Erectile Dysfunction Statistics in the U.S. – 2025 Roundup

Written by: Jason Panda

1. Prevalence Overview

~18.4% of U.S. men aged 20+ have ED—that’s about 18 million individuals.
Globally, ED will affect ~322 million men by 2025, double from ~152 million in 1995
Approximately 24% of U.S. men experience ED at some point—about 1 in 4

Prevalence by Age

Under 40: ~8–11% of men report mild-to-moderate ED.
40s: ~40% experience ED, climbing ~10% per decade
50s: ~50% report ED
60s–70s: 52% of those 75+ and ~48% of those 65–74 are affected
50–59 yrs: 18%–37% (NCBI).

3. Trends Over Time

ED rates have climbed significantly—global cases in 1995 (~152M) vs projected 2025 (~322M)
The emergence of ED among younger men (~quarter under 40) indicates changing lifestyles, mental health, and obesity trends

4. Severity Breakdown

MMAS study: 52% of men had some ED; 17% mild, 25% moderate, 10% severe
Increased severity seen in older age groups per National Survey of Sexual Wellbeing

Scientist or medical in lab coat working in biotechnological laboratory

5. Risk Factors & Comorbidities

Cardiovascular & metabolic: Men with ED have ~2× higher heart attack/stroke risk; vascular disease often coexists
Diabetes: ~66% of men with diabetes experience ED
Obesity/BMI >25: ~79% of ED cases; diabetes + obesity account for 8M+ ED cases
Kidney & pulmonary disease: ~80% CKD cases have ED; COPD: 72–87% incidence
Medication & lifestyle: ~25% of ED is drug-induced; smoking & illicit drugs are notable causes
Mental health & IBS: Stress, depression are key factors. New study links IBS with 108% higher ED risk

6. Demographics & Ethnicity

Among men 40+, moderate/severe ED: 22% in non‑Hispanic whites, 24% in non‑Hispanic blacks, 20% in Hispanics
Hispanic men with HIV show 57% higher ED rates vs white men
Non-white men generally under-report ED symptoms

7. Economic and Healthcare Impact

ED medications generate over $1 billion/year globally.
Only ~25% of men with ED seek or receive treatment
Low diagnosis rates: just ~5.6% of insured U.S. males had ED recorded or prescribed meds

8. Complications & Quality of Life

ED often coexists with depression —~3× more likely in men with ED
ED affects fertility: sexual dysfunction is present in 20–25% of infertile couples; 1 in 6 infertile men have ED or PE
Psychosocial impact: stress, sexual confidence, and relationship strain are major consequences

9. Diet, Prevention & Natural Help

Diets high in saturated fats, salt, and red meat escalate ED risk
Mediterranean, antioxidant-rich diets (e.g., spinach, berries) reduce ED by ~37%
Lifestyle changes—exercise, quitting smoking, and mental health therapy—act as preventive or adjunct measures.

10. Diagnosis & Treatment

Diagnosis uses medical history, physical exams, blood tests, and a Doppler ultrasound.
Common treatments: PDE5 inhibitors (sildenafil, tadalafil), pumps, injections, counseling, implants
Erection Hardness Score (EHS) helps guide treatment; high EHS = more successful sexual outcomes with meds

🧭 Statistics, Analysis & Expert Recommendations

Under‑diagnosis is massive: With only 5–25% seeking treatment, there’s a huge unmet need for better education and screening.
Younger men aren’t immune: Rising stress, obesity, and mental health issues point to ED trends in men under 40—tailored awareness is needed.
Lifestyle matters: Mediterranean-style, antioxidant diets, and quitting smoking are low-cost yet high-impact strategies.
Holistic care wins: ED needs multifactorial evaluation—cardiovascular health, mental wellness, diet, and sleep are all key.

Category	Key Stat
National Prevalence (20+)	18.4% (~18M men)
Under-40 Prevalence	8-11%
Mid-Age (50s)	~50%
75+ Years	52%
Men with Diabetes	66%
Treatment Uptake	25% receive treatment
Diagnosis in Insurance Data	~5.6%
Depression Co-occurrence	3× more likely
IBS-related ED increase	+108%
Antioxidant diet effect	–37% ED risk

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