9 Best Natural Treatments for Erectile Dysfunction for 2022
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tandfonline.com/doi/full/10.1080/2090598X.2021.1926763Bauer SR, et al. (2020). Association of diet with erectile dysfunction among men in the health professionals follow-up study.
jamanetwork.com/journals/jamanetworkopen/fullarticle/2772916Bilal A, et al. (2020). Cognitive behavioral sex therapy: An emerging treatment option for nonorganic erectile dysfunction in young men: A feasibility pilot study.
sciencedirect.com/science/article/pii/S2050116120300702Bossio JA, et al. (2018). Mindfulness-based group therapy for men with situational erectile dysfunction: A mixed-methods feasibility analysis and pilot study.
sciencedirect.com/science/article/abs/pii/S1743609518311548Bräuner EV, et al. (2020). Psychological stress, stressful life events, male factor infertility, and testicular function: A cross-sectional study.
sciencedirect.com/science/article/abs/pii/S0015028219326159Burnett AL, et al. (2018). Erectile dysfunction: AUA guideline (2018).
auanet.org/guidelines/guidelines/erectile-dysfunction-(ed)-guidelineCho JW, et al. (2018). Sleep, sleep disorders, and sexual dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC6704301/Chung E. (2019). A review of current and emerging therapeutic options for erectile dysfunction.
mdpi.com/2076-3271/7/9/91/htmGerbild H, et al. (2018). Physical activity to improve erectile function: A systematic review of intervention studies.
ncbi.nlm.nih.gov/pmc/articles/PMC5960035/Glina FPA, et al. (2017). What is the impact of bariatric surgery on erectile function? A systematic review and meta-analysis.
sciencedirect.com/science/article/abs/pii/S2050052117300380#!Jenkins LC, et al. (2019). An evaluation of a clinical care pathway for the management of men with non-organic erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC6956862/Kalaitzidou I, et al. (2014). Stress management and erectile dysfunction: A pilot comparative study.
pubmed.ncbi.nlm.nih.gov/23822751/Kellesarian SV, et al. (2018). Association between obstructive sleep apnea and erectile dysfunction: A systematic review and meta-analysis.
nature.com/articles/s41443-018-0017-7Kovac JR, et al. (2015). Effects of cigarette smoking on erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC4485976/Kun L, et al. (2014). Significant improvement of erectile function after Roux-en-Y gastric bypass surgery in obese Chinese men with erectile dysfunction.
link.springer.com/article/10.1007/s11695-014-1465-xLi H, et al. (2016). The role of the sexual partner in managing erectile dysfunction.
nature.com/articles/nrurol.2015.315Mykoniatis I, et al. (2018). Sexual dysfunction among young men: Overview of dietary components associated with erectile dysfunction.
sciencedirect.com/science/article/abs/pii/S1743609517318829Nordin RB, et al. (2019). Prevalence and predictors of erectile dysfunction in adult male outpatient clinic attendees in Johor, Malaysia.
ncbi.nlm.nih.gov/pmc/articles/PMC6351699/Pastuszak AW, et al. (2017). Poor sleep quality predicts hypogonadal symptoms and sexual dysfunction in male nonstandard shift workers.
sciencedirect.com/science/article/abs/pii/S0090429516309062Pizzol D, et al. (2020). Associations between body mass index, waist circumference and erectile dysfunction: A systematic review and META-analysis.
link.springer.com/article/10.1007/s11154-020-09541-0Prabhakaran DK, et al. (2018). Prevalence and correlates of sexual dysfunction in male patients with alcohol dependence syndrome: A cross-sectional study.
ncbi.nlm.nih.gov/pmc/articles/PMC5914267/Sivaratnam L, et al. (2020). Behavior-related erectile dysfunction: A systematic review and meta-analysis.
jsm.jsexmed.org/article/S1743-6095(20)30930-9/fulltextWang X-M, et al. (2018). Alcohol intake and risk of erectile dysfunction: A dose–response meta-analysis of observational studies.
