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Erectile Dysfunction – Warning Sign of Cardiovascular Disease?

Erectile Dysfunction – Warning Sign of Cardiovascular Disease?

When a man experiences erectile dysfunction (ED), the last thing he may be thinking about is his heart. But, studies have shown a direct link between heart disease and ED that necessitates a closer look at cardiovascular issues as a major factor in sexual dysfunction.

Since February is Heart Health Month, if ED is a problem, having a complete cardiovascular workup can be a lifesaver.

Aaron Weinberg

“Erectile dysfunction may be a warning sign of cardiovascular disease,” warns Aaron Weinberg, M.D. a urologist at Chesapeake Urology. “It is evident from several studies that ED is not just a sexual issue; it could be an early indicator of heart disease, and in many cases, maybe a warning sign of a future cardiac event such as a heart attack or stroke.”


Physicians at Chesapeake Urology say that men experiencing erectile dysfunction should have a thorough medical evaluation to rule out cardiovascular disease as a cause of an erectile problem. Vascular diseases such as atherosclerosis (hardening of the arteries), hypertension (high blood pressure), and high cholesterol can affect the blood vessels by restricting blood flow to the heart, brain, and to the penis, in the case of ED.

“Vascular diseases such as atherosclerosis affect not only the blood vessels supplying the heart but also blood vessels that supply the penis. Ongoing erectile dysfunction is often a sign of an underlying health condition that should be addressed with a physician not just for sexual reasons, but for overall health,” says Dr. Siegelbaum.


Dr. Weinberg adds that in addition to cardiovascular disease, other medical conditions are also linked to erectile dysfunction including diabetes, obesity, and even sleep apnea. Stress, psychological issues, and certain medications can also lead to erectile problems, so a thorough evaluation by a physician is always recommended to identify the cause and determine the best treatment options for ED, as well as any underlying medical issues.

Marc Siegelbaum

“When a man first experiences a problem achieving an erection, it’s certainly traumatic,” explains Marc Siegelbaum, M.D. director of the Erectile Dysfunction Program at Chesapeake Urology. “Most often, men don’t think about ED as a heart issue, but we know that there is sometimes a correlation that should be checked out.”
– Marc Siegelbaum, M.D.

ED- An Early Warning Sign of Other Diseases?

Drs. Weinberg and Siegelbaum add that erectile dysfunction can be more than just a sexual issue – it could be an early indicator of heart disease.

In addition to cardiovascular disease, other underlying medical concerns may be causing ED:

  • Diabetes causes damage to the nerves or blood vessels that control the flow of blood to the penis and cause an erection.
  • Obesity can cause erectile dysfunction by causing hormonal abnormalities (such as low testosterone or hypogonadism), decreased sex drive or libido, or by negatively affecting blood vessels and resulting in vascular disease.
  • Psychological problems such as anxiety, depression, and stress can also cause ED and temporary erectile issues.
  • Some medications can interfere with blood flow to the penis, especially those for high blood pressure and cardiovascular issues.

For more information, visit Chesapeake Urology’s Erectile Dysfunction website.