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Erectile dysfunction (ED) is often an issue that men are afraid to speak openly about, but the price of ignoring it may be a lot more than a flatlining sex life. ED can be a warning sign for a range of underlying health issues, including serious problems such as cardiovascular disease. 

As new analysis by the British Heart Foundation (BHF) shows that the UK population’s heart health is in sharp decline, it’s more important than ever that men are aware of the connection between ED and heart disease, and what can be done about it. 

What does the BHF report say?

The new research shows that there has been an 18 per cent increase in deaths from heart disease in working age adults since 2019, which is the first sustained rise in a generation. This worrying turn reverses decades of progress that have seen deaths from heart-related conditions almost halved since the 1960s. 

The change in fortunes is being attributed to a range of factors, including the effects of the Covid pandemic and an overall decline in the nation’s health since 2020, as well as increased pressure on the NHS, unequal access to healthcare and longer waiting times. 

The research shows that rates of diabetes and obesity are also rising, which are risk factors for cardiovascular disease (as well as ED). Accordingly, the BHF is launching a new strategy that focuses on prevention, earlier diagnosis and intervention, and improved care and support for those undergoing treatment. 

Professor Bryan Williams, the BHF’s Chief Scientific and Medical Officer, said: “Research-driven innovation in the prevention and treatment of cardiovascular diseases has been one of the great success stories of modern medicine.”

“However, these diseases remain one of the biggest yet most preventable causes of premature death and ill health. We need to act now to prevent the hard-won progress of recent decades being lost for future generations.”

“Reimagining how we prevent and treat heart disease and stroke is key to transforming the nation’s health. Research and innovation are how we’ll achieve this, and the rapid advances in AI, data science, technology and advanced therapies offer us a glimpse into what’s possible if we capitalise on this era of scientific opportunity.”

What is the link between ED and heart disease?

The BHF explains that in order to achieve an erection, the arteries need a good supply of blood to the penis. Conditions such as atherosclerosis (a narrowing of the arteries caused by a build-up of fatty deposits) cause a reduction in blood flow, which means that problems getting an erection could be an early warning sign of ED.

ED often occurs before more potentially serious episodes such as a heart attack, because the vessels that supply the penis are very narrow, and require a strong circulation. That’s why men, particularly those over 45 or who have co-existing risk factors such as obesity and diabetes, should always consult a doctor about persistent problems with ED.

How can you reduce your risk factors for ED & heart disease?

If you’ve already been experiencing problems with ED for three or more months, it’s crucial to see a doctor to investigate any underlying causes. They may carry out tests such as blood pressure, cholesterol levels, and blood sugar to test your heart health, and may also ask some questions about your medical history. 

The doctor may recommend using ED treatment such as sildenafil (available to buy online in the UK). However, if you also have a heart condition, it’s important to take sildenafil under medical supervision, and in some circumstances it may not be suitable. 

Making some positive lifestyle changes can also significantly cut your risk of both ED and heart disease. These include quitting smoking, taking regular exercise, eating a heart healthy diet, losing excess weight, limiting alcohol consumption, and managing stress.