The link between ED and heart disease

Erectile dysfunction (ED) precedes coronary artery disease (CAD) in almost 70% of cases1. In fact, ED could be an indicator of silent CAD, heart disease you don’t know you have. If you have concerns, the best solution is to first go and speak to your family physician/General Practitioner.



The blood supply to your penis starts in your heart and flows through arteries in the belly to even smaller arteries that branch off to carry blood into the penis. With sexual stimulation, these blood vessels need to rapidly increase blood flow. If these blood vessels are blocked (atherosclerosis) by coronary artery disease, you may not be able to achieve or maintain an erection1.


ED and heart disease are considered two signs of the same disease process. The smaller arteries in the penis are affected by atherosclerosis sooner, perhaps three or more years before they cause heart disease symptoms1. A large international study found that men with ED were more likely to die from heart causes; have a heart attack, stroke or be admitted to the hospital with heart failure than men with no or mild ED2.


You may reduce your risk of ED by improving your heart health. Healthy lifestyle choices often  encourage you to stop smoking, lose weight, and increase physical activity. If ED persists, oral medications are a common first therapy for ED. If oral medications don’t work for you, they are typically followed by one or more of these treatments: other medications, including penile injections, intraurethral pellets and topical creams, vacuum devices or surgically implanted devices. These other options are usually discussed with a specialist.


ED precedes coronary artery disease in almost 70% of cases1.


Erectile Dysfunction usually comes 3 or more years before a heart attack, making it a common first sign for men that they have heart disease1.

  • Men on heart disease medication may need ED treatment beyond oral medication
  • Penile implants have helped many couples return to an active, satisfying sex life



Oral medications (Viagra™, Cialis™, Levitra™ and Stendra™) are a common first step to treat erectile dysfunction, but they don’t work for everyone – especially men with heart disease. Men taking nitrates for heart disease or those taking alpha blocking agents for blood pressure are generally not good candidates for oral ED medication3. In addition, some medications simply do not work for certain men. When ED medication is not the answer, there are other options. Talk to your family physician/General Practitioner or specialist for the best alternative options for you.


Finding a satisfying solution to erectile dysfunction can be a life-changing event for many men and their partners. In one study of 200 patients and 120 partners, both men and their partners found penile implant to be satisfying. 92% of patients and 96% of their partners reported sexual activity to be excellent or satisfactory4. Talk to your doctor about your treatment options.

Understand the link between your symptoms & ED

Treatment is available for all men with Erectile Dysfunction

Find an Implanter to discover the best solution for your ED


  1. Gandaglia G, Briganti A, Jackson G, et al. A systematic review of the association between erectile dysfunction and cardiovascular disease. Eur Urol. 2014 May;65(5):968-78.
  2. Bohm M, Baumhäkel M, Teo K, et al. Erectile dysfunction predicts cardiovascular events in high-risk patients receiving Telmisartan, Ramipril, or both: The ongoing Telmisartan alone and in combination with Ramipril global endpoint trial/Telmisartan randomized assessment study in ACE intolerant subjects with cardiovascular disease (ONTARGET/TRANSCEND) trials. Circulation. 2010 Mar 30;121(12):1439-46.
  3. Jackson G, Rosen RC, et al. The second Princeton consensus on sexual dysfunction and cardiac risk: new guidelines for sexual medicine. J Sex Med. 2006 Jan;3(1):28–36
  4. Montorsi R, Rigatti P, Carmingnani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institution study in 200 consecutive patients. Eur Urol. 2000;37:50-55.


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