The Role of Physical Activity in Preventing and Treating Erectile Dysfunction
Review
DOI:
https://doi.org/10.12775/QS.2025.40.59805Keywords
impotence, erectile dysfunction, physical activity, exerciseAbstract
Introduction and aim: Erectile dysfunction has a significant impact on quality of life, substantially reducing both the mental and physical well-being of the affected men. This study examines the role of physical activity in the prevention and treatment of erectile dysfunction.
Methods and materials: A comprehensive literature review was undertaken using the PubMed and Google Scholar databases, focusing on studies published between 2010-2025. The search strategy aimed to gather anextensive range of research on the role of physical activity on the course of ED. Key search terms included “impotence”, “erectile dysfunction”, “physical activity”, “exercise”.
Results and conclusion: Regular physical activity plays a key role in preventing and treating erectile dysfunction by improving cardiovascular health, managing obesity and diabetes, regulating testosterone, and enhancing overall well-being. The review highlights aerobic exercise as the most effective, with added benefits from strength training and pelvic floor exercises. Even low-intensity activity like walking can help. Long-term, consistent training is essential, and exercise plans should be tailored to individual needs and abilities. For best results, physical activity should be part of a broader lifestyle change.
References
1. Leslie SW, Sooriyamoorthy T. Erectile Dysfunction. In: StatPearls. StatPearls Publishing; 2025. Accessed March 25, 2025. http://www.ncbi.nlm.nih.gov/books/NBK562253/
2. Colson MH, Cuzin B, Faix A, Grellet L, Huyghes E. Current epidemiology of erectile dysfunction, an update. Sexologies. 2018;27(1):e7-e13. doi:10.1016/j.sexol.2018.01.018
3. Kijima FJ, Motta LC, Cavalcante JS, et al. Prevalence and quality of life associated with erectile dysfunction and lower urinary tract symptoms: a cross-sectional study. Sao Paulo Med J. 2024;143(1):e2024045. doi:10.1590/1516-3180.2024.0045.R1.03072024
4. Elterman DS, Bhattacharyya SK, Mafilios M, Woodward E, Nitschelm K, Burnett AL. The Quality of Life and Economic Burden of Erectile Dysfunction. Res Rep Urol. 2021;13:79-86. doi:10.2147/RRU.S283097
5. DeLay KJ, Haney N, Hellstrom WJ. Modifying Risk Factors in the Management of Erectile Dysfunction: A Review. World J Mens Health. 2016;34(2):89-100. doi:10.5534/wjmh.2016.34.2.89
6. Hehemann MC, Kashanian JA. Can lifestyle modification affect men’s erectile function? Transl Androl Urol. 2016;5(2):187-194. doi:10.21037/tau.2016.02.05
7. Perry AS, Dooley EE, Master H, Spartano NL, Brittain EL, Pettee Gabriel K. Physical Activity Over the Lifecourse and Cardiovascular Disease. Circ Res. 2023;132(12):1725-1740. doi:10.1161/CIRCRESAHA.123.322121
8. Mandera-Grygierzec A, Kostrzewska P, Szuster E, et al. Low Exercise Tolerance as a Marker of Erectile Dysfunction and Depression among Post-Myocardial Infarction Men. Healthcare (Basel). 2023;11(9):1213. doi:10.3390/healthcare11091213
9. Silva AB, Sousa N, Azevedo LF, Martins C. Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis. Br J Sports Med. 2017;51(19):1419-1424. doi:10.1136/bjsports-2016-096418
10. Gerbild H, Larsen CM, Graugaard C, Areskoug Josefsson K. Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. Sexual Medicine. 2018;6(2):75-89. doi:10.1016/j.esxm.2018.02.001
11. Oppert JM, Ciangura C, Bellicha A. Physical activity and exercise for weight loss and maintenance in people living with obesity. Rev Endocr Metab Disord. 2023;24(5):937-949. doi:10.1007/s11154-023-09805-5
