Can Erectile Dysfunction Happen in Your 20s?

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Erectile dysfunction is often seen as a condition that only affects middle-aged and older men but this is not always the case. The condition can occur in men even in their 20s, which may be surprising. Having erectile problems at any age can significantly affect your self-esteem and sex life. Discovering that you have trouble with getting or keeping an erection in your 20s can be extremely embarrassing, frustrating and concerning. 

In this article, we explain whether it’s normal to have erectile dysfunction in your 20s, the causes of erectile dysfunction in younger men, and we also explore how certain lifestyle changes and medications can help to combat it. 

 

Table of Contents

Is It Normal To Experience Erectile Dysfunction in Your 20s?

Erectile dysfunction (ED), often known as impotence, is a type of penile condition that describes the inability to achieve a firm erection or maintain an erection long enough for satisfactory sexual performance. It is a common condition in men over the age of 40. Men with ED may also experience decreased sexual drive. [1] 

Although it is less prevalent for younger men, it is not unheard of. Studies have shown that ED was reported in 8% of men between the ages of 20 and 29 and 11% in those between 30 and 39 years. [2]

Causes of Erectile Dysfunction in Younger Men

The causes of erectile dysfunction in men in younger men can be divided into physical, psychological and lifestyle categories:

Physical Causes 

  • Vascular Conditions - Good blood flow is crucial for normal erectile function. Vascular conditions such as high blood pressure, high cholesterol and heart disease can affect blood vessels and make it difficult to achieve or maintain an erection.
  • Neurological Conditions - Erections also rely on nerves that send signals from the brain. Neurological conditions such as MS (multiple sclerosis) and spinal cord injuries can lead to ED. 
  • Diabetes - Younger men with diabetes have an increased risk of ED. Diabetes can damage the blood vessels and nerves, which can impair normal erection function. 
  • Hormonal Imbalances - Hormones play a significant role in erectile function. Low levels of testosterone, the primary male sex hormone, can lead to reduced libido and ED. Other hormonal disorders like thyroid problems or abnormalities in prolactin levels might also contribute to ED.
  • Peyronie’s Disease - This condition involves the growth of scar tissue under the skin of the penis, causing it to bend or curve, making erections difficult. Peyronie’s Disease usually affects men over 40, but it can affect men in their 20s in rare cases. 

Psychological Causes 

  • Stress - Life can be tense and worrying in your 20s, from financial issues to workplace related problems. Frequent releases of high amounts of cortisol, the stress hormone, in the body can contribute to decreased sex drive and ED. 
  • Depression - Mental health conditions such as depression can affect mood and reduce libido, leading to erectile problems. Individuals may find that although they have the desire to have sex, they are unable to achieve an erection or they often lose an erection during sex
  • Performance Anxiety - Worrying about sexual performance or sexual failures can also cause performance anxiety and impact normal erectile function. 

Lifestyle Causes 

  • Obesity - Excessive body weight can also put additional strain on the body. Men living with obesity in their 20s have an increased risk of heart disease, diabetes and hormonal imbalances, which contribute to ED. 
  • Relationship Issues - Communication problems, trust issues and other relationship issues can also affect erectile function. Emotional disconnect or conflict with a partner can decrease sexual desire and make it difficult to achieve or maintain an erection.
  • Medications - ED can also be a potential side effect of antidepressants and blood pressure medications. If these medications are being taken by younger men, it can increase the risk of ED.
  • Alcohol, Tobacco and Substance Use - Consuming excessive alcohol, smoking or taking substances can also harm blood vessels and nerves, leading to ED.
  • Overuse of Pornography - Experts also suggest that excessive use and unrealistic expectations set by pornography may lead to porn-induced erectile dysfunction. [3] Young men, in particular, may find it difficult to achieve similar arousal under normal sexual circumstances, which leads to performance anxiety and ED.

How to Treat Erectile Dysfunction in Your 20s?

To treat and manage erectile dysfunction in your 20s, there are several steps that you can take:

Visit Your Doctor

If you are experiencing frequent erectile problems, visit your doctor. Doctors can look at your medical history, perform a physical examination and run blood tests to determine the root cause. After a diagnosis, a medical professional can recommend the right approach to treatment.

Oral Medications

PDE5 inhibitors are a group of oral medications which blocks the PDE5 enzyme and increases blood flow to the penis. They can be prescribed by a doctor or purchased through an online pharmacy. These medicines are usually taken 30 to 60 minutes before engaging in sexual activity and effects last for up to 4 to 5 hours. Popular types of PDE5 inhibitors often taken by men include:

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Lifestyle Changes

Making certain lifestyle changes can help to ease ED symptoms. Common lifestyle changes include:

  • Maintaining a healthy diet with plenty of fruit and vegetables
  • Getting moderate-intensity exercise - at least 150 minutes per week
  • Losing weight if necessary
  • Limiting alcohol intake
  • Managing stress levels

FAQs

Can You Prevent Erectile Dysfunction in Your 20s?

ED in your 20s can be prevented by making healthy lifestyle choices. Eating healthy, getting regular exercise and maintaining a healthy weight is good for cardiovascular health and blood circulation, reducing the risk of ED. Regular doctor visits can keep track of blood pressure, hormonal levels and overall health. 

It’s important to avoid smoking, limit alcohol intake and to stay away from substance use, all of which can impair normal erectile function. 

Mental health is also crucial for preventing ED. Try to keep stress levels low by pursuing hobbies, practising meditation or talking to a therapist. 

Can Men in Their 20s Take Viagra?

Viagra is a safe and effective pill for men who struggle with ED, even for those in their 20s. It is important to take Viagra under the supervision or guidance of a medical professional or doctor. Before taking Viagra or any other ED medication, familiarise yourself with the dosage, instructions, how it works, side effects and warnings by reading the product information leaflet.

Does Erectile Dysfunction Ever Fix Itself?

ED is not likely to fix itself without some lifestyle changes or treatment. If it is caused by psychological factors, ED can be temporary and may be resolved by making lifestyle changes to improve your mental health and wellbeing. However, if ED is caused by an underlying health condition such as heart disease, diabetes or hormonal imbalances, it is unlikely that ED can improve itself without treatment. Any concerns should be discussed with a medical professional to ensure that causes are correctly identified and an appropriate treatment is taken. 

If you need more help, please don’t hesitate to contact our registered pharmacists by email or by phone.

Sources

  1. NHS. (2023). Erectile Dysfunction (Impotence). Retrieved 21st October 2024, from: https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
  2. Rastrelli G, Maggi M. (2017). Erectile Dysfunction in Fit and Healthy Young Men: Psychological or Pathological? Retrieved 22nd October 2024, from: https://pubmed.ncbi.nlm.nih.gov/28217453/
  3. Medical News Today. (2023). How Can Porn Induce Erectile Dysfunction? Retrieved 22nd October 2024, from: https://www.medicalnewstoday.com/articles/317117

Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.