ED as a Cardiovascular Warning Sign
Because the blood vessels supplying the penis are smaller than coronary arteries, atherosclerosis often affects them first — meaning new erectile dysfunction, especially in men under 60, can be an early warning sign of underlying heart disease, sometimes appearing years before a heart attack.Blood Tests to Consider
| Test | Purpose |
|---|---|
| Fasting glucose/HbA1c | Diabetes is a major cause of ED |
| Lipid profile | Cardiovascular risk assessment |
| Testosterone (morning) | Low testosterone can contribute to ED |
| TSH | Thyroid dysfunction can affect sexual function |
| PSA | If considering testosterone replacement or if urinary symptoms present |
Causes
| Category | Examples |
|---|---|
| Vascular | Atherosclerosis, hypertension, diabetes — most common cause overall |
| Hormonal | Low testosterone, thyroid dysfunction |
| Psychological | Performance anxiety, depression, relationship issues |
| Medication side effects | Some blood pressure medications, antidepressants |
| Lifestyle | Smoking, excessive alcohol, obesity, lack of exercise |
Treatment Options
| Treatment | Notes |
|---|---|
| PDE5 inhibitors (sildenafil, tadalafil) | First-line — effective for most causes |
| Testosterone replacement | If confirmed low testosterone |
| Lifestyle changes | Weight loss, exercise, smoking cessation improve function |
| Psychological support | If anxiety/relationship factors are significant |
| Vacuum devices, injections, implants | Second/third-line options if tablets don't work |
New ED Deserves a Cardiovascular Check-UpIf you're a man experiencing new erectile dysfunction, especially under 60, it's worth having your blood pressure, cholesterol, and blood sugar checked — treating ED alone without addressing underlying cardiovascular risk misses an important opportunity for prevention.
Is erectile dysfunction just a normal part of ageing?
While ED becomes more common with age, it's not an inevitable or 'normal' part of ageing that should simply be accepted — it usually has an identifiable and often treatable cause.
Can lifestyle changes actually reverse ED?
Yes — for men with ED related to obesity, smoking, or sedentary lifestyle, significant lifestyle improvements can meaningfully improve or resolve symptoms, sometimes without needing medication.
Are PDE5 inhibitors like sildenafil safe for everyone?
They're contraindicated with certain heart medications (nitrates) due to dangerous blood pressure drops — always disclose all your medications and heart history before starting.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.