How is erectile dysfunction (ED) prevented?

Updated: Aug 08, 2018
  • Author: Edward David Kim, MD, FACS; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

The AUA observes that because diabetes, heart disease, and hypertension increase the risk of developing ED, optimal management of these diseases may prevent the development of ED. [1] Similarly, because attaining and maintaining a firm erection requires good vascular function, it is reasonable to assume that lifestyle modifications to improve vascular function (eg, smoking cessation, maintenance of ideal body weight, and regular exercise) may prevent or reverse ED. At present, however, only minimal data support these suppositions. [1]

In a clinical trial that included 106 men with newly diagnosed type 2 diabetes, Maiorino et al reported that men randomized to a Mediterranean diet demonstrated a significantly lesser decrease in erectile function, compared with men randomized to a low-fat diet (P=0.024). Total follow-up in the trial was 8.1 years. [113]


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