Erectile Dysfunction in the ’20s: Causes, Symptoms, and Treatments

Erectile dysfunction in your 20’s is not something normal but it is becoming more common nowadays. Let’s be honest here as talking about ED can be a little awkward but it is not something you should ignore.

50% of the erectile dysfunction cases now are associated with men who are young like 29, 28, or above 25 years old. There are numerous causes of Erectile Dysfunction but the main causes of ED in the ’20s are lifestyle, habits, and obsession with watching porn. There are numerous studies that have shown very clearly that there is an association between excessive porn watching and erectile dysfunction.

Symptoms of Erectile dysfunction in the ’20s

 Erectile dysfunction is not a poor sex drive or problems with ejaculation, these are separate issues. ED is purely related to erections. Below are some common symptoms of ED

  • No early morning erection(Morning wood)
  • Flaccid erections
  • Urination problems
  • Semen secretion followed by weak erections
  • Pain or bruising from excessive masturbation

Basically, if you can’t maintain an erection long enough to have sex, then you have erectile dysfunction and need to seek medical help

Causes of Erectile dysfunction in the ’20s

ED was quite common in older men previously but now there is a range of causes to it in younger men

  • performance anxiety:  For some young men, the desire to perform well in bed can be so overwhelming that, in turn, it causes them to not perform at all. When a younger man experiences ED, it often is associated with significant performance anxiety, which in turn increases the problem. The more they worry about it, the worse it gets. Young men need to recognize this cycle and try to reduce the ‘stress’ surrounding sex.
  • Lifestyle Choices: A lot of young men are nowadays addicted to smoking, drinking, and drugs. Smoking, drinking, and drug use can damage blood vessels, reducing blood flow to the penis which results in Erectile dysfunction.
  • Obesity: Obesity itself is not a risk factor for ED — but there is a connection. The bigger concern is that obesity can lead to type 2 diabetes or vascular diseases, which are risk factors for ED.
  • Psychological: Depression, stress, low self-esteem, and performance anxiety can all get in the way of achieving an erection in younger men.
  • Medicines: Some common drugs can cause erectile dysfunction, such as those prescribed for depression, heart conditions, and blood pressure.


  • Lifestyle Changes: Healthy lifestyle changes like quitting smoking, reducing alcohol, reducing weight, and exercising regularly will eventually help you with blood flow and nerve functioning so will get rid of ED. If you’re having trouble sticking to these goals, ask your spouse or partner to join you. Getting healthy together and trying new things as a couple can be a great bonding experience and can strengthen your relationship as well.
  • Medication: When lifestyle changes alone don’t work, drug therapy is normally the next step. Most of these medications work similarly to enhance a natural chemical in your body that relaxes the muscles in your penis. Some of these drugs are Sildenafil(Viagra), Tadalafil, Vardenafil, Avanafil. The most famous of these is, of course, Viagra, but this can be pretty pricey, luckily there are some much cheaper generics on the market that also do the same job.
  • Talking therapy: If your ED is caused by psychological problems then talking therapy could help. A therapist can walk you through what is causing you anxiety or stress when it comes to sex or even other issues in your life. These feelings could be having a subconscious effect on your sex life, making it more difficult for you to perform, and affecting your sexual well-being.
  • Penile pumps: Penile pumps are also called vacuum devices, penile pumps are devices that are placed over the penis to draw blood into the shaft. Once the vacuum creates an erection, the retaining band is slid down to the lower end of the penis, and the pump is removed. An erection typically will last long enough for intercourse but your penis may be cold to the touch, and the rubber band may restrict ejaculation.


ED is a perfectly treatable condition and it affects millions around the world and it might seem quite awkward from time to time to visit a doctor when you have ED in your 20s but doctors are there to help you out and they might have seen the worst cases. You are not alone in this and ED in the 20s doesn’t mean there’s something terribly wrong with you.

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