Erectile Dysfunction (ED) in Young Men | Ashcroft Pharmacy
Key points ….
- ED is more common in older men, but it can occur at any age.
- Impotence is more common than people think. Up to 26% of men under the age of 40 experience some degree of ED.
- Erectile dysfunction is not a sign of weakness or aging. It's a treatable medical condition.
- There is no clear evidence that internet porn can cause ED in younger men.
- ED can be caused by a variety of factors, including medical conditions, psychological factors, medications, and substances.
- Impotence can have a significant impact on a young man's sexual and emotional health.
- ED is often treatable with lifestyle changes, medications, or therapy.
Erectile dysfunction (ED) in young men
Erectile dysfunction (ED), also known as impotence, is when you can't get or keep an erection suitable for sexual intercourse. Impotence or ED is often seen as an "old man's problem," so it can be surprising and even disbelieving to hear that a younger man is experiencing it.
Some people may think that the young man is just going through a phase or that there is no real problem. However, the question remains: is that the case? The answer is No, ED is not just an "old man's problem." It can affect men of all ages, including younger men.
Studies (The Journal of Sexual Medicine, 2013) have shown that up to 26% of men under the age of 40 experience some degree of ED.
However, research shows that ED in younger men can be caused by a variety of organic (physical) and psychological factors. Organic factors include metabolic and cardiovascular (CV) risk factors, such as diabetes, high blood pressure, and high cholesterol. Mental factors include stress, anxiety, and depression.
How common is ED in younger men?
ED is more common in older men, but it can also affect younger men. Some studies have found that up to 26% of men under age 40 experience ED. However, other studies have found lower percentages, ranging from 13% to 20%.
The exact prevalence of ED in younger men is difficult to determine because many men are reluctant to talk about this issue with their doctor. However, it is important to note that ED is a treatable condition, and there is no need to suffer in silence.
Prevalence of ED in younger men by age group:
Massachusetts Male Aging (MMAS) study found that ED affects about 20% of men in their 20s, 30% of men in their 30s, and 40% of men in their 40s.
- ED affects about 10% of men per decade of life.
- Men older than 40 have a 3 times higher chance of experiencing complete ED than younger men.
- 41.5% (around 4.3 million) of men in the UK have ED.
- ED is less common but increasing in young men (26% of men younger than 40).
- Premature ejaculation is more common in younger men than older.
Why is Impotence (ED) becoming more common in young men?
There are many reasons why ED is becoming more common in young men. One reason is the increasing prevalence of lifestyle risk factors, such as smoking, excessive alcohol consumption, and drug use. These factors can damage the blood vessels and nerves essential for erectile function.
Another reason for the increase in ED in young men is the rising prevalence of chronic diseases, such as diabetes and obesity. These diseases can also damage the blood vessels and nerves, and they can also lead to hormonal imbalances that can interfere with erectile function.
Psychological factors, such as stress, anxiety, and depression, can also contribute to ED in young men. These factors can make it difficult for men to relax and focus on sexual activity, and they can also lead to low libido. A study found that 85% of men under 40 with erectile dysfunction (ED) had psychogenic ED).
What are the causes of ED in young men?
Physical
- Vascular problems: Erection requires a good blood supply to the penis. Vascular problems, such as high blood pressure, cholesterol, diabetes, and peripheral artery disease, can restrict blood flow to the penis and make it difficult to get or maintain an erection.
- Hormonal problems: Hormones also play a role in erectile function. Low testosterone levels, hypothyroidism, and hyperthyroidism can all contribute to ED.
- Medications: Certain medications, such as antidepressants, antipsychotics, and beta-blockers, can cause ED as a side effect.
- Penile abnormalities: Some men are born with penile abnormalities, such as Peyronie's disease or hypospadias, which can make it difficult to get or maintain an erection.
- Neurological problems: Neurological problems, such as spinal cord injury, multiple sclerosis, and Parkinson's disease, can damage the nerves that control erection.
- Recreational drugs: Recreational drugs, such as tobacco, marijuana, and cocaine, can also cause ED.
Psychological
- Stress and anxiety:Stress and anxiety can make it difficult to get and maintain an erection. This is because stress and anxiety can divert blood away from the penis and towards other parts of the body. Additionally, these can make it difficult to relax and focus on sexual pleasure.
- Depression: Depression can reduce libido and make it difficult to achieve or maintain an erection.
Low self-esteem: Low self-esteem can make it difficult to feel confident and attractive to one's partner. This can lead to performance anxiety and ED. - Relationship problems: Relationship problems, such as poor communication or conflict. Within a relationship, such as arguments, disagreements, and unresolved issues, can create tension and stress. This can make it difficult to enjoy sex and can lead to ED.
- Communication problems: Poor communication between partners can lead to misunderstandings, resentment, and frustration. This can make it difficult to feel comfortable and relaxed during sex, which can lead to ED.
- Sexual dissatisfaction: If one or both partners are not satisfied with the sexual relationship, this can lead to frustration and resentment. This can make it difficult to get and maintain an erection.
