Condition
Erectile Dysfunction
A common but treatable issue for older men
Overview
30 million
Approximate number of men affected by erectile dysfunction in the United States (NIH).
40%
Estimated percentage of men over age 40 who experience some degree of ED.
70%
Proportion of ED cases linked to underlying medical conditions such as diabetes or heart disease.
In plain language
Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual activity. It is common among older men and can be influenced by both physical and emotional factors.
Erectile dysfunction (ED) occurs when a man has consistent difficulty achieving or maintaining an erection suitable for sexual activity. It becomes more common with age due to changes in circulation, hormone levels, and nerve function. However, ED is not an inevitable part of aging. Conditions such as diabetes, heart disease, high blood pressure, and certain medications can contribute to the problem. Emotional factors like stress, anxiety, or relationship concerns may also play a role. Fortunately, many treatments are available — including medications, lifestyle changes, counseling, and other therapies — that can help men regain confidence and improve quality of life.
Key Information
Review the most relevant symptoms, risk factors, and common care approaches in one place.
Risk Factors
Several factors can increase the likelihood of erectile dysfunction, including:
Age: The risk increases with age, especially after 50.
Chronic conditions: Diabetes, high blood pressure, and heart disease affect blood flow and nerve function.
Smoking: Damages blood vessels and reduces circulation.
Obesity: Excess weight can interfere with hormone balance and vascular health.
Medications: Some blood pressure, depression, or prostate drugs may contribute to ED.
Alcohol use: Heavy drinking can impair nerve signals and hormone levels.
Stress: Psychological strain or performance anxiety may worsen symptoms.
Symptoms
Symptoms can vary but often include:
Difficulty achieving an erection: Trouble getting an erection firm enough for sexual activity.
Difficulty maintaining an erection: Erections that soften too quickly.
Reduced sexual desire: Lower interest in sexual activity.
Emotional stress: Feelings of frustration, embarrassment, or low confidence.
Coping Strategies
Treatments That May Help
Start with the options that have more supporting research and then review the details with your care team.
Research on This Condition
Browse the evidence base by quality score or recency to understand what is strongest today.
Research Study
Exploring the Association Between Consumption of Different Types of Beverages and Erectile Dysfunction in US Men
Limited Support
Regular grape juice intake (≥5 times per week) was associated with a lower prevalence of erectile dysfunction among U.
10/24/2025
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Research Study
Exploring the Association Between Consumption of Different Types of Beverages and Erectile Dysfunction In US Men
Limited Support
Frequent grape juice intake linked to improved sexual health in men.
1/15/2025
Read more →
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Discover evidence-based treatments and research for erectile dysfunction.