Leon Barretto

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It's sometimes referred to as impotence, although this term is now used less often. Occasional ED isn't uncommon. Many men experience it during times of stress. COVID-19 increases the Risk for Erectile Dysfunction (ED) by nearly six times, according to data from the first study to investigate the association between ED and COVID-19 in young men in a real-life setting.

The preliminary numbers also indicated that having ED also increased men’s susceptibility to SARS-CoV-2 infection. Men with ED are more than five times more likely to have COVID-19. For men with a history of COVID-19, the estimated Risk for developing Erectile Dysfunction was 5.66 higher. Those numbers remained even after other factors considered. The study, which was led by Emmanuele A. Jannini, MD, professor of endocrinology and medical sexology, University of Rome Tor Vergata, Rome, Italy, was published on 20 March in Andrology.

Another cause for concern regarding the research is the potential testicular damage that can occur following an infection with COVID-19. It’s too early to tell if the damage is permanent, temporary or if it can affect fertility. Age is also an important aspect to consider, as it’s a risk factor for developing both ED and a severe case of COVID-19.

Researchers are piecing together that surviving COVID-19 may be associated with erectile dysfunction (ED). The research points to three factors that can lead to the potential onset of ED in men who have had the virus:

1. Vascular effects. Erectile function is a predictor of heart disease, so we know that the vascular system and reproductive system are connected. We also know that COVID-19 can cause hyperinflammation throughout the body, especially in the heart and surrounding muscles. Blood supply to the penis can become blocked or narrowed as a result of a new or worsened vascular condition caused by the virus.
2. Psychological impact. Sexual activity is closely associated with mental health. The stress, anxiety and depression caused by the virus and pandemic can be linked to sexual dysfunction and poor mood.
3. Overall health deterioration. ED is typically a symptom of an underlying problem. Men with poor health are at greater risk for developing ED and also for having a severe reaction to COVID-19. Since the virus can cause a plethora of health issues, general poor health is cause for concern both for ED and other complications.