12. Mollaioli D, Ciocca G, Limoncin E, et al. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reprod Biol Endocrinol. 2020;18(1):10. doi:10.1186/s12958-019-0557-9
13. Palermi S, Iacono O, Sirico F, et al. The complex relationship between physical activity and diabetes: an overview. J Basic Clin Physiol Pharmacol. 2022;33(5):535-547. doi:10.1515/jbcpp-2021-0279
14. Minami H, Furukawa S, Sakai T, et al. Physical activity and prevalence of erectile dysfunction in Japanese patients with type 2 diabetes mellitus: The Dogo Study. J Diabetes Investig. 2018;9(1):193-198. doi:10.1111/jdi.12660
15. Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013;15(6):659-668. doi:10.1007/s11906-013-0386-8
16. Gerbild H, Areskoug Josefsson K, Marie Larsen C, Schantz Laursen B. Communication about physical activity to reduce vascular erectile dysfunction - A qualitative interview study among men in cardiac rehabilitation. Scand J Caring Sci. 2022;36(3):839-851. doi:10.1111/scs.13021
17. Cho DY, Yeo JK, Cho SI, et al. Exercise improves the effects of testosterone replacement therapy and the durability of response after cessation of treatment: a pilot randomized controlled trial. Asian J Androl. 2017;19(5):602-607. doi:10.4103/1008-682X.184269
18. Zhang M, Wang Z, Liu W, Wang M, Wu H, An R. Association between the recommended volume of leisure-time physical activity and erectile dysfunction: A cross-sectional analysis of the national health and nutrition examination survey, 2001–2004. Heliyon. 2024;10(12). doi:10.1016/j.heliyon.2024.e32884
19. Andrade C. Aerobic Exercise: Randomized Controlled Trial Data Suggest Qualified Benefits for Erectile Dysfunction. J Clin Psychiatry. 2024;85(3):24f15480. doi:10.4088/JCP.24f15480
20. Mandini S, Francesco C, Mori E, Grazzi G, Mazzoni G. Guided walking is more effective than suggested walking in reducing the blood pressure of hypertensive sedentary subjects and in modifying their lifestyle. Sport Sciences for Health. 2020;16. doi:10.1007/s11332-020-00620-y
21. Jetté M, Sidney K, Blümchen G. Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol. 1990;13(8):555-565. doi:10.1002/clc.4960130809
22. Viken AF, Siiak SP, Schlünssen V, et al. Muscle Strength and Male Sexual Function. Journal of Clinical Medicine. 2024;13(2):426. doi:10.3390/jcm13020426
23. Duca Y, Calogero AE, Cannarella R, et al. Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice. Andrologia. 2019;51(5):e13264. doi:10.1111/and.13264
24. Chung E, Rhee H. Impact of Physical Exercise Program Interventions on Erectile Function and Cardiovascular Health in Males with Prostate Cancer. The World Journal of Men’s Health. 2022;40(3):361-367. doi:10.5534/wjmh.210032
25. Chen Z, Wang J, Jia J, Wu C, Song J, Tu J. Effect of different physical activities on erectile dysfunction in adult men not receiving phosphodiesterase-5 inhibitors therapy: A systematic review and meta-analysis. Andrology. 2024;12(8):1632-1641. doi:10.1111/andr.13682
26. Myers C, Smith M. Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy. 2019;105(2):235-243. doi:10.1016/j.physio.2019.01.002
27. Wong C, Louie DR, Beach C. A Systematic Review of Pelvic Floor Muscle Training for Erectile Dysfunction After Prostatectomy and Recommendations to Guide Further Research. The Journal of Sexual Medicine. 2020;17(4):737-748. doi:10.1016/j.jsxm.2020.01.008
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Copyright (c) 2025 Katarzyna Michalak, Weronika Jarych, Krystian Zukierski, Michał Mazur, Katarzyna Żak, Hubert Jucha, Katarzyna Madyniak, Aleksandra Pliszka, Agnieszka Kluz
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