“I think we’re seeing more younger men coming in with erectile dysfunction, because there’s just a lot more publicity about the issue. The low-T centers are driving this through awareness; low-T centers are advertising a lot. People want to be younger, want to act younger, so you see a lot of patients with increased ED because low T seems to kind of dovetail with erectile dysfunction.
Before, people used to just live with it, but because of all the commercials out there, now it’s OK to talk about it. There are treatments for it. Their friends are taking medications for it. Now, on the horizon we have generically available ED medication, so I think that’s going to open the doors wide.
We also are seeing obesity rates increase as an organic component, so that could be considered a legitimate contributing factor. Rising diabetes rates parallel these organic disorders and you’re watching ED rates rise because the penis is a vascular organ—anything that affects blood flow can affect that.
Pornography could be a factor, but I couldn’t really say because my patients don’t tell me about that. I would think that addiction to online pornography could have more of an impact on premature ejaculation due to habitual masturbation. There are also increased rates of stress and we see that put pressure on relationships—guys who were exhausted and wiped out.”
Koushik Shaw, MD