• Men who use e-cigarettes daily are more than twice as likely to suffer from erectile dysfunction than those who never vape.
  • Even after taking age and heart disease into account, vapers reported a higher rate of erectile dysfunction in a large survey.
  • Excessive use of e-cigs is not a safe substitute for smoking.

Men who use e-cigarettes are more than twice as likely to suffer from erectile dysfunction than those who don’t vape, according to a study published Wednesday in the American Journal of Preventive Medicine.

In the first effort to study the relationship between vaping and sexual health, researchers analyzed self-reported data from more than 13,000 men aged 20 and older interviewed as part of the National Population Assessment of Tobacco and Health study. Study.

Those who reported using an e-cig daily were 2.2 times more likely to report having erectile dysfunction than men who had never vaped, regardless of their other risk factors.

In a smaller sample of men under 65 with a normal BMI and no history of cardiovascular disease, the trend continued: vapers were 2.4 times more likely to suffer from ED than non-vapers.

While some may view vaping as a healthier alternative to cigarettes, consuming too much nicotine still comes with risks, senior author Omar El Shahawy, MD, told Insider.

“Overall, e-cigarettes are probably less harmful than smoking cigarettes as long as they replace cigarettes,” wrote El Shahawy, assistant professor in the Department of Population Health at NYU Langone, in an e- mail to Insider.

“For men who smoke and want to change because vaping is less harmful, they should try to limit their vaping because it is just not without risk,” he added.

ED rates may be higher than they appear

Erectile dysfunction affects about one in five men over the age of 20 in the United States, according to the study’s estimate. But the authors acknowledged that there may be a bias in the self-reported data for vaping and ED rates.

The survey also did not include data indicating whether respondents were taking drugs that may increase the risk of erectile dysfunction, such as antidepressants or beta blockers.

Smoking cigarettes has long been linked to sexual dysfunction in both men and women, potentially because constant exposure to high levels of nicotine can impair blood vessel function, El Shahawy explained.

Since many new generation electronic cigarettes have particularly high concentrations of nicotine, their frequent use could cause a similar effect.