Erectile Dysfunction in Young Adults: A Narrative Review
August 2025
in “
Cureus
”
Studysummary This review synthesizes evidence on the prevalence, impacts, causes, and treatment of erectile dysfunction in men under 40 but reports no new clinical results; the authors emphasize the need for comprehensive evaluation and individualized care.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
Erectile dysfunction (ED) is increasingly reported among men under 40, with prevalence rates as high as 35%. This narrative review highlights that ED in young men is a multidimensional condition involving both psychogenic factors, such as performance anxiety and depression, and organic causes, including endothelial dysfunction and hormonal imbalances. Lifestyle factors like pornography use, poor sleep, and lack of physical activity are also linked to ED. Effective management requires a multidisciplinary approach, combining pharmacologic treatments and non-pharmacologic interventions like lifestyle changes and cognitive-behavioral therapy. Comprehensive evaluation and individualized treatment are crucial, and further research is needed to improve outcomes for this population.
