Erection problems, sometimes called erectile dysfunction (ED) or impotence, are usually more common in men over 40[1,2]. But younger men under 40 can have erection problems too. It can happen to many men from time to time, and is usually nothing to worry about.

ED can be caused by many different things, including being tired, depressed, overweight, some cancer treatments, and drinking too much alcohol[1]. Read more about what can cause ED.

Talk to your GP if you have problems getting or keeping an erection. There is treatment and support available that can help. Read more about taking medicine to treat ED, and other treatment options.

Dealing with ED

Younger men with erection problems may have a lot of the same thoughts and feelings about ED that older men have. It’s normal to feel worried, sad, or even angry about having ED. But younger men might have some additional concerns about how ED and medication for ED will affect them in the future, for example having children (fertility).

Can I have children naturally if I have ED or take medication for ED?

There is no strong evidence to suggest that having ED affects fertility, or that taking medication for ED affects fertility either[3]. Therefore, if you have ED or take medicine to treat ED, your fertility won’t be affected. This means that you should still be able to have children naturally.

Talk to your GP if you’re concerned about your fertility. They may be able to refer you to a fertility specialist. They are health professionals who specialise in helping people to have children. The NHS website also has some information about fertility services on their website.

ED and your relationships

If you have a partner, you may be worried about how ED will affect your relationship. Your partner might be dealing with their own feelings and emotions too. It can help to talk about things together.

If you’re single, or thinking about dating, you might worry about how ED will affect new relationships and how you’ll explain ED to someone you don’t know very well. It’s normal to feel this way, but remember that there is support and help available.

If you have treatment for ED, such as medication, remember that this won’t protect you against sexually transmitted infections (STI). It’s important to use a condom, especially with someone you don’t know very well.