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Highlights
- Smoking is poison for your erections, even in men in their 20s.
- Smoking affects erectile function on the biochemical and physical levels.
- The more you smoke and the longer you do it, the more likely you are to develop erectile dysfunction.
- If you stop smoking before age 50, you may be able to reduce the damage.
Young men tend to take flawless erectile function for granted. However, if you’re a cigarette smoker, you should know that smoking causes erectile dysfunction in men as young as 20.
If you’re a heavy smoker, your youth won’t protect your ability to get it up. Fortunately, if you stop smoking soon enough, there’s a good chance that you can keep — or reclaim — your manliness.
How Smoking Kills Erections
Smoking is a multi-pronged assault on your sexual function.
Smoking suppresses nitric oxide production
The main mechanism of action for erectile dysfunction drugs, such as Viagra, Cialis, Levitra, and others, is boosting nitric oxide levels. By enhancing nitric oxide, ED drugs improve the dilation of the blood vessels in your penis.
As a result, your erections become stronger, and you’re more capable of maintaining one long enough for satisfying sex.
Smoking, however, has the opposite effect on your nitric oxide levels. It suppresses NO production, making it difficult for the smooth muscles in your penis to relax enough to allow the smooth flow of blood that creates an erection.
Cigarette smoke, even if it results from passive smoking, affects your body’s nitric oxide production in several ways:
- It blocks the enzymes that create nitric oxide in your neurons.
- It damages the endothelium, the thin membrane that lines the inside of your heart and blood vessels and produces nitric oxide.
- It induces toxic substances that deactivate the nitric oxide already present in the smooth muscles of your penis.
Smoking Causes Hardened Arteries
The damage that the suppression of nitric oxide causes extends to other body functions, as well, which can create further blows to your erections.
When smoking damages the membranes that line your blood vessels, it affects their elasticity and ability to carry blood, causing atherosclerosis, or hardened arteries. And stiff arteries cause other health problems, issues that can make erectile dysfunction seem like a mere annoyance.
Smoking Causes Health Problems That Cause ED
In addition to directly assaulting your erectile function, smoking triggers illnesses that can also cause erectile dysfunction.
- Smoking increases the risk of diabetes, and there are well-established links between diabetes and erectile dysfunction.
- Due to its effects on arteries, smoking causes high blood pressure and heart disease. Both conditions contribute to the onset of erectile dysfunction.
- The medications we use to treat many of the diseases that smoking causes can have erectile dysfunction as a side effect.
If you are a smoker and you develop a cardiac condition, you are much more likely to develop ED than a smoker who does not have cardiac disease. The same is true for high blood pressure and diabetes.
The More You Smoke, The Higher Your Chances of Developing ED
We know that the older a man gets, the more likely he is to have difficulty achieving a proper erection. Age is a variable you can’t influence, but you can control how much you smoke.
Researchers have established that the more you smoke, the more likely you will lose your ability to perform sexually. Those who smoke fewer than ten cigarettes per day have a smaller (but not insignificant!) risk of developing ED.
If you smoke a pack day, however, you increase your ED odds.
In addition to how much you smoke, the length of your smoking history matters as well. If you have smoked for several years, you are more likely to suffer from ED than someone who took up the habit recently.
None of which means that we advocate even light smoking. No matter how much or how little you smoke, your ED risk is higher, now and down the road, than for men who don’t smoke at all.
Can You Regain Erectile Function If You Quit?
How well you can recover your erectile function — and to what degree — depends on the extent of the damage smoking has caused to your body.
- The older you are, the less likely that you will recover full erectile function after kicking the habit.
- The longer you’ve smoked, the less likely you will be to have full erections again.
- The more you smoke, the more damage you cause to your erections. A 10-cigarette-a-day smoker is more likely to recover erectile function than a pack-a-day smoker.
- The more severe your erectile dysfunction, the less likely you are to achieve full recovery.
- If you already have severe ED, you probably can’t recover your erections by quitting smoking.
To sum it up: You may have a good chance to recover your erectile function if you’re young, haven’t smoked much, have only been at it for a short time, and your ED is not severe. Not having high blood pressure, diabetes, or cardiac disease also increases your odds.
Quitting Now Will Make a Difference
- Interestingly, if you’re under 50, your smoking history is a stronger ED risk factor than your age.
- If you stop smoking before reaching middle age and never restart, you should see significant benefits to both erectile and overall health.
- Even if you stop smoking for a period of 24-36 hours, you give your penis a respite, and your erectile function should improve.
- The longer your period of smoking abstinence, the more improvement you are likely to see in your erections.
- If you quit smoking after 50, you are unlikely to see significant improvements in erectile function. But you will see improvement in your overall health and reduce your risk of major health conditions, such as heart disease and cancer.
The Bottom Line
Regardless of how young you are, smoking can threaten your erectile function. You may not notice its effects yet, but they are there on the molecular level. And they do their destructive work in silence.
When you start experiencing ED, it may already be too late. Even if you are in your 20s, you should stop smoking to avoid ED later in life. You may not think so now, but not being able to get it up at 50 can radically decrease your quality of life.
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James West is a seasoned health and wellness writer with a focus on topics related to physiology, sleep, and men’s health. He has contributed articles on a range of subjects, from erectile dysfunction treatments and sleep aids to hair loss, providing well-researched insights to help readers make informed health decisions.