nature.com/articles/s41443-018-0022-xOur experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Oct 17, 2022 By Colleen M. Story Edited By DeVonne Goode Medically Reviewed By Joseph Brito, MD Copy Edited By Copy Editors May 31, 2022 By Colleen M. Story Edited By Parisa Syed Medically Reviewed By Joseph Brito, MD Copy Edited By Anne Arntson VIEW ALL HISTORY Share this articleMedically reviewed by Joseph Brito III, MD — By Colleen M. Story — Updated on October 16, 2022
9 Best Natural Treatments for Erectile Dysfunction in 2022
Medically reviewed by Joseph Brito III, MD — By Colleen M. Story — Updated on October 16, 2022supersizer/Getty ImagesThe best treatments for erectile dysfunction can include natural remedies, like changes to diet and alcohol consumption, and doctor-prescribed medication. Erectile dysfunction (ED) occurs when someone who has a penis can’t have or maintain an erection. The condition affects around a third of men, according to research from 2018. ED is more common in people who:are olderhave health conditions like diabetes or high blood pressurehave had an injury to the spinal cord, penis, or pelvistake medication like antidepressants or blood pressure medicationshave anxiety or stressare overweightsmoke The treatment for ED depends on the cause. It may include certain prescription medications, a vacuum device, or even surgery. But lifestyle changes and other natural treatments can also help improve ED.9 natural remedies for treating erectile dysfunction
There are many natural treatments for ED. They can include lifestyle changes like modifying your diet and getting exercise, as well as seeking mental health or relationship counseling. It’s best to talk with your doctor before trying a new treatment. They can help identify the cause of your ED and recommend effective ED treatment options, whether conventional, natural, or a combination.1 Diet
Eating a balanced diet may help maintain sexual function and decrease your risk of ED. A 2020 study found that men who more strictly followed a Mediterranean diet or Alternative Healthy Eating Index 2010 diet had a reduced risk of developing ED. In particular, they consumed less red or processed meat and primarily ate:fruitsvegetableslegumesnutsfish Research from 2017 similarly found that eating more fruits, vegetables, and flavonoids (compounds found in produce, coffee, and other foods) lowered the risk of ED in men ages 18 to 40. These foods are important for your overall health, so helping maintain or improve your sexual function as well is a win-win.2 Exercise
Research indicates that physical activity may help protect against and improve ED. It may be particularly effective if obesity, inactivity, or cardiovascular disease, among other conditions, contribute to your ED. Research from 2018 found that moderate-to-intense aerobic exercise for 40 minutes a day, four times per week for 6 months helped reduce ED. This includes exercises like:runningbrisk walkingbicyclingswimmingskiing Physical activity helps improve blood vessel health, lower stress, and raise testosterone levels, which can all help with ED.3 Sleep
It’s important for your overall health to get enough sleep each night. Sleeping regularly may also improve your ED. A 2017 study found that men working night shifts who reported worse sleep quality were at higher risk of ED. Research from 2019 also indicated that people with a sleep disorder had a greater risk of developing ED. Other research has linked obstructive sleep apnea to an increased risk of ED. Not getting enough sleep can lower your testosterone levels, which may contribute to ED. Sustained lack of sleep is also associated with conditions that are related to ED, like diabetes and high blood pressure.4 Weight loss
Weight may be another factor in ED. According to research from 2020, ED was significantly more common in men with obesity, who were overweight, or who had a larger waist circumference. A small 2014 study indicated that gastric bypass surgery improved blood vessel health and ED among men with obesity. In addition, research from 2017 similarly found an improvement in ED after bariatric (weight loss) surgery. If weight is contributing to your ED, exercise and a balanced diet can help you lose weight and improve your ED.5 Psychotherapy
