Erectile dysfunction affects millions of men, and while it’s more common with age, lifestyle habits (including other substance use) play a role. Some research suggests that cannabis use may increase the likelihood of ED, especially at higher doses. Other studies suggest the relationship is unclear or even neutral.

The challenge is that cannabis affects the body in multiple ways. It interacts with the brain, blood vessels, and hormone systems, all of which are important in sexual function. For some men, these effects may interfere with the ability to achieve or maintain an erection.

Although cannabis and sexual health remain under-researched, several recent studies provide insight.

• Cannabis and vascular health. Erections depend on healthy blood flow. Cannabis has been shown in some cases to damage blood vessels or impair their ability to dilate properly, which may reduce blood flow to the penis. This vascular effect is a well-established contributor to ED.
• Cannabis and heart health. Those who partake in cannabis use are at a higher risk of a heart attack. Because heart health and ED are linked, putting the marijuana down may not only improve your sex life, but also prevent a visit to the Emergency Room (or worse).
• Cannabis and the nervous system. The brain and nerves coordinate the signals that trigger erections. Because cannabis affects neurotransmitters and brain activity, it may interfere with the signals needed for sexual arousal and performance.

It’s also important to note that findings are not uniform. Some research suggests that low doses of cannabis may increase sexual desire or pleasure, while higher doses may impair function. This may explain why some men report positive experiences with cannabis and intimacy, while others experience difficulties.

Even if the connection between cannabis and ED remains debated, what is not discussed is the seriousness of erectile dysfunction itself.

ED is not just a sexual health issue. It is often an early warning sign of other health problems. The National Institutes of Health (NIH) reports that erectile dysfunction can be an early manifestation of cardiovascular disease. Because the blood vessels in the penis are smaller than those in other parts of the body, ED may appear before symptoms of heart disease become noticeable.

Beyond cardiovascular health, ED is linked with mental and emotional well-being. Men who struggle with ED often experience anxiety, depression, and relationship strain. Work performance and productivity can also suffer. In fact, one 2021 study described ED as causing a “profound impairment in quality of life.”

This makes it important for men to take ED seriously and not dismiss it as a minor or purely sexual concern.

If you use cannabis and have noticed changes in sexual function, you are not alone, and you don’t have to ignore the problem. Here are some practical steps:

• Pay attention to dosage. If you’re using cannabis regularly or in higher amounts, consider whether reducing intake improves sexual performance.
• Evaluate your overall health. Because ED often signals other health issues, it’s worth checking in with a doctor about cardiovascular risk, hormone levels, and general wellness.
• Adopt healthy habits. Exercise, a balanced diet, and quality sleep all support both erectile and overall health. These habits may also counteract some of cannabis’s negative effects.
  
• Seek professional support. If ED persists, a men’s health specialist can help determine the underlying cause and provide treatment options tailored to your situation.

One of the biggest challenges men face with ED is the stigma. Many avoid talking about it, hoping the issue will go away on its own. But ED is common and treatable, and when it’s linked to lifestyle factors like cannabis use, it can often be improved with the right changes.

As cannabis use continues to rise, more men will have questions about how it affects their sexual health. While research is ongoing and sometimes conflicting, it’s clear that heavy cannabis use may increase the risk of ED for some men. If you notice new or worsening symptoms, the most important step you can take is to reach out for medical advice.

Cannabis is here to stay, and for many men, it offers relaxation, enjoyment, or relief from medical conditions. But like any substance, it comes with potential risks, and sexual health may be one of them. Erectile dysfunction is not just about intimacy; it’s about overall well-being, heart health, and quality of life.

If you are experiencing ED and use cannabis, consider the possible connection. More importantly, talk with a healthcare professional about what you’re experiencing. Addressing the issue can restore not just sexual performance but also confidence, energy, and peace of mind.

Because while cannabis use may be growing, so is the understanding that men’s health and sexual health deserve attention, honesty, and care.

At Northeast Men’s Health, we understand how sensitive and personal this issue can be. Our team provides comprehensive, compassionate care to help men experiencing erectile dysfunction find effective solutions. From medical therapies to lifestyle guidance and emotional support, we tailor treatment to each man’s unique situation. With the right approach, men can regain confidence, improve intimacy, and take back control of their sexual health.

If you’re looking for a men’s health practice that offers erectile dysfunction treatments in New England, contact Northeast Men’s Health today for a consultation. We have locations in Dedham, Massachusetts, Marlborough, Massachusetts, Woburn, Massachusetts, Salem, New Hampshire, Farmington, Connecticut, and Warwick, Rhode Island. We are eager to help you find the appropriate treatment method for your erectile dysfunction.