The Crucial Connection Between High Cholesterol and Erection Health

Elevated levels of cholesterol, left untreated, can lead to a buildup of fatty plaques on the inner walls of arteries, impeding the flow of blood to the penis and causing erectile dysfunction. With your doctor’s help, you can fight back against bad cholesterol and improve erectile function and promote your overall health and well-being.

Most people today are aware that elevated cholesterol levels can negatively affect cardiovascular health. The millions in advertising dollars spent by manufacturers of statin drugs have helped to raise public awareness of this critical link.

Perhaps not as well-known is the negative effect that high cholesterol can have on erectile function. All of which brings up the close relationship between cardiovascular health and erection health, which is put more bluntly and succinctly by Cleveland Clinic urologist Drogo K. Montague, M.D., in these terms: ¨What’s good for the heart is good for the penis.¨

Strong Blood Flow Vital

And Montague makes an excellent point, because faltering erectile function can serve as an early warning that declines in cardiovascular health may lie ahead. Just as the heart and brain depend upon strong blood flow to deliver the oxygen and nutrients they need to function at optimal levels, so too does erectile function require strong blood flow. Without it, you may be unable to get and keep an erection strong enough for intercourse.

Because the blood vessels that supply the penis are much smaller than those that serve the heart and brain, symptoms of impotence are much more likely to surface before you begin to experience a significant decline in cardiovascular health.

If you heed these early warnings, you can take steps to reverse whatever losses you’re experiencing in erectile function and at the same time hopefully head off a possible heart attack or stroke.

Not All Cholesterol Is Equal

In assessing the threat of cholesterol to your cardiovascular and erection health, one of the first things you should know is that not all cholesterol is equal. In fact, one type of cholesterol justifiably deserves its nickname of ¨good cholesterol.¨

Cholesterol falls into one of three categories: low density lipoproteins, or LDL; very low density lipoproteins, or VLDL, and high density lipoproteins, or HDL. As the name implies, a lipoprotein is a combination of protein and fat. When you have a lipids blood test, you need to look at the levels of all three lipoproteins, as well as the ratio of one to another.

LDL is the so-called bad cholesterol that can cause plaque to build up on artery walls, gradually diminishing the flow of blood the blood vessel can carry. Its name indicates that it is more fat than protein. VLDL is closely related to LDL in that it also is made up of more fat than protein. At the other end of the spectrum, HDL is more protein than fat. Having higher levels of HDL can help to bring down the levels of LDL, thus reducing the danger of atherosclerosis, which is defined as the unhealthy buildup of fats and cholesterol on artery walls.

Bad cholesterol, known medically as low-density lipoprotein, can lead to atherosclerosis — a buildup of plaque on artery walls — that compromises blood flow to the heart, brain, and penis.

Yet another form of lipids, or fats, are triglycerides, which are carried in the blood by VLDL. According to WebMD, ¨excess calories, alcohol, or sugar . . . are converted into triglycerides and stored in fat cells throughout your body.¨

Given the threat that excess LDL poses to both your cardiovascular and erectile health, you’re probably wondering right now what you can do to reduce your exposure to these unhealthy lipids.

Your first line of defense against elevated levels of bad cholesterol should come from lifestyle modifications that are relatively easy to make. has come up with a list of five lifestyle changes that can reduce bad cholesterol and/or increase good cholesterol:


  • Drop Those Excess Pounds: Carrying around more weight than is healthy keeps cholesterol levels high. Dropping 5 to 10 percent of your total body weight can reduce cholesterol significantly.
  • Eat a Heart-Healthy Diet: A perfect example of a healthy diet is the Mediterranean diet, which is high in fresh fruits and vegetables, whole grains, seeds, nuts, seafood, and healthy fats such as olive oil, and low in high-fat protein such as red meat.
  • Exercise Regularly: If you’re living a fairly sedentary life with little or no physical activity, consult with your doctor so that your introduction to an exercise program is gradual. Try to work up to a daily routine of at least 30 minutes of physical activity. Exercise has been shown to increase levels of HDL, the good cholesterol, which then helps to reduce LDL levels.
  • Stop Smoking: And if you don’t smoke, don’t start. Smoking is injurious to your health on multiple levels, but among other things quitting has been shown to elevate HDL levels, which is a good thing.
  • Drink Alcohol in Moderation: An alcoholic beverage or two is associated with an increase in HDL levels, but the increase is not so great that you should start drinking alcohol if you’re not already doing so.



A heart-healthy diet that includes plenty of fresh fruits and vegetables can help to keep cholesterol levels down.

While these lifestyle changes should help you to reduce the levels of LDL in your body, they may not be sufficient to get your numbers to where they should be. Some people suffer from a hereditary disorder known as familial hypercholesterolemia, which is characterized by abnormally high levels of LDL in the blood. In such cases, medication may be the answer.

By far, the drugs used most widely to treat elevated LDL levels are the so-called statins, including lovastatin (also sold under the brand name Mevachor), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor), atorvastatin (Lipitor), and fluvastatin (Lescor).

Interestingly, a recent review of previous studies on erection problems and statin use found ¨a statistically significant effect of statins on erectile function in men who had both high cholesterol¨ and impotence, according to an article posted at

 According to the article, John Costis, M.D., lead investigator for the study, reported that ¨the increase in erectile function scores [as measured by the International Index of Erectile Function] with statins was approximately one-third to one-half of what has been reported with drugs like Viagra, Cialis, or Levitra.¨

 Other drugs designed to help lower bad cholesterol levels and/or increase blood levels of good cholesterol include niacin, also known as nicotinic acid, and bile acid sequestrants, such as cholestyramine (Prevalite, Questran), colestipol (Colestid), and colesevelam (WelChol).

Used by itself or in combination with simvastatin, a drug called ezetimibe (Zetia) reduces the amount of LDL that can be absorbed in the small intestine. In its combination form with simvastatin, the drug is marketed under the brand name Vytorin.

Yet another family of medications, known as fibric acid derivatives, is quite effective in lowering triglyceride levels and moderately effective in reducing LDL. Drugs in this category include gemfibrozil (Lopid) and fenofibrate (Tricor, Lofibra), which are often prescribed for patients who cannot tolerate niacin.

For men whose underlying medical problems have impaired blood flow to the penis, whether temporarily or permanently, the PDE5 inhibitors such as Viagra and Cialis are the preferred form of treatment. Ordering your ED drugs from a trustworthy online facilitator such as can often save you time and money. To learn more, visit eDrugstore’s Erectile Dysfunction page.

Don Amerman is a freelance author who writes extensively about a wide array of nutrition and health-related topics.


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