In some cases, ED results from a combination of physical and psychological issues. These may include fear of failure, religious beliefs, and sexual trauma, among others. In turn, ED can lead to additional mental health issues, including emotional distress and lower self-esteem, which then can further worsen ED. Therapy may help address these issues to improve ED. According to research from 2021, psychological interventions like cognitive behavioral therapy (CBT) were especially effective when paired with ED medications. Mental health interventions may also be effective on their own, but more research is needed. A small 2018 study involving 4 weeks of mindfulness-focused group therapy indicated that this type of therapy may help improve ED and sexual satisfaction, too. More research should be done to determine the most effective types of psychotherapy for ED.6 Sex therapy or couples counseling
Around 10 to 25 percent of men with ED have no known risk factors. This condition, known as nonorganic ED, may be caused by a mental health condition like depression or by experiencing anxiety when having sex. A small 2020 study found that cognitive behavior sex therapy (CBST) and medication were each effective on their own at reducing nonorganic ED. In addition, CBST was more effective at lowering anxiety among study participants. It may also be helpful to attend counseling with your partner to help them understand your condition and discuss ways to support you. The American Urological Association created a guideline for treating ED based on a review of studies. The association recommends talking with a mental health professional, especially with your partner, and says that therapy can improve communication between couples and help them integrate ED treatments into their sexual relationship.7 Stress reduction
Stress and anxiety are often linked to ED. A 2019 study found that stress was one of the main predictors of ED, in addition to anxiety and depression. The study suggests that chronic stress may affect testosterone or cause sleep deprivation, which may contribute to ED. Still, other research indicates that the effect of stress on ED is still unclear. A 2020 study found no association between stress and ED. Another small study from 2014 found that an 8-week stress management program alongside ED medication was similarly effective for improving ED, compared with the medication alone. Until more is understood about stress and ED, it’s still beneficial to reduce stress in your daily life to improve your overall health.8 Alcohol reduction
Studies have shown mixed results for the effects of alcohol on ED. Research from 2018 found that drinking moderate amounts of alcohol (fewer than 21 drinks per week, as defined by the study) was actually associated with a lowered risk of ED. On the other hand, regular and high consumption didn’t significantly affect ED. Still, other research has linked alcohol use with ED. A 2018 study found that sexual dysfunction, particularly ED, was common in people with alcohol dependence syndrome. In addition, research from 2020 also identified alcohol as a risk factor for ED. More research is needed on the role of alcohol in ED. In general, the Centers for Disease Control and Prevention (CDC) recommend that men consume two or fewer alcoholic drinks per day.9 Smoking cessation
Smoking is another behavior that likely contributes to ED. This may be caused, in part, because smoking can damage blood vessels and prevent enough blood from reaching the penis for an erection. Smoking may also reduce the availability of nitric oxide in the body, which is needed to cause involuntary muscle relaxation and increased blood flow that play a role in erections. According to research from 2015, more frequent smoking was associated with an increased risk of developing ED, as well as more severe ED. Some damage from smoking may not be reversible. Still, the review concluded that quitting smoking, especially for men under age 50, may help improve ED. It’s challenging to quit smoking, but there are many resources available to help. Stopping smoking has the potential not only to help ED but to benefit many other areas of your overall health.Are there drawbacks to using natural remedies
Lifestyle changes may be an effective natural remedy for ED and may improve your overall health. But many changes — like losing weight, quitting smoking, or eating a balanced diet — may be difficult to achieve. It may also take time for natural treatments to have an effect. Some people, depending on the cause of their ED, may not show improvements without medications or other treatments. It’s helpful to work with your doctor to find a treatment that works for you.Risks of ED supplements
There are many supplements advertised online as a treatment for ED, but none have been proven to be effective and safe. Some may also contain dangerous combinations of ingredients or overly high doses. More research on people needs to be done on herbal remedies and other supplements for ED. If you decide to try one, be sure to talk with your doctor first. They can help you determine whether the treatment may be safe and if it’ll react with any medications you’re taking.Interested in other men s health products
