MEN'S SEXUAL HEALTH
Men's Sexual Health Clinic
Concerns about erections, ejaculation or penile shape are often linked to blood vessels, hormones, nerves or stress. We look for the cause first, then discuss suitable options from medication and shockwave to surgery — each patient is personally evaluated by Dr. Hsieh.
Start with your concern
Which situation sounds most like yours?
Choose the description that fits best to learn about possible causes and how they are evaluated. Having more than one concern is common, and all of them can be assessed at the same visit.
Erectile Dysfunction
Difficulty achieving or maintaining a sufficient erection. It may be related to blood vessels, chronic illness, hormones or psychological stress.
Learn about ED → "It's over too soon and hard to control"Premature Ejaculation
Ejaculation that happens quickly, is hard to control and causes distress. Lifelong and acquired types are distinguished before treatment is discussed.
Learn about PE treatment → "There's a noticeable bend when erect"Penile Curvature
Congenital curvature or acquired Peyronie's disease (lumps, pain). Management depends on the angle and whether the condition is stable.
Learn about penile curvature →Male Menopause
Falling testosterone may bring changes in libido, energy and mood. A blood test is needed to confirm it before supplementation is considered.
Your visit
Find the cause, then discuss treatment
Two men who both say "it's not firm enough" may have entirely different causes. A thorough evaluation helps avoid treating only the surface symptoms.
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History and questionnaires
How long symptoms have lasted, how often they occur, current medications and chronic conditions.
- Questionnaires such as IIEF / PEDT
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Tests
Arranged as needed — not every test is necessary for everyone.
- Blood tests: hormones, blood sugar, lipids
- Penile Doppler ultrasound
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Discussing options
The doctor explains when each option applies, along with its limitations and possible risks.
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Treatment and follow-up
Adjusted according to your response, combining approaches when needed.
Treatment options
A stepwise approach, from simple to advanced
The general principle is to start with non-invasive, simpler methods, and consider advanced options if results are insufficient or earlier options are not suitable.
First-line
Medication and hormones
The starting point for many men after evaluation, together with lifestyle changes.
Non-surgical
Regenerative and physical therapies
Options without surgery; eligibility and treatment course require the doctor's evaluation.
Surgery
Microsurgical and reconstructive surgery
When conservative treatment has limited effect or is not suitable, the doctor evaluates whether surgery is appropriate.
Each treatment suits different patients, and results vary from person to person. Whether an option is suitable, and how options may be combined, is discussed after a personal evaluation by Dr. Hsieh.
More than sexual function
Sexual function can mirror your overall health
Penile blood vessels are small, so declining firmness sometimes appears before cardiovascular symptoms do. We recommend seeing a doctor early if:
- The problem has lasted more than 3 months or is getting worse
- You also have high blood pressure, diabetes, high cholesterol, or you smoke
- You have pain during erections, feel a lump, or notice a change in curvature
- You also notice changes in urination, the testicles, energy or mood
Private care
Things that are hard to say
can be discussed here at your own pace
The doctor takes your history and explains in person — no need to describe symptoms in the waiting area.
You can ask about appointments in writing first, easing the pressure of speaking up.
Understanding together can help with communication and treatment.
Kept securely in line with medical regulations and not shared externally.
Attending physician
Dr. Cheng-Hsing Hsieh
Former Chief of Surgery and Chief of Urology, Taipei Tzu Chi Hospital
Focused for many years on male sexual dysfunction and microsurgery such as penile venous ligation and penile prosthesis implantation, personally overseeing each case from evaluation and treatment to follow-up.
FAQ
Common questions before your visit
Have another question? Feel free to ask about appointments on LINE.
What should I prepare for my first visit?
Note when symptoms began, how often they occur, your current medications and any chronic conditions. If you have blood test or other results from another hospital, bring them for reference.
Will I need a lot of tests?
Not necessarily. The doctor decides based on your history and arranges only tests that help clarify the cause.
If medication works, do I still need to see a doctor?
Erectile difficulty can be linked to cardiovascular disease, diabetes or hormones, and these medications have contraindications and interactions, so a doctor's evaluation before use is recommended.
Are shockwave therapy or PRP suitable for everyone?
No. Suitability depends on the cause and severity and is discussed after the doctor's evaluation; results vary from person to person.
Can I just ask via LINE?
LINE is available for appointment and general questions; a personal diagnosis and treatment advice still require an in-person evaluation by the doctor at the clinic.
This page provides health education and does not replace a medical diagnosis. Treatments and results vary from person to person and require a personal evaluation by a doctor.