Alcohol Consumption and Erectile Dysfunction: the Connection - Urology

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I have been unable to achieve an erection for two weeks after drinking alcohol?


Hello, I recently noticed that after drinking alcohol in the evening, around 3 to 5 drinks, I started having difficulty achieving an erection on the second and third days afterward.
It feels soft and takes about a week to gradually regain its firmness.
This has happened four times in the past three months, and I’ve realized that it occurs after drinking alcohol.
Is this an issue related to alcohol? Is there any medication I can take? Will this resolve on its own? I'm really worried it might affect my ability to achieve an erection in the future, could this be erectile dysfunction? I have had blood tests done intermittently, and my male hormone levels are normal.
Thank you, Daniel.

Daniel9, 30~39 year old female. Ask Date: 2016/11/16

Dr. Sun Hongshun reply Urology


Hello, erectile dysfunction may be caused by organic factors (such as issues with the reproductive system), diseases (such as hypertension or hyperlipidemia), or psychological factors.
Based on what you've mentioned, I recommend visiting a family medicine physician to help identify the underlying cause and possibly provide treatment.
Wishing you good health.

Reply Date: 2016/11/16

More Info


Hello Daniel,
Thank you for your question regarding the connection between alcohol consumption and erectile dysfunction (ED). It’s important to understand that alcohol can have both short-term and long-term effects on sexual function, and your experience is not uncommon.

Alcohol is a depressant that can affect the central nervous system, leading to decreased libido and impaired erectile function. In the short term, consuming a moderate amount of alcohol may initially lower inhibitions and enhance sexual desire; however, excessive drinking can lead to difficulties in achieving or maintaining an erection. This is likely what you are experiencing after consuming 3 to 5 drinks in one evening.

The mechanism behind this involves several factors. Alcohol can interfere with the signals from the brain that are necessary for arousal and erection. It can also affect blood flow to the penis, which is crucial for achieving an erection. When you drink heavily, the body may struggle to maintain the necessary physiological responses for an erection, leading to the soft erections you described. Additionally, alcohol can dehydrate the body and affect hormone levels, which may further contribute to erectile difficulties.

Your observation that this issue has occurred multiple times after drinking suggests a pattern that could be linked to your alcohol consumption. It’s also worth noting that while your hormone levels are normal, other factors such as stress, anxiety, and overall health can play significant roles in erectile function.
In terms of treatment, it’s essential to address the underlying cause of your erectile dysfunction. If alcohol is a contributing factor, reducing your intake or abstaining from alcohol altogether may help improve your erectile function. It’s also advisable to maintain a healthy lifestyle, including regular exercise, a balanced diet, and managing stress, as these can positively influence sexual health.

If you find that your erectile dysfunction persists even after reducing alcohol consumption, it may be beneficial to consult a healthcare professional. They can help determine if there are other underlying issues contributing to your symptoms and discuss potential treatment options. Medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) are commonly prescribed for ED, but they should only be taken under medical supervision, especially considering your alcohol use.

Lastly, it’s important to remember that occasional erectile difficulties are common and can happen to anyone, especially after consuming alcohol. However, if this becomes a frequent issue, it’s crucial to seek professional advice to rule out any serious conditions and to receive appropriate guidance.

Take care, and I hope this information helps you understand the connection between alcohol consumption and erectile dysfunction better. If you have further questions or concerns, don’t hesitate to reach out to a healthcare provider.

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