Can influenza (flu) cause erectile dysfunction (ED)?

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Last updated: February 15, 2025View editorial policy

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From the Research

Influenza and Erectile Dysfunction

  • There is limited research directly investigating the relationship between influenza and erectile dysfunction (ED) 1.
  • A study comparing the risk of ED in patients with COVID-19 to those with other common viral infections, including influenza, found that COVID-19 was no more likely to result in a diagnosis of ED or prescription of phosphodiesterase-5 inhibitors (PDE5i) when compared to all acute viral illnesses except herpes zoster 1.
  • The study suggests that an inflammatory etiology, perhaps due to cytokine release, endothelial dysfunction, or blunted hormone signaling, behind any acute infection can result in a heightened ED risk 1.

Inflammation and Erectile Dysfunction

  • Research has shown that erectile dysfunction is associated with inflammation 2.
  • A cross-sectional study found that the systemic immune-inflammation index (SII) was correlated with an increased risk of ED in US adults, particularly in those with SII > 485.530 2.
  • Another study found that COVID-19 infection was associated with new onset erectile dysfunction, which may be related to the inflammatory response caused by the infection 3.

Risk Factors for Erectile Dysfunction

  • Common risk factors for atherosclerosis, such as diabetes, hypertension, smoking, obesity, and hyperlipidaemia, are prevalent in patients with ED and may contribute to the development of ED 4.
  • Endocrine disrupting chemicals (EDCs) may also be a risk factor for ED, although this is an under-researched field 5.
  • Androgen signalling is critical for erectile function, and exposure to EDCs may disrupt this signalling, potentially leading to ED 5.

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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