If oral medication is inconsistent, the side effects are ruining the moment, or you simply do not want lifelong pill dependency, focused shockwave therapy is a clinically studied, drug-free option worth assessing. At Angsana Medical, Dr. Dhivian, a family physician with a Master of Medicine, examines what is actually going on first, then talks through whether shockwave is the right next step for you.
Most men I see for this have already tried oral medication. For some it works, for some it does not. Many tell me the side effects are worse than the original problem. Focused shockwave therapy is a clinically studied option in this space, but it is not right for everyone. The point of the first visit is to find out what is actually going on, not to pitch a package.
With extensive training and experience across multiple healthcare settings, I have expertise and interests in metabolic health, men's health and mental health. I also serve as a Tutor for the College of Family Physicians Singapore.
Our clinic at Everton Park is designed to have a Family Medicine Clinic appearance to maintain discretion. It is softly lit and comfortable by design. No crowded waiting room. No bright corridor. No one looking up as you walk in.
It is the kind of space where the conversation you have been putting off actually feels possible, and by the time you sit down with Dr. Dhivian, the hardest part is already behind you.
Doctor-led care
MBBS · MMed Family Medicine (NUS). Same doctor every visit.
MOH licensed clinic
Operating under Singapore Ministry of Health guidelines.
Strict confidentiality
What's discussed in the consult stays in the consult.
Same-week slots
Quiet clinic at Everton Park. No specialist waitlists.
I see this exact set of stories from busy professionals every week. If any of these are yours, you are exactly where you should be.
Viagra or Cialis worked when you started. Now it is a coin flip. Higher dose, different timing, still inconsistent. You are starting to wonder if anything actually fixes this, or if you just keep stacking workarounds.
A headache that hangs around all evening. The flushed face. The heart racing in a way that takes you out of the moment instead of into it. You have started dreading the pill almost as much as the original problem.
You started on the lowest dose. Now you are on the highest one and still inconsistent. That trajectory is quietly worrying you. You would rather know if there is another path before you climb any further on this one.
She has stopped initiating and you cannot tell whether she is being kind or quietly distancing. Neither of you wants to say it out loud. The longer the silence runs, the louder it gets.
You have gone deep on shockwave, on TRT, on supplements, on whether this is a heart-disease signal. You know the names of the protocols. What you do not have is one doctor who can sit with all of it and tell you what fits your picture.
Every week without addressing it, the part of your brain that catastrophises gets louder. Most ED is a combination of things and most of it is treatable, but you cannot reason your way there from inside the loop. You need an actual assessment.
Low-intensity focused shockwave therapy (Li-ESWT) uses gentle acoustic pulses delivered to specific tissue. It is designed to act on the underlying tissue over a course of weeks, not to mask the symptom in the moment. It is not the same machine, and not the same intensity, used for kidney stones.
It is not a magic bullet. It is one clinically appropriate option that we assess for fit before recommending. Some patients use shockwave alongside oral medication. Some find it reduces or removes the need for the pill. Some find it is not the right tool for them. The honest answer comes from the consultation.
A handheld applicator is moved across specific points for around 15 to 20 minutes. Most patients describe the sensation as a mild tapping. There is no incision, no needle, no anaesthesia and no recovery time.
No needles. No incision. No anaesthesia. Just a handheld applicator moved across specific points.
No daily medication. No on-demand pill before intimacy. The treatment acts on the underlying tissue over a course of weeks.
Around 15 to 20 minutes per session in a private consultation room. Return to work or the gym after.
A typical course is around 6 sessions, spaced over several weeks. The exact plan is tailored to you after the assessment.
A course is only recommended if shockwave is clinically appropriate for you. We will not push a package that does not fit.
Most men do not know, and they should not have to guess. Dr Dhivian will assess and recommend the right path after one consultation.
Book your assessmentCash-pay, no insurance constraints. Your doctor advises on the most appropriate treatment during your consultation.
| Service | Starting price |
|---|---|
| Consultation | From $50 |
| Focused shockwave therapy | From $299 per session (inclusive of consultation) |
| Oral medications (if appropriate) | From $4 per tablet |
| Penile injections (if appropriate) | From $150 per injection |
Fees above are indicative. All prices in SGD. The number of shockwave sessions is tailored to your assessment.
A clinic that pitches the same package to every man in the door is not assessing anything. Honest medicine includes saying when something is not the right tool. Here is how Dr Dhivian thinks about fit.
From first contact to a clear plan, no rush, no judgment.
Submit the form and our team will reach out within 1 working day. Evening slots available outside regular office hours.
Dr. Dhivian takes your full history, examines where appropriate, and orders the right blood tests so we see the full picture, not just the symptom.
If shockwave is clinically appropriate, you will get a clear plan: the proposed course, the schedule, the honest range of outcomes. If a different first step fits better, we will say that instead.
Most ED consultations in Singapore are over in ten minutes, barely enough to describe the symptom, let alone explore what is causing it. We work differently. Every appointment is given the time it actually needs.
Dr. Dhivian will walk through your history, lifestyle, what you have already tried and what did not work, then explain clearly what is most likely going on and what your options are. No rushed prescriptions. No assumptions. Just a proper conversation.
Dr. Dhivian is the resident Men's Health Doctor at Angsana Medical. You get continuity of care from someone who knows your history and has the time to manage it properly.
Unhurried consultations
Every appointment is given the time it needs. You will not be rushed.
One consistent doctor
You see Dr. Dhivian at every visit. No repeating yourself to a stranger.
Evidence over upsell
If shockwave fits you, we'll explain why. If it does not, we will explain that too. No pressure to commit to packages you do not need.
Independent of insurance
Cash-pay model means treatment is guided by your health needs, not panel approvals.
Discreet & accessible
Our Everton Park clinic is private and comfortable, minutes from Outram Park, Maxwell and Tanjong Pagar MRT, with affordable HDB parking nearby.
A private, unhurried consultation with Dr. Dhivian at Angsana Medical. Proper assessment first. Treatment plan only if it fits. Our team will reach out within 1 working day.
Book Confidential ConsultAddress: 1 Everton Park, #01-39, Singapore 081001
Phone: +65 6041 4867
Near: Outram Park · Maxwell · Tanjong Pagar MRT
