Erectile dysfunction (ED) is a common problem. If you have ED, you may have trouble getting an erection, keeping an erection, or you might have a lower sex drive than you’d like.
ED is surprisingly common, affecting about 52% of men and people with a penis. In 44% of cases, ED is linked to another health problem, and the most common of these is sleep deprivation. In fact, there is a specific type of ED called sleeping erectile dysfunction.
This article looks at the connection between sleep problems — specifically, sleep apnea — and erectile dysfunction.
Defining Erectile Dysfunction and Its Causes
What is Erectile Dysfunction?
Erectile dysfunction (ED) is defined as the ongoing inability to get or maintain an erection that’s firm enough for satisfying sexual intercourse.
It’s important to know that ED is a common condition and doesn’t necessarily mean you’re getting older.
Common Causes of Erectile Dysfunction
Many physical and lifestyle factors can contribute to ED.
Physical factors include:
- heart disease
- high cholesterol
- high blood pressure
- diabetes
- obesity
- poor vascular health
Lifestyle factors include:
- tobacco use
- alcoholism
- lack of exercise
- poor diet
Psychological factors can also contribute to ED, such as:
- stress
- anxiety
- depression
- relationship problems
The Link Between Sleep Deprivation and Erectile Dysfunction
Can a lack of sleep cause erectile dysfunction? It sure can. Here’s how it works:
How Sleep Deprivation Impacts Sexual Health
When you don’t get enough sleep, it can lead to ED. Getting less than 8 hours of good quality sleep can affect your circulation and lower your testosterone levels, which can lead to ED.
Testosterone is a hormone that plays a key role in erectile function and libido, as well as fertility, particularly as you enter your 40s. A 2002 study showed that almost half of men with severe sleep apnea also had lower testosterone levels at night.
Unfortunately, poor sleep and ED can create a negative cycle. Poor sleep can increase stress levels, decrease sexual arousal, and negatively affect relationship quality, which can lead to even more sleep problems.
Sleep Quality vs. Sleep Quantity
It’s not just about how many hours you sleep, but also how well you sleep. Even if you’re in bed for 8 hours, fragmented sleep or poor sleep architecture can be as bad as not sleeping enough hours.
Many factors can affect sleep quality, including:
- Sleep environment (noise, light, temperature)
- Stress
- Underlying medical conditions, such as sleep apnea
Sleep Apnea and Erectile Dysfunction: A Closer Look
Understanding Sleep Apnea
Obstructive sleep apnea (OSA) is a common condition where you repeatedly stop breathing during sleep. These pauses can be brief, but they disrupt your sleep and lower your oxygen levels.
The repeated oxygen drops that come with OSA cause inflammation and changes to your blood vessels, which isn’t good for your overall health.
The Connection Between OSA and ED
Research suggests that there’s a link between OSA and ED, with OSA being a possible risk factor. In fact, studies have shown that a whopping 92% of people with obstructive sleep apnea also experience erectile dysfunction.
OSA can negatively affect your cardiovascular health, which is essential for erectile function. Good blood flow is crucial for getting and maintaining an erection.
But it’s not just about blood flow. Other things can contribute to the connection between OSA and ED, including:
- Low testosterone levels
- Poor sleep quality
- Impact on the nervous system
- Mood changes
Diagnosing and Treating Sleep-Related Erectile Dysfunction
The Importance of Diagnosis
If you suspect you have sleep apnea, it’s important to get a sleep study. A sleep study is the best way to diagnose obstructive sleep apnea (OSA) and start treating OSA-related erectile dysfunction (ED) issues.
It’s vital to seek medical attention for sleep disorders and ED symptoms, no matter how embarrassing or awkward it may feel. Some men wait a long time before seeking help for ED because of social stigma, but doctors are trained to help, and a diagnosis is the first step toward finding a solution.
Treatment Options
Depending on your diagnosis, your doctor may recommend one or more of the following treatments:
Treatments for Sleep Apnea
- Positive airway pressure (PAP) therapy (CPAP, APAP, BiPAP)
- Lifestyle changes (exercise, weight loss, adjusting sleep position)
- Oral appliances
- Surgery
Treatments for Erectile Dysfunction
- Lifestyle changes (exercise, weight loss, avoiding smoking/drugs)
- Medications for ED, as prescribed by a doctor
- Erection devices
- Testosterone therapy
- Talk therapy for emotional factors contributing to ED
Frequently Asked Questions
Does Vicks VapoRub help erectile dysfunction?
There’s no scientific evidence that Vicks VapoRub helps with erectile dysfunction. ED is a complex issue often related to blood flow, nerve function, hormones, or psychological factors. While Vicks VapoRub might provide temporary relief from congestion, it doesn’t address the underlying causes of ED.
Why does my man lose his hard on?
There are many reasons why a man might lose an erection. It could be due to anxiety, stress, fatigue, or even something as simple as a distraction. Physically, it could be related to issues with blood flow, nerve damage, or hormone imbalances. If it’s a frequent occurrence, it’s best to consult a doctor to rule out any underlying medical conditions.
How do I know if my ED is physical or psychological?
It can be tricky to tell the difference. If you consistently have trouble getting or maintaining an erection, especially across various situations, it might be physical. Psychological ED is often linked to specific stressors, anxiety, or relationship issues. A doctor can perform tests to assess blood flow and nerve function, which can help determine the cause.
Have morning wood but still have ED?
Experiencing morning erections while still having ED suggests that the physical mechanisms for erections are generally working. This often points to psychological factors, such as anxiety, stress, or relationship problems, as the primary cause of your ED. However, it’s still important to discuss this with a healthcare provider to rule out any underlying medical conditions.
How to help arouse a man with erectile dysfunction?
Communication is key. Talk openly about his concerns and anxieties. Focus on creating a relaxed and enjoyable atmosphere, and prioritize foreplay and sensual touch to build arousal. Consider exploring alternative forms of intimacy that don’t solely rely on erections. If ED is an ongoing issue, encourage him to seek professional help, as treatment options are available.
Wrapping Up
Sleep and erectile function are more connected than you may have thought. Getting good sleep is key to promoting vascular health, and vascular health is key to erectile function at any age.
If you’re struggling with erectile dysfunction, it’s important to consider whether you may have an undiagnosed sleep disorder. Treating that disorder could improve both your ED and your overall health. What’s more, early detection and treatment of ED could help you avoid more serious health problems down the road.
When addressing ED, it’s important to consider your overall lifestyle. Be sure to address:
- sleep
- diet
- exercise
- mental well-being
Partners can also play a key role in encouraging men to seek medical help for ED and sleep problems. If you’re concerned about your partner, don’t be afraid to speak up. Addressing these issues together can improve both your health and your relationship.