Horny Science: Can Cannabis Cause Erectile Dysfunction?

Erectile dysfunction doesn’t have to mean giving up weed. This guide helps you understand what’s happening and how to get back in sync.

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There’s a lot of contention surrounding cannabis and the way it affects our sex lives.

You might recall the first few joints of your teenage years and the sexual feelings that came with them. It’s not uncommon for people to report increased feelings of sexual desire or overall improved sex after consuming cannabis. It gets all of your parts tingling in just the right way.

Like most recreational drugs, cannabis has both positive benefits and potential side effects. These include relief from pain, enhanced mood, and enhanced perception.

Cannabis is also associated with some sexual side effects, including an elevated risk of erectile dysfunction (ED). However, the scientific research behind this link is mixed, with certain studies suggesting that cannabis reduces sexual performance and others the opposite.

For example, some studies show that erectile dysfunction is as much as two times more likely in men who use cannabis compared to men who don’t.

This isn’t a blog article about the dangers of cannabis — let the record show that smoking cannabis from time to time will not cause erectile dysfunction. However, if you’re a regular cannabis user experiencing erectile dysfunction, it might be time to consider other forms of therapy or recreation.

If you are a regular, it’s important to be aware of how it may affect your sexual functioning. 

Below, we’ve looked into the potential link between cannabis and ED in more detail, as well as cannabis's other effects on your sex drive and general sexual behavior. We also share some tips on how to decrease your risk of ED when using cannabis.

Let’s check out what science has to say about cannabis and erectile dysfunction.

What is erectile dysfunction, and what causes it?

Erectile dysfunction is essentially the inability to get an erection or to maintain one for long enough to have sex. It’s not the same as premature ejaculation or decreased libido. It’s purely a dysfunction of the erectile ability of the penis.

Each man, at some point in his life, will experience some kind of erectile dysfunction. If it occurs rarely, or as a once-off, it’s not typically a cause for concern. However, for some men, there is a sustained inability to achieve or maintain an erection, and it’s at this point that it becomes clinical.

There are a lot of contributing factors to erectile dysfunction.

Certain health conditions such as heart diseases and diabetes can cause erectile dysfunction, as can some medications. Tobacco use, which restricts blood flow to veins and arteries can also lead to conditions that cause erectile dysfunction. Severe emotional disorders such as depression, anxiety, or low self-esteem can also lead to erectile dysfunction. And antidepressants deplete nitric oxide (NO) levels, a molecule that widens blood vessels, enhances blood flow, and supports smooth muscle relaxation, leading to erectile dysfunction.

As we’re coming to learn, cannabinoids might cause erectile dysfunction because of the way that cannabinoid receptors are distributed in the hypothalamus — which is the part of the brain that regulates erectile functions.

Let’s check out some of the science behind this theory.

Can cannabis cause erectile dysfunction?

Can smoking weed cause erectile dysfunction? Like with lots of other things related to cannabis consumption, the jury is currently out on whether the frequency of cannabis use is associated with sexual performance issues in men.

There has been a tremendous amount of research into cannabis’ effect on female sexual health. Unfortunately, the same attention hasn’t been given to cannabis’ effect on men’s sexual health, so our understanding is still preliminary.

In the only systematic review and meta-analysis on the topic, researchers found that erectile dysfunction was twice as prevalent in men who used cannabis. However, the studies compiled for this meta-analysis typically had small sample sizes, and no definition was given for “cannabis user”—it wasn’t clear whether the cannabis-using men were regular users or recreational users. 

Let's dive into specifics.

Cannabis, Cardiovascular Health, and Erectile Dysfunction

Healthy erections are, to a large extent, all about blood flow. When you feel aroused, blood flows to your penis, causing the erectile tissue to expand and become firmer. After you reach orgasm and ejaculate, the same process occurs in reverse, causing you to lose your erection and enter your refractory period.

Several studies have found that cannabis use may affect your cardiovascular system, an effect that may influence blood flow to your penis and erectile function. 

For example, while cannabis contains cannabinoids and tobacco contains nicotine, their smoke is chemically similar. They also share some similar side effects. And like tobacco, cannabis—and pretty much anything that's smoked—has the potential to harm your heart and lungs over the long term, potentially increasing your risk of developing cardiovascular health issues.

In the short term, cannabis can also increase systolic blood pressure. Since high blood pressure is linked to erectile dysfunction, you may find it harder to get an erection after smoking cannabis.

Other research has found a more direct association between cannabis use and sexual function issues such as ED.

Direct Links Between Cannabis and Erectile Dysfunction

in a 2011 review of study data, researchers stated that cannabis might stimulate certain receptors in penis tissue, which may contribute to erectile dysfunction when certain compounds are still active in the body.

A 2010 study found a link between cannabis use and difficulty achieving orgasm in men. Interestingly, cannabis use was also associated with elevated rates of premature ejaculation in men who participated in the study.

In earlier research, scientists revealed that cannabinoid receptors were heavily concentrated in the paraventricular nucleus of the hypothalamus—the part of the brain that regulates erectile function. By binding to these receptors, cannabinoids may cause erectile dysfunction. Interestingly, it's also why cannabis can improve erectile function in men who experience depression, anxiety, or pain.

However, there is also a lot of contradicting data.

