At What Age Can You Experience Erectile Dysfunction?

Introduction

Erectile dysfunction (ED) is a common yet often life-changing condition that can seriously disrupt a man's sex life and threaten his sense of masculinity. Changes in erections can also, in some cases, indicate underlying health problems for men. Despite common assumptions, ED can affect any man, regardless of his age.

While falling testosterone levels and health changes make ED more common in older men, its incidence in men under 40 is rising. It's critical that younger men monitor themselves for ED and seek treatment if they experience it. The chances of a significant health problem causing ED are higher in that age group.

This article covers the symptoms of ED, its causes, how age affects the condition, and common interventions for it. Learning about ED will dispel many common misconceptions about the condition and help you get the best treatment possible if you experience it.

ED Symptoms

Erections that are too soft for sex indicate ED. The nature of the changes depends on the individual because baseline erections vary. In some cases, men can get semi-hard, while others cannot get hard at all. An honest self-assessment over an extended timeline is essential for an accurate diagnosis.

Sometimes, men with ED can achieve a quality erection, but it doesn't last long enough for sex. Secondary symptoms include lowered sex drive and relationship strain. These signs develop due to altered self-image and stress caused by altered erections.

ED Causes

Erections rely on physical, emotional, and psychological health. They require a hormonal response to stimulation and increased blood flow to the penis. ED occurs because circulation is inadequate. Cardiovascular disease, low testosterone levels, and neurological dysfunction can lead to ED. These can result from many factors, including obesity, chronic illness, or injury.

Stress, depression, and anxiety can also lead to ED by inhibiting arousal or altering the neurochemical reactions that trigger erections. For younger men, health problems like diabetes or an endocrine disorder can lead to ED.

At What Age is ED Normal?

While ED is never normal, it affects about 50% of men over 50. The incidence rises by 1% every year. Significant causes of ED, like poor cardiovascular function and low testosterone, are more prevalent with age.

However, doctors report an increasing incidence of ED in younger men, with some studies estimating a prevalence of 20% in men under 40. It's critical to avoid dismissing ED as inevitable or insignificant, especially if you are under 40. Erections are a barometer of men's overall health. ED can be an early warning sign of serious illness.

Can You Have ED at Any Age?

Yes. While ED is more prevalent in older men, who are more likely to have cardiovascular conditions that restrict circulation or take medications that cause ED as a side effect, it can happen to any man at any time.

A sedentary lifestyle, poor diet, excessive alcohol consumption, illicit drug use, and overconsumption of pornography can all contribute to the development of ED. Younger men can also experience ED due to a hormonal disorder caused by a congenital health issue, significant neurological condition, metabolic changes, or an untreated psychological condition.

ED Treatment Options

Despite its varied contributing factors and complexity, there are many safe and effective interventions for ED. The best way to get treatment is by meeting with an experienced men's health doctor. They will discuss your symptoms, order routine blood tests, and conduct a standard physical exam. Doctors can rule out underlying conditions and prescribe the best treatment option.

Oral medications called PDE-5 inhibitors are the most common ED treatment. There are multiple formulations available with different activation times and durations. They work by increasing circulation to the penis during arousal. You can discuss the medication that best suits your treatment goals with your doctor.

When doctors conclude a patient’s ED has psychological roots, they usually recommend talk therapy or couples counseling. These treatments help address underlying psychological factors that inhibit arousal and reduce the quality of erections.

Penile implants are an option for severe cases of ED, usually resulting from an anatomical change, neurological factor, or injury.

In all cases of ED, doctors suggest lifestyle changes. Losing weight, increasing exercise, reducing alcohol consumption, and improving diet can either resolve ED or amplify the positive effects of your ED treatment method(s).


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About Author

Dr. Avidon Appel is the founder of Iron Mountain Men’s Health. He is an Internal Medicine Specialist based in Willow Grove, PA who specializes in men’s sexual health and hormone optimization and has over 19 years of experience in the medical field. He is a graduate of Philadelphia College of Osteopathic Medicine, as well as Saint Joseph’s University.

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