Erectile Dysfunction

Reviewed by  Maria Maureen Ablen, MD
Written by  Maria Maureen Ablen, MD
Published 05/01/2025

Erectile dysfunction (ED) is more common than many realize, affecting a significant number of men in the Philippines. Whether it's an occasional issue or a persistent challenge, ED can impact self-esteem, relationships, and overall well-being. The good news? ED is treatable, and help is readily available.

Erectile dysfunction refers to the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It’s not just a natural part of aging; various factors can contribute to its onset, and knowing them is key to finding the right solution. If you've been wondering about the causes, symptoms, and treatments available specifically for men in the Philippines, you're not alone — and understanding ED is the first step toward reclaiming your confidence.

What Causes Erectile Dysfunction?

Multiple factors can lead to ED, often categorized into physical and psychological causes:

Physical Causes:

  • Cardiovascular diseases that restrict blood flow

  • Diabetes, which can damage blood vessels and nerves

  • Obesity, leading to reduced testosterone levels

  • Hormonal imbalances, particularly low testosterone

  • Certain medications such as antidepressants or antihypertensives

  • Smoking and excessive alcohol consumption, which impair blood circulation

Psychological Causes:

  • Stress from work, financial pressures, or family life

  • Anxiety, particularly performance anxiety

  • Depression, which can lower libido and energy levels

  • Relationship issues that create emotional distance

According to the Mayo Clinic, many cases of ED result from a combination of physical and psychological factors. For men in the Philippines, cultural expectations and lifestyle pressures often create a perfect storm for both types of causes to appear together.

Other factors like sleep disorders, substance abuse, and even injuries to the pelvic area can also contribute. Because there are so many potential triggers, it’s important to approach ED with a holistic mindset.

How Common Is Erectile Dysfunction in the Philippines?

Studies suggest that erectile dysfunction affects about 1 in 3 men globally — and rates in the Philippines are believed to be similar or even higher. A 2013 study published in the Asian Journal of Andrology showed the Philippines had one of the highest rates of self-reported ED among Asian countries.

Despite its prevalence, many Filipino men avoid seeking help because of the stigma surrounding sexual health. Fear of embarrassment or judgment often leads to unnecessary suffering. Thankfully, platforms like andyou.ph are changing that narrative by providing discreet, accessible support to those who need it.

Signs You Might Have Erectile Dysfunction

Recognizing ED early can help you take action before it affects your mental health or relationships. Here are common signs:

  • Trouble getting an erection despite sexual stimulation

  • Difficulty maintaining an erection during intercourse

  • Reduced interest in sexual activity

  • Anxiety before or during sex

  • Feelings of embarrassment, guilt, or frustration related to sexual performance

These symptoms can occur occasionally due to stress or exhaustion. However, if they happen consistently, it may be time to seek medical advice. ED can be an early warning sign for more serious health issues such as heart disease or diabetes, making early intervention even more important.

Treatment Options for Erectile Dysfunction in the Philippines

There are a variety of effective treatments for ED available right here in the Philippines. Many options can be combined for better outcomes depending on the cause of your ED.

Lifestyle Changes:

Making healthy changes is often the first step toward improvement. You can start with:

  • Exercise: Regular aerobic activity improves circulation and reduces ED risk.

  • Diet: Eating more fruits, vegetables, and lean proteins supports vascular health.

  • Quit Smoking: Tobacco damages blood vessels, directly contributing to ED.

  • Limit Alcohol: Moderate drinking is fine, but heavy alcohol use impairs sexual function.

  • Manage Stress: Mindfulness, breathing exercises, or even therapy can help you cope with daily stress.

These changes not only improve ED but also boost your overall quality of life.

Medications:

  • Sildenafil (Viagra): A fast-acting option often used as needed.

  • Tadalafil (Cialis): Can be taken daily or as needed, offering a longer window of effectiveness.

  • Vardenafil (Levitra) and Avanafil (Stendra): Other PDE5 inhibitors effective for ED.

All medications should be taken under medical supervision. At andyou.ph, you can discreetly consult a licensed provider and get FDA-approved treatments delivered to your home.

Therapy and Counseling:

When psychological factors are at play, therapy can make a huge difference. Options include:

  • Cognitive Behavioral Therapy (CBT) to address negative thought patterns

  • Sex therapy for addressing intimacy issues with your partner

  • Couples therapy if relationship stress is contributing to ED

Medical Devices:

  • Vacuum erection devices: These mechanical pumps help draw blood into the penis and are an effective non-pharmaceutical solution.

  • Penile implants: Considered a last resort when other treatments fail, implants are surgically placed and can provide a permanent solution to ED.

Other Treatments:

Emerging options like low-intensity shockwave therapy are gaining traction in Asia, including some clinics in the Philippines. This non-invasive treatment may improve blood flow over time, though it’s still under study.

Natural Supplements and Remedies

In the Philippines, many turn to herbal supplements for managing ED. Popular options include:

  • Tongkat Ali (Eurycoma longifolia): Often marketed as a testosterone booster.

  • Ginseng: Linked to improved erectile function.

  • L-arginine: An amino acid that helps produce nitric oxide, improving blood flow.

While some supplements show promise, it’s important to approach them carefully. Always consult a healthcare provider before starting any new supplement, especially if you’re already taking medications.

When to See a Doctor

If you experience ongoing issues with erections, it’s time to talk to a healthcare provider. ED can sometimes be a symptom of underlying conditions like:

  • Heart disease

  • Diabetes

  • High blood pressure

  • Kidney disease

Early diagnosis can not only treat ED but also protect your overall health. Through andyou.ph’s telehealth services, you can conveniently consult a doctor online, without the need for uncomfortable clinic visits.

The Bottom Line

Erectile dysfunction is incredibly common among Filipino men but very treatable with the right support. Addressing ED early can improve your physical health, emotional well-being, and intimate relationships.

You deserve to feel confident, healthy, and supported. At andyou.ph, we make it easy to find solutions that fit your life — whether you’re interested in proven medications, lifestyle advice, or discreet consultations.

ED Treatment

Read up before getting down

Two hands holding cucumbers, one firm and one soft, symbolizing erectile dysfunction humorously.