Yes, men in their early thirties get erectile dysfunction too, and it is worth having checked. More than 1 in 10 males cannot have erections; the problem becomes more common with age, but many men have it at some time in their lives, and it can come and go (healthdirect). In younger men aged between 30 and 35, the cause can be physical, psychological or a mix of both, and it is not always clear at first.
What counts as erectile dysfunction?
Erectile Dysfunction (ED) means not being able to get or keep an erection firm enough for sex. It does not cover problems with ejaculation, fertility or sex drive, which have their own causes (healthdirect). An occasional night when it does not work is common and may need no treatment. Problems that keep coming back are the reason to see a GP.
What physical problems cause ED at 30 to 35?
The same ones as at any age. healthdirect lists reduced blood flow to the penis from clogged arteries, nerve problems, hormone problems (including low testosterone and an underactive thyroid), alcohol, smoking and other drugs, and some medicines for high blood pressure, high cholesterol or depression. Long-term conditions play a part too: high blood pressure, diabetes, high cholesterol, heart disease, obesity and sleep disorders. Peyronie's disease, where scar tissue inside the penis makes it curve, is another cause (healthdirect).
What are the psychological causes?
The psychological causes of ED are stress, anxiety, depression and unresolved problems in the relationship. Worry about sexual performance is most common at the start of a new relationship, especially if you have had problems before (healthdirect). At any age, psychological issues can be a significant contributing factor to ED, on their own or alongside a physical cause, which is why a doctor asks about both.
Why see a doctor about ED in your thirties?
Because ED is often the first sign of a medical problem: cardiovascular disease, diabetes, high blood pressure or high cholesterol (healthdirect). Finding one of these in your thirties gives you years to treat it. healthdirect's rule of thumb: if you only have occasional erection problems you might not need medical help, but if they continue or you have any concerns, see your doctor.
How does a doctor find the cause?
Your GP will ask about your sexual history, your general health, your relationships and how you feel about sex, and then examine you. They may send you for blood tests or an ultrasound, offer to talk with your partner, or refer you to a urologist (healthdirect).
What are the treatment options?
There are several treatment options, and more than one may be needed. Your doctor will first treat any underlying condition and may suggest changes such as a healthier diet and regular exercise. When the cause is psychological, cognitive behavioural therapy or sex therapy can help, sometimes with your partner (healthdirect).
The tablets available in Australia are the PDE5 inhibitors sildenafil, tadalafil, vardenafil and avanafil, and all of them need a prescription. They must never be taken with nitrates for angina. When tablets do not suit, the alternatives are injections into the penis, vacuum erection devices and counselling (healthdirect).
Can ED at this age be cured?
Not always completely, but treatment usually allows you to get an erection so you can have sex (healthdirect). There are many effective treatments available, and some causes can be prevented: healthdirect names stopping smoking, exercising more, losing weight and eating healthy food. If ED is weighing on your mood or your relationship, MensLine Australia is a free counselling service on 1300 78 99 78, open 24 hours a day, 7 days a week.
