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How does smoking cause erectile dysfunction?

Picture of Andrew Bellingham

Andrew Bellingham

Pharmacist | 20+ Years | BPharm | Dip Clin Pharm

Smoking affects many parts of the body, but one area you might not immediately think about is sexual health. Surprisingly, smoking plays a major role in causing erectile dysfunction (ED) — a condition where men struggle to get or keep an erection. So, how does smoking impact things in the bedroom? Let’s break it down in straightforward terms.

Narrowed blood vessels limit blood flow to the penis

Healthy blood flow is needed for strong erections, and smoking disrupts this process. Cigarette smoke contains toxins that cause blood vessels to narrow, making it harder for blood to reach different parts of the body, including the penis. When blood flow is restricted, erections can weaken or become difficult to maintain.

Reduced nitric oxide affects arousal and blood flow

Nitric oxide is a natural chemical in the body that helps blood vessels relax, allowing them to widen for better blood flow. This chemical plays a direct role in getting an erection, as it allows more blood to flow into the penis. Smoking reduces nitric oxide levels, which can make it harder for the body to respond to arousal and keep an erection firm.

Damage to blood vessels reduces erectile function

Over time, smoking can damage the lining of blood vessels, which directly affects how well they work. Damaged blood vessels struggle to carry blood effectively, and since erectile function relies on a good blood supply, this damage can make problems more frequent. In the long run, smoking can cause lasting damage that makes erectile issues harder to overcome.

Hormone imbalance disrupts sexual health

Nicotine and other chemicals in cigarettes can affect hormones, which play a key role in sexual health. Smoking may lead to a drop in testosterone, the main hormone responsible for sex drive in men. Lower testosterone levels can reduce libido and add to erectile issues, creating a cycle that makes it difficult to enjoy a satisfying sex life.

Frequently asked questions about erectile dysfunction

Can smoking-related erectile dysfunction be reversed?

Yes, quitting smoking can improve erectile function over time as blood flow and hormone levels stabilise.

How long after quitting smoking will erectile function improve?

Erectile function may start to improve within weeks to months after quitting smoking, depending on individual health.

Is vaping less harmful than smoking for erectile health?

While vaping may be less harmful than smoking, it can still negatively affect erectile function due to nicotine and other chemicals.

A woman comforts her boyfriend at the edge of the bed, after dealing with erectile dysfunction caused by cycling.

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