Is erectile dysfunction a warning sign of something more?

Understanding the possible causes of erectile dysfunction could help you catch other conditions early and improve your long-term health. Here’s what your body could be telling you.

By Chanpreet Singh, MD, Family Medicine, Nuvance Health Medical Practice, part of Northwell healt

Erectile dysfunction (ED) affects millions of men, but it’s not always just about aging or stress. Sometimes, ED is your body’s way of signaling a deeper health issue that needs your attention.

What is erectile dysfunction?

Erectile dysfunction is the inability to get or keep an erection long enough for sexual activity. It may occur occasionally or more frequently and becomes more common after age 40. But ED isn’t just a sexual health issue — it’s often connected to your overall well-being.

Erections involve a mix of systems working together, including:

• Blood flow
• Hormone balance
• Nerve function
• Mental health

If any of these are disrupted, ED may be one of the first noticeable signs.

Erectile dysfunction may be linked to heart disease

Healthy blood flow is critical for erections. You may see issues in your circulatory system before more obvious heart symptoms arise.

ED may signal:

• High blood pressure
• Clogged arteries
• Poor circulation

If you have a family history of heart disease or other risk factors like smoking or high cholesterol, it’s a good idea to speak with your doctor. A simple heart health screening can be an important first step.

Find a Nuvance Health primary care provider near me.

Is erectile dysfunction a sign of diabetes?

Erectile dysfunction is a common early symptom of type 2 diabetes. Elevated blood sugar damages blood vessels and nerves, which are both essential for sexual function.

Keep an eye out for these signs of diabetes:

• Increased thirst
• Frequent urination
• Blurry vision
• Unexplained fatigue

If you’re experiencing ED and any of these symptoms, a blood sugar test can help determine if diabetes or prediabetes are to blame.

Related content: The link between sleep and type 2 diabetes: Why rest matters

Can low testosterone cause erectile dysfunction?

Hormonal imbalance, especially low testosterone, is another common cause of ED. Testosterone levels naturally decrease with age, but low levels can have a real impact on sexual health and overall energy.

You might also notice:

• Decreased sex drive
• Mood swings or irritability
• Fatigue
• Reduced muscle mass

If you suspect your testosterone is low, your primary care provider can order a blood test and discuss options to help restore balance.

Related content: 5 essential health screenings for men’s wellness

What’s the connection between mental health and erectile dysfunction?

Mental health plays a major role in sexual performance. Depression, anxiety and high stress levels can all interfere with your ability to get or maintain an erection.

Common emotional causes of ED include:

• Performance anxiety
• Work or relationship stress
• Depression or low self-esteem

Whether it’s a short-term issue or something deeper, mental health support can help. Therapy, stress-reduction techniques and, sometimes, medication can make a significant difference.

Related content: The gut-mental health connection: How to improve both for overall well-being

When to talk to your doctor about erectile dysfunction

ED may feel like a difficult topic to bring up, but it’s one doctors are trained to talk about. ED is more common than you think. Getting to the root cause of erectile dysfunction can lead to better overall health, improved relationships and peace of mind.

If you’re experiencing:

• Frequent trouble with erections
• Other health changes like fatigue or chest discomfort
• Mood or hormone shifts

… it’s time to schedule a check-in with your primary care provider.

Book now with a Nuvance Health primary care provider near me.

The bottom line: Erectile dysfunction is more than just a sexual health issue; it can be an early warning sign of underlying health conditions such as heart disease, diabetes, hormonal imbalances or mental health issues. If you're experiencing ED, it's important to talk to your primary care provider. Addressing ED can lead to better overall health, improved relationships and peace of mind. Don’t hesitate to ask questions and take proactive steps toward feeling your best.