50,000–100,000 package |
FAQs
1. Can stress cause both PE and ED?
Yes. Chronic stress can trigger both early ejaculation and erection issues.
2. Are treatments permanent?
Regenerative therapies (PRP, exosomes, shockwave) can provide lasting improvement when combined with healthy lifestyle changes.
3. Which is easier to treat?
Both respond well to the right therapy — PE is often faster to correct; ED may take longer.
4. Will I need surgery?
Surgery is rarely needed. Most men respond to medication or regenerative therapy.
5. Are treatments in Bangkok confidential?
Absolutely. Men’s clinics offer full discretion and private consultations.
Key Takeaways
Premature ejaculation = lack of control. Erectile dysfunction = lack of firmness.
Both are common and often occur together.
Bangkok clinics offer advanced, confidential treatments — from medications to regenerative and hormonal therapy.
At Menscape, men receive customized plans to restore performance, timing, and confidence.
Struggling with control or performance? Book a confidential consultation at Menscape Bangkok today.
