Erectile Dysfunction Also Affecting Young Men
KUALA LUMPUR – Erectile dysfunction (ED), a condition once mostly associated with older men, is now increasingly affecting young men in Malaysia.
According to the latest statistics, seven out of 10 men over the age of 40 in Malaysia and 199.9 million men in Asia are expected to experience ED by the year 2025.
However, what's more concerning is the rise in ED cases among younger men, due to various increasingly challenging health factors.
Professor Datuk Dr. Zulkifli Md. Zainuddin, Senior Consultant Urologist and Lecturer at the Faculty of Medicine and Hospital Canselor Tuanku Muhriz (HCTM), Universiti Kebangsaan Malaysia (UKM), said the spread of this issue has become more evident in line with unhealthy modern lifestyles and a rise in health problems that affect men's sexual health.
He explained that ED is a condition in which a man is unable to maintain an erection sufficient for sexual intercourse, and it can present in various forms — from the inability to achieve an erection at all, to difficulty maintaining one throughout intercourse.
He added that men who experience this may still be able to get an erection, but not consistently, or in some cases, not at all despite having sexual desire. This often causes psychological effects, affects self-confidence, and strains relationships.
Dr. Zulkifli noted that age is one of the main causes of ED, as the natural aging process leads to changes in a man’s body, including lower testosterone levels and declining blood vessel function.
However, he said, most ED cases among young men are caused by rising health issues such as diabetes, heart disease, obesity, high blood pressure, and low testosterone levels.
“These diseases disrupt blood flow, which is vital for normal erectile function. In addition, mental health issues — including stress and depression — are also major contributors to this problem.
“Studies show that more young men are stressed due to increasingly complex life pressures, including work stress, financial problems, and unstable personal relationships,” he said.
He expressed concern that this phenomenon is troubling to health experts, as ED not only affects men's sexual function, but also reflects overall declining health and can be an early warning sign of coronary heart disease.
“In today’s modern age, young men tend to lead less active lifestyles, neglect healthy eating habits, and spend a lot of time engaging in unhealthy activities such as smoking, drinking alcohol, and not exercising.
“This increases their risk of developing conditions that contribute to ED. These bad habits, combined with a lack of awareness about the importance of sexual health, make young men more vulnerable to this issue,” he said.
Dr. Zulkifli added that with increasing awareness, discussions around ED treatment have also become more common.
“Awareness about ED treatments is growing, especially with widespread discussions on social media, which help more men access information about available treatment options,” he said.
However, many men experiencing ED are more likely to try treatments that are not proven to be effective.
“Instead, they may buy medications not approved by the Ministry of Health Malaysia (MOH), or follow advice from unreliable sources such as ‘TikTok doctors’,” he warned.
In this regard, Dr. Zulkifli advised that ED patients should seek treatment from certified doctors and not rely on unclear or risky advice.
“Proper treatment must be based on accurate diagnosis by healthcare professionals to avoid side effects or unwanted risks,” he emphasized.
He said that one recommended treatment involves the use of medications such as PDE5 inhibitors, which have shown effectiveness in helping patients achieve adequate erections.
“There are various types of PDE5 inhibitors on the market that can suit a patient’s sexual needs. Some work as quickly as 10 minutes after intake, some last up to 36 hours, and so on.
“However, patients must be realistic and understand that treatment may take time, especially for older men,” he said.
In addition to medication, he added, there are other treatments such as hormone therapy, vacuum therapy, penile injections, and in some cases, surgery involving penile prostheses.
Every treatment must be tailored to the individual and closely monitored by qualified doctors.
“However, medical treatment alone is not the only approach. A healthy lifestyle plays a crucial role in the success of ED treatment. Avoiding bad habits like smoking, drinking alcohol, and not exercising is essential.
“Consistent physical activity can help improve blood flow and overall health,” Dr. Zulkifli continued.
He also emphasized the importance of a balanced diet rich in vegetables, fruits, and antioxidant-rich foods to maintain vascular health and enhance sexual function.
Furthermore, he stated that mental and emotional factors should not be overlooked.
“Men who suffer from ED often face self-confidence issues and relationship stress.
“Therefore, psychological support is important to help them cope with the mental impact of this condition. Therapy such as counseling or support from a partner can help reduce stress and improve the mental well-being of men experiencing ED,” he said.
He also urged young men with health problems or unhealthy lifestyles to seek proper treatment promptly and adopt a healthy lifestyle to address the issue.
“Taking early steps to maintain sexual health and a healthy lifestyle can help prevent ED and improve men's overall quality of life.
“With greater awareness and proper treatment, young men no longer need to feel ashamed or isolated when dealing with ED,” he said. – MalaysiaGazette