Erectile Dysfunction

Lifestyle modifications

NUTRITION

  • Improve quality of diet (1)
  • A mediterranean diet or a diet high in vegetables, fruits, whole grain, legumes, walnuts and olive oil is associated with improved erectile dysfunction (3)
  • A high consumption of alcohol increases the risk of erectile dysfunction (4)

PHYSICAL ACTIVITY

  • Increase physical activity (1)
  • Physical activity is inversely associated with ED (2)

SMOKING

  • Smoking increases the risk of erectile dysfunction, while smoking cessation may improve erectile dysfunction (5)

STRESS & MENTAL HEALTH

  • For psychogenic erectile dysfunction address psychological stressors (1)

WEIGHT

  • Weight reduction if obese (1)
  • Obesity worsen sexual function and weight loss if obese improves sexual function (2)

References

1) https://bestpractice.bmj.com/topics/en-us/213/management-approach

2) https://onlinelibrary.wiley.com/doi/epdf/10.1038/oby.2012.104

3) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1106016

4) https://www.nature.com/articles/s41443-018-0022-x

5) https://academic.oup.com/smr/article/11/1/61/6985842


Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

Evidence based on observational / cohort studies is written in CURSIVE font