What Causes Erectile Dysfunction in Men?

What Causes Erectile Dysfunction in Men?

What Causes Erectile Dysfunction in Men?

Erectile dysfunction (ED) isn’t just a problem for older men. According to research, 11.3% of men aged 30–39 experience some level of ED — and this number is rising in today’s fast-paced lifestyle, with increasing stress and cumulative risky behaviors.

Source: Selvin E, et al. Prevalence and risk factors for erectile dysfunction in the US. Am J Med, 2007

1. Stress and Mental Health Issues

Stress, anxiety, depression, and even sleep deprivation from overworking can all contribute to ED.

• Men with depression are 2.5 times more likely to experience ED.

• Sleeping less than 5 hours per night increases ED risk by 15–20%.

Sources: Shabsigh R. Urol Clin North Am, 2007 / Andersen ML. Sleep Sci, 2011

2.  Lifestyle Factors: Smoking, Alcohol, Sleep

• Regular smoking increases the risk of ED by 50–60%.

• Drinking more than 3 alcoholic drinks per day is associated with long-term erectile problems.

• Sleeping less than 6 hours per night reduces testosterone levels.

Sources: Sansone A. J Sex Med, 2017 / Kupelian V. JAMA, 2007

3. Low Testosterone (Low T)

• Men over 30 with testosterone levels below 300 ng/dL have a 2.4 times greater risk of ED.

• The prevalence of low testosterone among middle-aged men is around 10–15%.

Source: Bhasin S, et al. J Clin Endocrinol Metab, 2018.

4. Diabetes and High Blood Pressure

• 35–75% of men with diabetes suffer from ED.

• High blood pressure increases the risk of ED by 1.8 times.

Source: Malavige LS, Levy JC. J Sex Med, 2009.

5. High Cholesterol and Metabolic Syndrome

• Men with metabolic syndrome have over twice the risk of ED.

• High LDL cholesterol (>160 mg/dL) directly impairs penile blood flow.

Source: Esposito K, et al. Int J Impot Res, 2012.

6. Medications With Sexual Side Effects

Certain medications like antidepressants (SSRIs), antihypertensives, and DHT-blockers have been linked to ED when used long-term.

• For example, 25–60% of SSRI users report erectile issues.

Source: Corona G, et al. J Sex Med, 2010.

7. Obstructive Sleep Apnea (OSA)

• Among men with severe OSA, 69% experience ED.

• However, in younger men without heavy snoring, the prevalence is much lower.ต่ำ

Source: Budweiser S, et al. Respir Med, 2009.

Conclusion

Erectile dysfunction is often viewed as a concern only for older men, but in reality, men in their 30s and 40s are increasingly affected. Paying attention to early warning signs and consulting a specialist can help identify the root cause and lead to effective prevention and treatment.

Article by Dr. Sirirat Nakdaeng, M.D. 55466

Board-certified Urologist and Men’s Health Specialist