The Manosphere and Men's Health: Unpacking the Links Between Online Communities, Body Dysmorphia, and Erectile Dysfunction

The commentary discusses the rising prevalence of erectile dysfunction (ED) among young men, linking it to mental health issues, societal pressures on male body image, and risky health behaviors promoted by online communities in the "manosphere." These communities often glorify hypermasculinity and encourage the use of substances like anabolic steroids and finasteride, which pose significant health risks, including sexual dysfunction and mental health decline. The article emphasizes the need for urologists to incorporate mental health awareness and screening for risky behaviors into their practice, using tools like the Patient Health Questionnaire-9 (PHQ-9). It advocates for collaborative care involving mental health professionals, endocrinologists, and dermatologists, as well as public health initiatives to promote healthy masculinity standards. Addressing body image dissatisfaction and fostering open dialogue are crucial for reducing the burden of ED and improving young men's overall health.