Lifestyle
Lifestyle factors like Smoking, drinking too much alcohol, using drugs, being very overweight, and not getting enough exercise can make it more likely for someone to have ED.
- Obesity: Obesity can increase the risk of ED by damaging blood vessels and nerves, and by raising levels of hormones that can interfere with erectile function.
- Physical inactivity: Physical inactivity can increase the risk of ED by reducing blood flow and by contributing to obesity.
- Lack of exercise: Lack of exercise can also increase the risk of ED. Exercise helps to improve blood circulation and reduce stress, both of which are important for erectile function.
- Smoking: Smoking damages blood vessels and can make it difficult to achieve and maintain an erection.
- Excessive alcohol consumption: Alcohol can interfere with the production of hormones that are necessary for an erection. It can also relax the muscles in the penis, making it difficult to maintain an erection.
How can i fix erectile dysfunction naturally?
Making healthy lifestyle changes, such as losing weight, exercising regularly, quitting smoking, and limiting alcohol consumption, can help to improve or resolve ED symptoms in many cases.
Eating a healthy diet and getting enough sleep are also important for overall health and well-being. These lifestyle changes can help to reduce the risk of ED and improve overall sexual health.
Can pornography cause erectile dysfunction in younger men?
There are many potential causes of ED, including medical conditions, medications, and psychological factors. However, there is no clear evidence that internet porn can cause ED in younger men.
Treatment options for ED in younger men?
Treatment for ED in young men will vary depending on the underlying cause. If ED is caused by a lifestyle factor, such as smoking or obesity, making lifestyle changes is often the first step in treatment.
If ED is caused by a medical condition, treating the underlying condition may help to improve erectile function. For example, if ED is caused by diabetes, managing blood sugar levels is important. If ED is caused by a hormonal imbalance, treatment may involve hormone replacement therapy.
Counseling or therapy
If the cause of ED is psychological, treatment may involve counseling or therapy. Counseling can help men to identify and address the psychological factors that are contributing to their ED. Therapy can also help men to develop coping mechanisms for dealing with stress, anxiety, and depression.
Medications for erectile dysfunction
To treat ED, medication may be necessary, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), which can increase blood flow to the penis and improve erectile function. Medications for erectile dysfunction
If medication is not effective?
If medication is not effective, other treatments may be considered, such as intracavernosal injection therapy (ICI) or vacuum erection devices. ICI involves injecting a medication directly into the penis to cause an erection. Vacuum erection devices use a vacuum pump to create an erection.
What are the emerging treatments for ED in younger men?
There are several emerging treatments for erectile dysfunction (ED) in younger men. Some of these treatments are still in the early stages of development, but they have the potential to offer new and effective options for men with ED.
Few examples of emerging treatments for ED in younger men:
- Low-intensity shockwave therapy (LIST): LIST involves using low-intensity sound waves to stimulate the growth of new blood vessels in the penis. Which can improve blood flow to the penis and make it easier to achieve and maintain an erection.
- Gene therapy: Gene therapy involves injecting new genes into the penis to improve erectile function. This is a new and experimental treatment, but it has the potential to offer a long-term solution for ED.
- Stem cell therapy: Stem cell therapy involves injecting stem cells into the penis to repair damaged tissues and improve blood flow. This is another new and experimental treatment, but it has the potential to offer a long-term solution for ED.
- PDE11 inhibitors: PDE11 inhibitors are a new class of drugs that work differently from other ED medications. PDE11 inhibitors may be more effective for younger men with ED, and they may also have fewer side effects.
What are the barriers to seeking help for ED in younger men?
- Stigma: ED is often stigmatized, especially in younger men. This can make it difficult for men to talk about their ED with their doctor or partner.
- Lack of awareness: Many younger men are not aware that ED is a common condition or that there are effective treatments available.
- Fear of judgment: Men may be afraid of being judged by their doctor or partner if they admit to having ED.
- Concerns about cost: Some men may be concerned about the cost of ED treatment.
- Lack of time: Men may not have the time to see a doctor or attend therapy sessions for ED.
It is important to note that these barriers are unfounded. ED is a common and treatable condition. If you are experiencing ED, please talk to your doctor. They can help you to understand your condition and develop a treatment plan that is right for you.
Here are some tips for overcoming the barriers to seeking help for ED:
- Educate yourself about ED: The more you know about ED, the less intimidating it will be to talk to your doctor about it.
- Find a supportive doctor: Choose a doctor who you feel comfortable talking to about your ED.
- Be honest with your partner: If you have a partner, be honest with them about your ED. They can provide support and encouragement.
- Consider therapy: Therapy can help you to cope with the psychological aspects of ED, such as anxiety and depression.
- Don't give up: There are many effective treatments available for ED. If one treatment doesn't work for you, talk to your doctor about other options.
Remember, you are not alone. Many men experience ED, and there is no shame in seeking help.
References
https://pubmed.ncbi.nlm.nih.gov/23651423/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313296/
https://pubmed.ncbi.nlm.nih.gov/10647654/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313305/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739081/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656736/
https://pubmed.ncbi.nlm.nih.gov/2235920/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326597/
