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Erectile Dysfunction Predicts Mortality


A 2022 study1, which drew on data from the European Male Aging Study, found that erectile dysfunction was a significant predictor of mortality.

The study followed men aged 40–79 over a period of more that 12 years.

The researchers found that: “Men with sexual symptoms, especially ED, have a higher mortality risk, but this risk is not influenced by their sex steroid levels. In community dwelling men, sexual symptoms can thus be an early warning sign of a poor or worsening health status, and an indication of an increased risk for mortality irrespective of T levels.”

“Men with three sexual symptoms (erectile dysfunction, reduced morning erections and lower libido) had a higher mortality risk compared with men with none of these symptoms. Particularly, erectile dysfunction and poor morning erections, but not lower libido, were associated with increased mortality.”

The results are not surprising. One of the leading causes of erectile dysfunction is a cardiovascular or circulatory problem. ED is sometimes used as an early indicator of heart disease. A 2003 study2 found that “a significant proportion of patients with angiographically documented coronary artery disease have erectile dysfunction and that this latter condition may become evident prior to angina symptoms in almost 70% of cases.”

The British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men3 state that “There is now overwhelming evidence that ED is strongly associated with cardiovascular disease, such that newly presenting patients should be thoroughly evaluated for cardiovascular and endocrine risk factors, which should be managed accordingly.”

These studies reinforce the need for lifestyle changes as a treatment for ED. Clinical studies have shown that changes in diet and exercise can reduce symptoms of erectile dysfunction. These changes can also improve overall health, and reduce mortality risk factors.

If you are experiencing erectile dysfunction, it’s important to see a doctor to determine the underlying cause.

Getting Healthy

For more information on improving your health and reducing the symptoms of erectile dysfunction, see:

Can Diet and Exercise Cure Erectile Dysfunction?

Clinical studies have shown that changing to a heart-healthy diet and getting regular aerobic exercise can reduce erectile dysfunction and improve cardiovascular health.

Treating Erectile Dysfunction without Medications

Along with diet and execise, there are other techniques that can improve blood flow to the penis.

Regimen for Erectile Dysfunction – Review

Regimen is an app-based wellness program that can help men to make lifestyle changes and stick with them.


  1. Antonio, Leen; Wu, Frederick C W; Moors, Hannes; Matheï, Cathy; Huhtaniemi, Ilpo T; Rastrelli, Giulia; Dejaeger, Marian; O’Neill, Terence W; Pye, Stephen R; Forti, Gianni; Maggi, Mario; Casanueva, Felipe F; Slowikowska-Hilczer, Jolanta; Punab, Margus; Tournoy, Jos; Vanderschueren, Dirk; the EMAS Study Group. “Erectile dysfunction predicts mortality in middle-aged and older men independent of their sex steroid status.” Age and Ageing. April 2022, Volume 51, Issue 4.
  2. Montorsi, Francesco; Briganti, Alberto; Salonia, Andrea; Rigatti, Patrizio; Margonato, Alberto; Macchi, Andrea; Galli, Stefano; Ravagnani, Paolo M; Montorsi, Piero. “Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease.” European Urology. Sep 2003;44(3):360-4; discussion 364-5.
  3. Hackett, Geoff; Kirby, Mike; Wylie, Kevan; Heald, Adrian; Ossei-Gerning, Nick; Edwards, David; Muneer, Asif. “British Society for Sexual Medicine Guidelines on the Management of Erectile Dysfunction in Men.” The Journal of Sexual Medicine. 2018.

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