Erectile dysfunction (ED) is one of those topics that pops up everywhere – in group chats, Instagram stories and whispered conversations over drinks. Clinically, ED is defined as “the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance.” In everyday conversations? It is often simply described as can’t afford it. And here’s the thing. It is much more common than people think.
ED is on the rise worldwide. By 2025, the expected number of individuals affected by ED is well over 300 million. Twenty years ago that number was roughly half, about 150 million. This steady increase reflects more than just the aging of the population. It also highlights modern stress, lifestyle changes, sleep quality, substance use and underlying health conditions such as diabetes and cardiovascular disease; all of which can affect sexual function.
What’s important to remember is that ED is not just a “performance problem.” It’s a health signal. Erections depend on a complex balance of hormones, blood flow, nerve function and psychological well-being. This means that when ED shows up, it can sometimes be an early warning sign of something deeper, like heart disease or depression.
So if you’re dealing with ED, you’re far from alone — and it doesn’t have to remain a silent battle. Talking about it, getting screened and paying attention to lifestyle or medical factors can make a big difference. Because sexual health is Real health, and the more we normalize these conversations, the better off everyone will be.
Physical causes of erectile dysfunction
Physical health problems are some of the most researched and understood risk factors for erectile dysfunction. Some of these include:
In addition to chronic conditions, infections can also play a role in erectile function. Even short-term illnesses such as a cold or flu can temporarily affect an erection.
And then there’s COVID-19, which didn’t just mess up our lungs and our social lives. Research shows that this is possible Cause ED, both in the short and long termpossibly by fueling inflammation and restricting blood flow. COVID-19 highlights that even temporary illnesses can have lasting effects, but little is known about how these infections build and impact overall health.
Mental health and ED
As sexual health professionals, we know that there is a strong connection between body and mind. ED can be caused by stress, anxiety, relationship conflict, or concerns about sexual performance. Depression in particular is strongly linked to erectile dysfunction; One study has shown that Patients with depression are almost 40% more likely to have erectile dysfunction than men without depression.
Erectile dysfunction and lifestyle factors
Daily habits are also important. Research shows that there are some lifestyle factors that can put you at a higher risk for erectile dysfunction.
Wider consequences of ED
ED doesn’t just matter in the bedroom. It has much wider implications that could impact students or clients you work with.
Implications for sexual health professionals
Early detection: ED can be the first symptom of other health problems. Identifying it early not only supports physical health, but also helps individuals cope with the relational and emotional challenges associated with ED.
Open dialogue: Shame and stigma often silence conversations about erectile dysfunction, leading to delays in diagnosis and care. Creating a safe space for discussion is essential.
Destigmatize ED: Reducing stigma helps with reporting, diagnosis and appropriate treatment.
Research: Comprehensive assessments across different domains can help individuals understand and manage ED.
Customized management: Treatment approaches may include lifestyle changes, medication, therapy, or couples-based approaches, depending on the underlying factors.
Empower individuals through education: Many cases of ED are affected by gaps in sexual knowledge, unrealistic expectations or poor sexual techniques. Continuing education (for both clients and professionals) is crucial. SHA offers events, sourcesAnd certification programs designed to strengthen these skills and improve the quality of care.
Conclusions
Erectile dysfunction is not just a sexual problem, but a broader indicator of physical, psychological and relationship health. For sexual health professionals, this means moving beyond symptom management and toward holistic care; addressing stigma, encouraging open dialogue, and recognizing ED as both a quality of life issue and a potential marker of an underlying disease.
By integrating research insights with patient-centered approaches, professionals can help individuals navigate the emergency room, improve health outcomes, and encourage more open conversations about a common sexual health challenge worldwide.
If you’re passionate about helping others on their sexual health journey, explore SHA’s certification programs, designed to equip you with the expertise and tools to make a meaningful impact in this field.
And don’t miss it SHA’s Men’s Sexual Health and Functioning Conference in Decemberwhere global experts will discuss topics such as erectile dysfunction, testosterone and hormones, and inclusive care for queer, trans and non-binary clients assigned male at birth. You’ll gain practical insights into helping clients cope with both physical and emotional challenges, while building self-confidence, connection and a healthier sexual life.
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