Traditional Thai Genital Massage for Erectile Dysfunction

Published: Aug 10, 2019 | Revised: Jan 26, 2024
Edited by: Marce Ferreira

Traditional Thai Genital Massage for Erectile Dysfunction

Many Asian traditional medicine systems have developed treatments for Erectile Dysfunction (ED). In this article, we’re going to take a look at what the Thai Traditional Healing Arts offer when it comes to treating ED.


ED, also referred to as impotence, is the incapacity to get or to keep an erection solid enough to have satisfactory sexual intercourse. When this happens now and again, it isn’t necessarily a problem, but when it becomes a structural issue it can cause stress, affect self-confidence, inhibit procreation i.e. fertility, and/or yield pressure on relationships.

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The reasons for ED can be many and can consist of one or more underlying psychological, emotional and/or physical causes. Some causes recognized are certain lifestyles, stress, anxiety, older age, relationship problems, cardiovascular diseases, low libido, diabetes, alcohol use, injuries, surgery, overweight, to name a few common factors.

In Asia, traditional treatments to resolve ED typically have a holistic approach focusing on emotional and physical issues by using a mix of massage, bodywork, and energy work. It’s believed that psychological trauma can cause tensions and contractions in cell tissue and organs. This in its turn can cause toxins and obstructions in nerves, veins and arteries that inhibit an optimal functioning nervous system and the free flow of blood to the genital organs, such as the prostate or testicles.

Thai Traditional Treatments

In Thailand, there are several approaches to resolving or diminishing ED, such as certain diets and natural remedies (Ginseng, Yohimbe, animal products, etc), synthetic medication (Viagra, Cialis, etc), lifestyle changes (exercise, stress reduction, etc), acupuncture (TCM), counseling, psychoanalysis, pelvic floor muscle exercises, certain devices (penis pumps, constriction rings, etc), and a variety of (genital) massages and other bodywork, to name a few common treatments.

Below now, we take a look at the various traditional genital massage treatments offered in Thailand that focus on resolving ED. These traditional treatments tend to address both emotional issues and physical issues.

Chi Nei Tsang Abdominal Detox Massage

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Chi Nei Tsang or Thai Abdominal Chi and Internal Organs Massage is a traditional healing massage treatment that combines Chinese, Thai Massage, and Taoist meditation techniques while focusing predominantly on the abdominal area.

The name “Abdominal Detox Massage” is somewhat limiting because the treatment is not about the abdomen only, but affects internal organs (including the genital organs) in the abdominal, pelvic, and thoracic region. One of the important assumptions made in Chi Nei Tsang is the belief that unresolved emotional issues are stored in the digestive system and that poor “emotional digestion” is one of the main reasons for ill health.

Treatments can be found across Thailand, but most particularly in the Chiang Mai region. Chi Nei Tsang Massage is also increasingly offered in Western countries.

Karsai Nei Tsang Genital Detox Massage

Karsai Nei Tsang is a traditional therapeutic genital healing and detox massage (also called sexual organs detox massage) originating and exercised in Thailand for both men and women. In fact, Karsai Nei Tsang is a specialization of Chi Nei Tsang, but with a more precise focus on the genital organs.

In general, Karsai Nei Tsang aims at health issues associated with the sexual organs and sexuality, frequent and difficult urination, Premature Ejaculation (PE), ED, fertility problems, prostate problems, menopause, ovarian cysts, painful menstruation, or painful intercourse, and low sexual libido, to name the most commonly addressed problems.

Like with Chi Nei Tsang, Karsai treatments can be found across Thailand, but mostly in the Chiang Mai region.

Herbal Compress Massage for the Genitals

An abundant blood circulation through the prostate is considered essential for the supply of essential nutrients, effective lymphatic drainage, and an optimal prostate function.

Notably in traditional medicine systems hot herbal compress massages are used for men as a means to improve blood circulation in the abdominal and pelvic area in general, and in and around the prostate and testicles in particular.

It’s thought that using hot herbal compresses over a prolonged period of time can reverse or alleviate Benign Prostate Enlargement (BPH) and can stimulate important nerves and blood vessels near the prostate for healthy sexual function, such as for getting an erection. Additionally, herbal compresses can alleviate prostate and pelvic pains.

Jabkasai Testicles Massage

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Jabkasai Massage (also named Jap Kasai or Jab Kasai Prostate Massage) has quite some similarities with Karsai Nei Tsang Genital Detox Massage. The basic idea behind Jabkasai is to stimulate the reproductive function and internal organs.

Its primary focus is on stimulating blood supply in the genital region, resolving ED, relieving painful testicles and prostate problems, frequent urination, PE, and fertility problems.

Although often positioned as only a Testicles Massage, the treatment is quite regularly offered in combination with a regular Prostate Massage. As such you may find the massage being advertised as Jabkasai Prostate Massage.

Jabkasai treatment offerings are rather scarce, serious healing treatment services (in contrast to Happy Ending massages) are basically only available in Chiang Mai and Bangkok.

Prostate Massage (Prostatic Massage)

Prostate Massage can be an integral part of the traditional treatments mentioned above, or could be offered as a separate massage modality. In fact, all traditional therapeutic genital massages, and to some extent also the abdominal massage treatments, also work on the prostate, either internally or externally.

Traditional Chinese Medicine (TCM)

Although technically TCM is of Chinese origin, we mention it because Thailand has an important Chinese population — notably in Bangkok — with a variety of TCM treatment offerings. Most used TCM treatment options for ED include Acupuncture, the application of Chinese herbs (herbal medicine), Taoist Prostate Massage, but also Qigong (Chi Kung) and Tai Chi exercises.

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