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Why does metformin cause erectile dysfunction?

Picture of Andrew Bellingham

Andrew Bellingham

Pharmacist | 20+ Years | BPharm | Dip Clin Pharm

Erectile dysfunction (ED) happens when you have trouble getting or keeping an erection firm enough for sex. It’s not just an occasional problem; it’s something that happens regularly and can affect how you feel about yourself and your relationships. It’s quite common, especially in men over 40, though younger men can experience it too.

If you’re taking Metformin for type 2 diabetes, you might wonder if it’s causing your ED. Metformin helps manage blood sugar levels, and while there’s no strong evidence that it directly causes ED, some people on Metformin do report sexual issues.

Type 2 diabetes itself can cause ED by damaging the blood vessels and nerves needed for erections. If Metformin helps control your diabetes, it might lower your risk of ED, but it might not completely fix the problem if your diabetes isn’t well managed.

Sometimes, other medications you’re taking along with Metformin can affect sexual function. The stress and anxiety from managing a chronic condition like diabetes can also play a role.

Lifestyle factors like diet, exercise, and smoking can make ED worse. Even though Metformin helps with blood sugar, improving your lifestyle is important for better sexual health. Other health conditions, like high blood pressure and high cholesterol, which are common with diabetes, can also contribute to ED.

If you’re having trouble with ED while taking Metformin, it’s a good idea to talk to your healthcare provider. They can help figure out what’s going on and work with you to find the best solution.

Frequently asked questions about erectile dysfunction

Can Metformin cause ED?

Metformin itself isn’t directly linked to erectile dysfunction. However, diabetes and other factors related to its use may contribute to ED.

Why does Metformin cause erectile dysfunction?

Metformin doesn’t directly cause erectile dysfunction. ED may result from diabetes, medication interactions, or lifestyle factors associated with the condition.

How to fix ED caused by Metformin?

To address ED while on Metformin, manage diabetes well, adjust medications if needed, improve lifestyle habits, and consult your healthcare provider for personalised advice.

A man speaks to his doctor, worried that his ED is caused by his metformin prescription.

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