Impact of Covid-19 on Erectile Dysfunction and Fertility Concerns - Urology

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The impact of Covid-19 on the genital organs?


Hello, Director.
I would like to ask if having had Covid-19 can lead to erectile dysfunction and infertility.
Is this condition temporary or permanent? I personally have not experienced any symptoms, but I am concerned.

Lin, 10~19 year old female. Ask Date: 2021/11/15

Dr. Du Shixi reply Urology


Hello: Due to the emergence of this new disease, data is limited.
COVID-19 seems to have an impact on male genital organs, but there is still not enough evidence to draw a conclusion.
We should wait for a while to see if any research reports are published.
Wishing you good health.

Reply Date: 2021/11/15

More Info


The impact of COVID-19 on erectile dysfunction (ED) and fertility is a topic of growing interest and concern among both healthcare professionals and the general public. While the pandemic has primarily been associated with respiratory illness, emerging research suggests that the virus may have implications for sexual health and reproductive capabilities, particularly in men.

Firstly, it is essential to understand that COVID-19 can affect various systems in the body, including the cardiovascular and endocrine systems, both of which play critical roles in sexual function. Studies have indicated that COVID-19 can lead to inflammation and vascular damage, which may impair blood flow and contribute to erectile dysfunction. The virus has been shown to affect the endothelium, the inner lining of blood vessels, which is crucial for achieving and maintaining an erection. Additionally, psychological factors such as anxiety and stress related to the pandemic can also exacerbate ED.

Regarding fertility, there is still much to learn. Some studies have suggested that COVID-19 may impact sperm quality and reproductive hormones. For instance, the virus has been detected in the testes, raising concerns about its potential effects on spermatogenesis (the production of sperm). However, the evidence is not yet conclusive, and more research is needed to determine the long-term effects of COVID-19 on male fertility. It is also worth noting that many men who have recovered from COVID-19 report no lasting effects on their sexual health or fertility.

In terms of whether these effects are temporary or permanent, current evidence suggests that any impact on erectile function or fertility may be transient, particularly in individuals who experience mild or asymptomatic cases of COVID-19. However, for those who have had severe cases or have experienced significant complications, there may be a higher risk of long-term issues. It is crucial for individuals who are concerned about these potential effects to consult with a healthcare provider for personalized advice and possible evaluations.

Moreover, it is essential to consider that the psychological impact of the pandemic, including stress and anxiety about health and fertility, can also play a significant role in sexual function. Addressing mental health and seeking support can be beneficial for those experiencing difficulties.

In conclusion, while there is some evidence to suggest that COVID-19 may impact erectile function and fertility, the extent and permanence of these effects are still being studied. If you have concerns about your sexual health or fertility following a COVID-19 infection, it is advisable to speak with a healthcare professional who can provide guidance based on the latest research and your individual health status. Regular check-ups and open communication with your doctor can help alleviate concerns and ensure that any potential issues are addressed promptly.

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