In a review, scientists highlighted the inconsistencies between study results, pointing out that cannabis may enhance the subjective sexual experience, but that the dose itself might contribute to erectile dysfunction. The study authors concluded that the dose seems to play a large role in whether cannabis will cause erectile dysfunction, and the lack of standardized dosing likely caused the inconsistencies between study results.

Other research about cannabis and male sexual health (such as sperm quality) also reveals the same inconsistencies and question marks. Much more research is necessary to elucidate the plausible explanations for cannabis and erectile dysfunction.

Now, it's clear that science still has questions to answer about whether cannabis causes erectile dysfunction. But is there anything it can tell us about cannabis and sex?

Yes, and it's mostly good news.

The relationship between cannabis, according to research.

Does cannabis make sex better?

Anecdotally, most seem to think so. But research findings on cannabis and sex are mixed.

Many cannabis users report feeling more interested in having sex after smoking cannabis or eating edibles. Some also report that they enjoy sexual encounters more when they feel stoned. Others yet complain about "weed dick," a term for cannabis-induced ED.

Interested in these claims, researchers began looking into cannabis's potential effects on sex, including the possible link between cannabis and erectile function.

In one study published in 2017 in the Journal of Sexual Medicine found that cannabis may be correlated with an increase in sexual desire.

The study, which used survey data from more than 50,000 men and women, found that use of cannabis was “independently associated with increased sexual frequency.” The study also noted that cannabis use did not appear to impair sexual function in the men and women surveyed.

The researchers concluded that although the findings were reassuring, the effects of cannabis on sexual function “warrant further study.”

Other research has found that cannabis use may make sex more enjoyable for women.

In one study published in Sexual Medicine in 2019, researchers found that women who reported using cannabis prior to sex reported increases in sex drive, improved orgasms, and less pain.

Another study published in the Journal of Sexual Medicine, which used data from more than 200 online questionnaire participants, suggests that most people who use cannabis before sex have mostly positive, or at least neutral, results.

According to the study, 38% of respondents said that sex was more enjoyable after using cannabis, while only 4.7% said it was worse. Participants reported feeling more sensitive to touch after using cannabis, having stronger orgasms, and feeling more interested in sex.

However, it’s worth noting that some participants reported sexual performance issues, including difficulty reaching orgasm while under the influence of cannabis.

How to use cannabis without getting erectile dysfunction.

If you want to keep cannabis in your life without it interfering with your erections, it comes down to intentional use and self-awareness. Here’s what to keep in mind:

• Start with form and dose. Large doses of THC, especially when smoked or vaped, are more likely to cause issues with arousal and performance. Opt for balanced options (with CBD or other cannabinoids, like our 1 CBD : 1 THC Oil), go for oils (which have quick onset and high absorption rates), and start low and slow.

• Avoid habit-forming patterns. Daily or heavy THC use can dull your dopamine system and increase the risk of ED. If you’re using to escape, numb out, or cope with stress, your sexual function might pay the price.

• Time it right. Many people report better experiences when cannabis is used a few hours before sex, rather than during. This gives your body time to settle and avoids the performance-inhibiting fog some strains can create.

• Check in with your body. If you notice consistent issues with arousal or performance, take a tolerance break and see if things improve. Your erections are a readout of your nervous system—listen to what they’re telling you.

Used with intention and the right awareness, cannabis doesn’t have to kill your sex life. In fact, it can help you get more in tune with it.

The bottom line on cannabis and erectile dysfunction.

Does weed cause ED? Can being high affect your erections and sexual function?

Both medical and recreational cannabis have only been legal for a short period of time. Because of this, research on cannabis's effects on male sexual performance is very limited, with only a few large-scale studies available from which to draw data.

There are plenty of gaps in scientific research on this topic, so it’s important to take it all with a grain of salt. You shouldn’t be retiring from your second favorite pastime or creative inspiration because of the fear of developing erectile dysfunction. But if you are a heavy cannabis user and you’re experiencing erectile dysfunction, it might be worth trying a break from cannabis.

Right now, some studies indicate that cannabis can have positive effects on sexual enjoyment, while others suggest that it’s linked to erectile dysfunction and other sexual health issues. 

On the whole, there just isn’t enough high quality scientific evidence available right now to give a firm, definitive conclusion on whether weed is good or bad for your sex life.

If you experience erectile dysfunction after using cannabis, it’s best to talk with your healthcare provider. You may be able to improve your sexual function by cutting back on cannabis prior to sex, taking days off from weed, or making other changes to your habits and daily lifestyle.

Interestingly, if you suffer from erectile dysfunction because of depression or anxiety, cannabis might actually be able to improve your situation.

In any case, there are herbal libido-boosters like Cordyceps, which is traditionally known as "Himalayan Viagra."

And there are counselling services available for men who believe their erectile dysfunction has an emotional origin.

Given the legalization of cannabis in multiple countries across the world, it’s becoming increasingly important to research the effect it has on men’s sexual health. We certainly look forward to learning more about this topic.

Have you experienced sexual health problems from using cannabis? We’d love to hear from you in the comments below.

Related Reading: Horny Science: How Cordyceps Boosts Libido and Fertility in Men and Women

Related Reading: Cannabis and Sex: How It Works For Your Sex Life and Against It

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