Through our reviews and brand comparisons, you can explore our top picks for sexual wellness, hair health, and more.What if natural ED treatments don t work
Depending on the cause of your ED, natural remedies may not be effective. If this is the case, your doctor may prescribe medications for ED, like:sildenafil (Viagra)tadalafil (Cialis)avanafil (Stendra)vardenafil (Levitra) Side effects of these medications may include headaches, indigestion, and dizziness. Don’t use these medications if you’re also taking nitrates, or chest pain medications.When to talk with your doctor about ED
It’s not uncommon to lose an erection from time to time. It can often be caused by stress. However, if you often find it difficult to get or maintain an erection, it could be time to seek help for ED. If ED is causing you distress or putting a strain on your relationship, it’s a good idea to talk with your doctor. ED can be a sign of an underlying condition. Even if ED isn’t causing you any distress, it might be wise to make an appointment with your doctor to discuss the issue, as it can be a sign that you have an underlying health concern. If you suspect your ED is caused by stress, trauma, or relationship issues, consider speaking with a therapist.Frequently asked questions about erectile dysfunction
What is the most effective treatment for erectile dysfunction
The most effective treatment for you depends on the underlying cause of your ED. While lifestyle changes tend to be safe while improving ED, they can be difficult to achieve. Oral medications are another primary treatment for ED, but they also don’t work for everyone. The American Urological Association’s 2018 guidelines for ED state that men may choose any option — medication, lifestyle changes, assistive devices, or surgery — to begin treatment. They suggest talking with your doctor about the risks and benefits of each treatment.Can erectile dysfunction be cured
If ED is caused by a lifestyle factor, health condition, or a medication you’re taking, it may be possible to reverse it by addressing the underlying cause. Surgery may also cure ED in some cases. On the other hand, medications treat ED symptoms and can improve ED but do not cure the underlying condition.How can I help my partner with erectile dysfunction
ED is a common condition that affects both sexual partners. Research from 2016 suggests that partners engaging in the diagnosis, education, and therapy together may be more effective for improving ED and achieving more satisfaction from sex.What is the latest treatment for erectile dysfunction
Researchers have been exploring other options for ED treatment. One of the latest treatments for ED is penile shockwave therapy or low-intensity extracorporeal shockwave therapy. Research from 2019 suggests this treatment might be effective for ED caused by vascular disease. However, this treatment is still largely experimental and not widely used aside from clinical trials. Shockwave therapy works by improving blood function and encouraging new blood vessels to grow. It does this by pulsing and passing low-intensity sound waves through the erectile tissue. However, more clinical trials are needed to assess whether penile shockwave therapy is safe and effective.Takeaways
ED is a common condition that can affect men’s confidence, relationships, and quality of life. The most effective treatment depends on the cause of your ED. Still, natural remedies may help improve your ED and your overall health. It’s best to talk with your doctor about ED. They can help identify the right treatments for you. It can also be beneficial to approach your condition together with your partner. Remember that treatment, particularly lifestyle changes like losing weight and getting more exercise, may take time. Work with your doctor to find the treatment or combination of remedies that work best for you. Last medically reviewed on October 16, 2022How we vetted this article
SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Atallah S, et al. (2021). The effectiveness of psychological interventions alone, or in combination with phosphodiesterase-5 inhibitors, for the treatment of erectile dysfunction: A systematic review.tandfonline.com/doi/full/10.1080/2090598X.2021.1926763Bauer SR, et al. (2020). Association of diet with erectile dysfunction among men in the health professionals follow-up study.
jamanetwork.com/journals/jamanetworkopen/fullarticle/2772916Bilal A, et al. (2020). Cognitive behavioral sex therapy: An emerging treatment option for nonorganic erectile dysfunction in young men: A feasibility pilot study.
