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- Erectile dysfunction may be more likely to occur in winter due to seasonal affective disorder (SAD) and seasonal exacerbations of chronic conditions.
- SAD is a form of major depression. If you experience SAD, your libido may dip due to loss of desire or from using certain antidepressants to treat it.
- Chronic conditions that affect blood flow to the penis may also worsen during the winter. As a result, achieving an erection can become more challenging.
The relationship between winter and worsening erectile dysfunction is complex. In some cases, ED becomes worse due to seasonal affective disorder (SAD) — a condition that improves when warmer months arrive. You may also experience seasonal declines in conditions such as diabetes and various forms of cardiovascular disease.
ED that gets worse during the winter is often treatable. Along with addressing identifiable causes such as SAD, medications can help you achieve and sustain an erection.
Causes of Erectile Dysfunction During the Winter
ED may worsen during the winter, but this doesn’t happen to everyone. Men who experience SAD may also experience an exacerbation of ED and sexual dysfunction. Some chronic conditions also peak during the winter and worsen ED as a result.
SAD and Erectile Dysfunction
The link between SAD and erectile dysfunction isn’t fully understood. Although little research explores a direct link between the two, it’s possible to examine the relationship between SAD’s various elements and how they make erectile dysfunction worse.
Seasonal affective disorder (SAD) is a condition where sufferers feel depressed during the autumn and winter months. Usually, SAD improves once spring comes around.
SAD is a form of major depressive disorder. Around 8.4 percent of Americans encounter major depressive disorder at least once, and 10 to 20 percent of those people experience SAD.
Symptoms of SAD can include:
- Poor energy. You may find that you struggle with sleep, which can mean sleeping too much or not enough. During the day, you might experience low energy levels.
- Low outlook. Suffering from SAD can mean that you feel low and depressed throughout the day. Your depression can result in losing interest in your usual activities. You might have difficulty concentrating, and in extreme cases, people can experience suicidal thoughts.
- Habit changes. Habits, such as the way you eat and how you socialize, might change. You may develop intense cravings and eat more. You may also start avoiding interactions with other people.
Loss of Desire
Suffering from depression can cause a loss of desire. One meta-analysis reveals how the risk of ED increases by 39 percent for people who suffer from depression. Potentially, the loss of desire that accompanies depression may make it difficult to establish or maintain an erection.
Loss of desire has a strong neurobiological basis. The key chemical responsible is dopamine, which often becomes dysregulated in major depressive disorder. SAD may mimic that dysregulation.
Using Antidepressants
Antidepressants play an important role in treating SAD. However, the type of antidepressant you use may increase your risk of ED.
One meta analysis reveals how sexual dysfunction — which can include ED — occurs in 26 to 80 percent of patients taking certain antidepressants. While fluoxetine, citalopram, and sertraline can be problematic, bupropion and mirtazapine are less likely to cause ED.
If your ED worsens after starting an antidepressant, discuss switching to a different medication with your doctor.
Seasonal Variations of Chronic Diseases
Some chronic diseases are subject to seasonal fluctuations. Diabetes and cardiovascular disease are especially prone to peaking in winter. As both have the potential to affect penile arteries and nerve innervation, their winter spikes may also make ED worse.
Managing chronic diseases throughout the year can reduce your risk of ED. If you feel it’s worse during the winter, discuss a management plan with your doctor.
Weight Gain During Winter
A combination of shorter days, longer nights, and cold weather may lead to winter weight gain. When fewer daylight hours are available for outdoor activities, you’re less likely to burn calories. As your body adjusts to cold temperatures, the associated energy expenditure may cause you to eat more than normal.
Although not everyone gains more weight during the winter, it’s a cause worth examining. Obesity is an independent factor for ED, so you should consider weight loss if you believe being overweight is making your ED worse.
Treating Seasonal Erectile Dysfunction
Regardless of what’s causing your ED during the winter, it’s almost always treatable. A range of drugs is available to treat ED, including:
- Viagra. Viagra has a 91 percent success rate in treating ED. A temporary increase of blood flow to the penis makes it easier to achieve an erection.
- Levitra. In a study focusing on men with hypertension and diabetes, Levitra had a first-time success rate of 81 percent. Levitra’s active component is vardenafil, which helps to maintain an erection following sexual stimulation.
- Cialis. Cialis has a 75 percent success rate in achieving intercourse and an 81 percent success rate in maintaining erections. Also known as tadalafil, Cialis lasts longer than Viagra, earning it the nickname “the weekend drug.” Cialis is also available in a low dose for daily use, which allows men to be ready for sex anytime.
You Don’t Have to Live With Erectile Dysfunction!
Erectile dysfunction doesn’t need to be an inevitable part of your winter. At eDrugstore, we stock a range of medications that treat ED safely and effectively. We can ship your medication of choice straight to your door, so you don’t even need to brave the cold. Browse our medication guide and place your order today!

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