Erectile Dysfunction in Men under 35: Causes and Treatment Options

Erectile Dysfunction

Erectile dysfunction (ED) is a condition that affects men of all ages, including those under 35. While it may be more commonly associated with older men, a significant percentage of younger men also experience this issue. In this comprehensive guide, we will explore the causes of erectile dysfunction in men under 35 and discuss various treatment options available. It’s important to be proactive about seeking a diagnosis and starting treatment, as ED can have a significant impact on both physical and emotional well-being.

Understanding Erectile Dysfunction in Younger Men

Prevalence of ED in Men Under 35

Research on the prevalence of erectile dysfunction in younger men has produced varying estimates. A 2004 study of approximately 27,000 men found that 11 percent of men in their 30s experienced ED. A more recent study published in the Journal of Sexual Medicine in 2013 reported an even higher estimate, with about 1 in 4 men under the age of 40 experiencing some form of ED. The variation in these findings can be attributed to differences in screening tools and questionnaires used by researchers. However, it is widely agreed that the risk of ED tends to increase with age.

Factors Contributing to ED in Younger Men

Erectile dysfunction can have both physical and psychological causes. In younger men, the underlying causes are often related to lifestyle factors, emotional issues, or certain medical conditions. Some common factors contributing to ED in men under 35 include:

  1. Lifestyle Factors: Unhealthy habits such as smoking, excessive alcohol consumption, and a sedentary lifestyle can negatively impact erectile function.
  2. Psychological Factors: Anxiety, depression, stress, and relationship problems can all contribute to ED by affecting hormone levels and the nervous system.
  3. Medical Conditions: Certain medical conditions, such as diabetes, high blood pressure, obesity, and hormonal imbalances, can increase the risk of developing ED.
  4. Medications and Substance Abuse: Some medications, such as antidepressants and blood pressure medications, can cause or contribute to erectile dysfunction. Substance abuse, including the use of illicit drugs, can also have a negative impact on sexual function.

Seeking Diagnosis and Treatment

If you experience erectile dysfunction, it is important to seek medical attention. Discussing ED with your doctor may feel uncomfortable, but it is essential for proper diagnosis and treatment. During the consultation, your doctor will likely ask about your sexual history, recent sexual activity, relationship problems, and questions about your physical and mental health.

Medical Evaluation

To diagnose the underlying cause of your ED, your doctor may perform a physical examination and order certain tests. These may include:

  • Blood tests to check hormone levels and assess for underlying medical conditions.
  • Psychological evaluations to identify any emotional factors contributing to ED.
  • Ultrasound to evaluate blood flow to the penis.

Treatment Options for ED in Men Under 35

Once the underlying cause of your erectile dysfunction has been identified, your doctor will recommend appropriate treatment options. Treatment for ED in younger men often involves a combination of lifestyle changes, medication, and therapy.

Lifestyle Changes

Implementing healthy lifestyle habits can significantly improve erectile function in younger men. Your doctor may suggest the following lifestyle changes:

  1. Regular Exercise: Engaging in regular physical activity can improve blood circulation, boost testosterone levels, and promote overall sexual health.
  2. Smoking Cessation: Quitting smoking can improve blood flow and reduce the risk of developing or worsening erectile dysfunction.
  3. Maintaining a Healthy Weight: Obesity is associated with an increased risk of ED. Achieving and maintaining a healthy weight can improve sexual function.
  4. Healthy Diet: A balanced diet that includes fruits, vegetables, whole grains, lean proteins, and healthy fats can support overall sexual health.
  5. Limiting Alcohol Consumption: Excessive alcohol intake can impair sexual function. Reducing alcohol consumption or avoiding it altogether can help improve erectile function.
  6. Adequate Sleep: Getting enough sleep is crucial for hormonal balance and overall well-being, including sexual function.
  7. Stress Management: Engaging in stress-reducing activities such as meditation, yoga, or therapy can help alleviate anxiety and improve erectile function.


In some cases, your doctor may prescribe oral medications to treat erectile dysfunction. These medications, such as sildenafil (Viagra) and tadalafil (Cialis), work by increasing blood flow to the penis, thus facilitating erections. It’s important to note that these medications are available only by prescription and may not be covered by insurance. Your doctor may also explore the option of generic versions to reduce costs.


If you prefer a non-prescription approach, certain herbal supplements may offer some benefits in treating erectile dysfunction. However, it’s crucial to consult your doctor before trying any over-the-counter (OTC) treatments. Supplements such as L-arginine and yohimbe have shown potential in improving erectile function but are not approved by the FDA. Your doctor can help determine if these supplements are safe for you and if there are any underlying conditions contributing to your ED.

Other Treatment Options

In certain cases, your doctor may recommend additional treatment options for erectile dysfunction, such as:

  • Injection Therapy: This involves injecting medications directly into the penis to stimulate an erection.
  • Testosterone Replacement Therapy: If low testosterone levels are contributing to your ED, your doctor may suggest testosterone replacement therapy.
  • Penis Pumps: These devices create a vacuum to draw blood into the penis, facilitating an erection.
  • Penis Implants: In rare cases, surgical implants can be used to help achieve and maintain an erection.

Communicating with Your Partner

Dealing with erectile dysfunction can be challenging, both physically and emotionally. It’s essential to maintain open and honest communication with your partner throughout this process. Here are some tips to navigate this sensitive topic effectively:

  1. Be Calm and Matter-of-Fact: Approach the discussion with a calm and matter-of-fact attitude to help both you and your partner deal with it in a proactive and positive way.
  2. Encourage Open Dialogue: Create a safe space for your partner to ask questions and share their concerns. Be receptive and empathetic.
  3. Provide Information: Share what you’ve learned about ED to help alleviate any concerns or misconceptions your partner may have.
  4. Seek Professional Help: Consider involving a couples therapist or sex therapist to help you and your partner navigate the emotional impact of erectile dysfunction.


Erectile dysfunction can affect men of all ages, including those under 35. Understanding the causes and available treatment options is crucial in managing this condition. By adopting a proactive approach, seeking medical attention, making lifestyle changes, and exploring appropriate treatments, you can regain control of your sexual health. Remember, erectile dysfunction is a common condition that is often treatable. Consult with your doctor to develop a personalized treatment plan that suits your needs.

Tom Dickens

Author: Tom Dickens

Tom Dickens is an accomplished content writer with a deep passion for the medical industry. With a master’s degree in English literature, Tom combines his exceptional writing skills with an extensive understanding of medical science to create engaging and informative content. Read more about Tom.

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