sciencedirect.com/science/article/pii/S2050116120300702Bossio JA, et al. (2018). Mindfulness-based group therapy for men with situational erectile dysfunction: A mixed-methods feasibility analysis and pilot study.
sciencedirect.com/science/article/abs/pii/S1743609518311548Bräuner EV, et al. (2020). Psychological stress, stressful life events, male factor infertility, and testicular function: A cross-sectional study.
sciencedirect.com/science/article/abs/pii/S0015028219326159Burnett AL, et al. (2018). Erectile dysfunction: AUA guideline (2018).
auanet.org/guidelines/guidelines/erectile-dysfunction-(ed)-guidelineCho JW, et al. (2018). Sleep, sleep disorders, and sexual dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC6704301/Chung E. (2019). A review of current and emerging therapeutic options for erectile dysfunction.
mdpi.com/2076-3271/7/9/91/htmGerbild H, et al. (2018). Physical activity to improve erectile function: A systematic review of intervention studies.
ncbi.nlm.nih.gov/pmc/articles/PMC5960035/Glina FPA, et al. (2017). What is the impact of bariatric surgery on erectile function? A systematic review and meta-analysis.
sciencedirect.com/science/article/abs/pii/S2050052117300380#!Jenkins LC, et al. (2019). An evaluation of a clinical care pathway for the management of men with non-organic erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC6956862/Kalaitzidou I, et al. (2014). Stress management and erectile dysfunction: A pilot comparative study.
pubmed.ncbi.nlm.nih.gov/23822751/Kellesarian SV, et al. (2018). Association between obstructive sleep apnea and erectile dysfunction: A systematic review and meta-analysis.
nature.com/articles/s41443-018-0017-7Kovac JR, et al. (2015). Effects of cigarette smoking on erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC4485976/Kun L, et al. (2014). Significant improvement of erectile function after Roux-en-Y gastric bypass surgery in obese Chinese men with erectile dysfunction.
link.springer.com/article/10.1007/s11695-014-1465-xLi H, et al. (2016). The role of the sexual partner in managing erectile dysfunction.
nature.com/articles/nrurol.2015.315Mykoniatis I, et al. (2018). Sexual dysfunction among young men: Overview of dietary components associated with erectile dysfunction.
sciencedirect.com/science/article/abs/pii/S1743609517318829Nordin RB, et al. (2019). Prevalence and predictors of erectile dysfunction in adult male outpatient clinic attendees in Johor, Malaysia.
ncbi.nlm.nih.gov/pmc/articles/PMC6351699/Pastuszak AW, et al. (2017). Poor sleep quality predicts hypogonadal symptoms and sexual dysfunction in male nonstandard shift workers.
sciencedirect.com/science/article/abs/pii/S0090429516309062Pizzol D, et al. (2020). Associations between body mass index, waist circumference and erectile dysfunction: A systematic review and META-analysis.
link.springer.com/article/10.1007/s11154-020-09541-0Prabhakaran DK, et al. (2018). Prevalence and correlates of sexual dysfunction in male patients with alcohol dependence syndrome: A cross-sectional study.
ncbi.nlm.nih.gov/pmc/articles/PMC5914267/Sivaratnam L, et al. (2020). Behavior-related erectile dysfunction: A systematic review and meta-analysis.
jsm.jsexmed.org/article/S1743-6095(20)30930-9/fulltextWang X-M, et al. (2018). Alcohol intake and risk of erectile dysfunction: A dose–response meta-analysis of observational studies.
nature.com/articles/s41443-018-0022-xOur experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Oct 17, 2022 By Colleen M. Story Edited By DeVonne Goode Medically Reviewed By Joseph Brito, MD Copy Edited By Copy Editors May 31, 2022 By Colleen M. Story Edited By Parisa Syed Medically Reviewed By Joseph Brito, MD Copy Edited By Anne Arntson VIEW ALL HISTORY Share this articleMedically reviewed by Joseph Brito III, MD — By Colleen M. Story — Updated on October 16, 2022