Is there a relationship between Non-Alcoholic Fatty Liver Disease (NAFLD) and erectile dysfunction?

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Last updated: February 14, 2025View editorial policy

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From the Research

Relationship Between Non-Alcoholic Fatty Liver Disease (NAFLD) and Erectile Dysfunction

  • There is evidence suggesting a significant association between NAFLD and erectile dysfunction, as demonstrated in a prospective pilot study published in 2016 1.
  • The study found that patients with biopsy-proven NAFLD had a higher prevalence of erectile dysfunction, with 27.5% experiencing moderate erectile dysfunction and 40% experiencing mild erectile dysfunction.
  • A review of current literature published in 2020 also supports the link between NAFLD and male sexual problems, including erectile dysfunction, hypogonadism, and infertility 2.
  • A cross-sectional study published in 2024 found a positive correlation between the U.S. Fatty Liver Index (USFLI) and erectile dysfunction in the adult American population, suggesting that NAFLD may be an independent risk factor for erectile dysfunction 3.
  • Another study published in 2021 found that patients with NAFLD had a 2.92 times higher risk of erectile dysfunction compared to those without NAFLD, and that NAFLD was a significantly independent associated factor with erectile dysfunction 4.
  • A prospective, hospital-based study published in 2017 estimated the prevalence of erectile dysfunction in patients with NAFLD to be 45.8%, and found that age ≥40 years, insulin resistance, and low serum testosterone were independent predictors of erectile dysfunction 5.

Key Findings

  • NAFLD is associated with an increased risk of erectile dysfunction 1, 3, 4, 5.
  • Insulin resistance and low serum testosterone are contributing factors to the development of erectile dysfunction in patients with NAFLD 1, 5.
  • The severity of histological hepatic damage is significantly higher in patients with erectile dysfunction compared to those without erectile dysfunction 1.
  • Metabolic syndrome is more common in patients with erectile dysfunction compared to those without erectile dysfunction 1.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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