Erectile Dysfunction Can Signal Heart Disease in Healthy Men

Urologist warns ED can be an early warning sign of cardiovascular issues.

Published on Mar. 4, 2026

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Dr. Jamin Brahmbhatt, a urologist and robotic surgeon, explains that erectile dysfunction (ED) can sometimes be an early indicator of underlying heart disease, even in otherwise healthy men. He notes that the same blood vessel changes that affect the heart can also impact sexual function, and that addressing ED may be an opportunity to catch cardiovascular risk factors early.

Why it matters

ED is often viewed as a private issue, but Brahmbhatt emphasizes that it can be a sign of more serious health concerns. By recognizing ED as a potential warning sign, men can take proactive steps to address cardiovascular risk factors before they lead to more severe problems.

The details

Brahmbhatt states that sexual dysfunction can sometimes appear 1-3 years before classic heart disease symptoms like angina. This is because many heart issues originate in the smaller blood vessels, which can lose flexibility and develop plaque buildup over time due to factors like high blood pressure, diabetes, and poor lifestyle choices. An erection requires healthy blood flow and vessel function, so ED can be an early indicator of these vascular changes. While not every case of ED signals heart disease, Brahmbhatt recommends that men with new, persistent, or worsening ED should have their cardiovascular health evaluated.

  • The American Heart Association notes that sexual dysfunction can sometimes show up 1-3 years before more classic heart disease symptoms.
  • The American Urological Association guidelines state that men should be told ED can be a risk marker for underlying cardiovascular disease.

The players

Dr. Jamin Brahmbhatt

A urologist and robotic surgeon with Orlando Health and an assistant professor at the University of Central Florida's College of Medicine.

American Heart Association

A nonprofit organization focused on cardiovascular health.

American Urological Association

The leading professional association for urologists in the United States.

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What they’re saying

“Doctor, my partner is going to leave me," they often say with worry.”

— Patients with erectile dysfunction

“Relax, I've heard this a thousand times. Let's start with a few questions.”

— Dr. Jamin Brahmbhatt, Urologist

What’s next

Brahmbhatt recommends that men with new, persistent, or worsening erectile dysfunction should have their cardiovascular health evaluated by their primary care clinician, including checking blood pressure, cholesterol, and blood sugar levels. He also suggests asking about sleep apnea, as it can contribute to vascular issues.

The takeaway

Erectile dysfunction should not be viewed solely as a private or embarrassing issue, but rather as a potential early warning sign of underlying cardiovascular disease. By addressing ED proactively, men can take steps to improve their overall health and reduce their risk of more serious heart problems down the line.