10 Causes of Erectile Dysfunction in 20s

By Amber Smith
Aug 31, 2023 5:00 AMJan 7, 2024 9:20 PM
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Erectile dysfunction (ED) is a sexual disorder that affects millions of men worldwide. It is often associated with aging, but it can occur in younger men as well. While ED can be an embarrassing and frustrating condition to deal with, it is important to understand that it is often caused by underlying medical or psychological factors that can be treated. 

Today you can explore more information about the 10 causes of erectile dysfunction in 20s by continuing to read below. By understanding the potential causes of ED, young men can take steps to address and overcome this condition, improving their sexual health and overall well-being.

10 Causes of Erectile Dysfunction in 20s

Erectile dysfunction (ED) can be caused by a variety of physical and psychological factors. Here are ten possible causes of ED in men in their 20s:

Anxiety and Stress

Anxiety and stress can cause ED (erectile dysfunction) in several ways. Firstly, when a person is anxious or stressed, their body releases stress hormones, such as adrenaline and cortisol, which can cause a narrowing of the blood vessels. This narrowing reduces blood flow to the penis, making it difficult to achieve or maintain an erection.

Performance Anxiety

Performance anxiety is a type of anxiety that occurs in situations where a person feels pressure to perform or achieve a specific goal. In the context of sexuality, performance anxiety refers to the fear or worry about sexual performance, which can lead to difficulty achieving or maintaining an erection, premature ejaculation, or difficulty reaching orgasm.

Performance anxiety can be caused by a variety of factors, including past negative sexual experiences, relationship issues, or a fear of being judged or rejected by a sexual partner. This type of anxiety can also be exacerbated by other factors, such as stress, fatigue, or alcohol and drug use.

Relationship Issues

You can find a variety of relationship issues that cause erectile dysfunction in 20s, such as lack of emotional connection, communication issues, infidelity, breakdown of trust, and sexual incompatibly. These are just a few of the many relationship issues that could cause a man in his 20s to suffer from ED symptoms. 

Pornography Addiction

Pornography addiction can cause ED in several ways. First, excessive pornography use can desensitize the brain's reward center, leading to a decrease in dopamine receptors, which are necessary for sexual arousal and satisfaction. This can result in a decrease in sexual desire and the inability to achieve or maintain an erection.

Second, pornography addiction can cause anxiety and depression, which are known to contribute to ED. When individuals become dependent on pornography for sexual gratification, they may experience guilt, shame, and low self-esteem, which can lead to anxiety and depression.

Lastly, pornography addiction can lead to physical changes in the brain that affect sexual function. Studies have shown that prolonged exposure to pornography can cause changes in brain structure and function, leading to difficulties with sexual arousal and function.

Substance Abuse

Substance abuse can have a negative impact on sexual function and lead to erectile dysfunction (ED). Substance abuse can damage the nerves and blood vessels needed for a healthy erection, reducing blood flow to the penis and impairing nerve function. Additionally, drugs and alcohol can cause hormonal imbalances and decrease testosterone levels, which can further contribute to ED.


Some medications can cause ED as a side effect by affecting the blood flow or nerve signals in the body. In some cases, medication-induced ED may be temporary and can be reversed by adjusting the dosage or switching to a different medication. However, it is important to consult with a healthcare professional before making any changes to your medication regimen.


Obesity can cause ED in several ways. First, it can lead to the development of cardiovascular disease and diabetes, which are two conditions that can damage blood vessels and nerves essential for erectile function. 

Second, obesity can lower testosterone levels, which can lead to a decrease in sexual desire and difficulties achieving or maintaining an erection. Another reason that obesity can cause erectile dysfunction in 20s is that it can contribute to psychological factors such as low self-esteem, depression, and anxiety, which can also affect sexual function. 


Diabetes can cause erectile dysfunction (ED) in men of all ages, including those in their 20s. The condition affects blood vessels and nerves throughout the body, including those in the penis that are responsible for creating and sustaining erections. 

High levels of blood sugar can cause damage to blood vessels and nerves, leading to reduced blood flow to the penis and reduced sensitivity of nerves in the area, making it difficult to achieve or maintain an erection.

Low Testosterone

Testosterone is a hormone that plays a crucial role in male sexual function. Low levels of testosterone can cause a range of sexual problems, including erectile dysfunction (ED). Testosterone helps to stimulate the production of nitric oxide, a chemical that helps to relax the muscles in the penis and increase blood flow. This increased blood flow is necessary for an erection to occur.

When testosterone levels are low, the production of nitric oxide is reduced, which can lead to difficulty in achieving and maintaining an erection. Low testosterone levels can also cause a decrease in sex drive, which can contribute to ED.

Peyronie's Disease

Peyronie's disease is a condition in which scar tissue forms inside the penis, causing it to curve or bend. This can make erections painful or difficult to achieve, leading to erectile dysfunction (ED).

The scar tissue can prevent the smooth expansion and contraction of the erectile tissue, reducing blood flow to the penis during arousal and making it difficult to achieve and maintain an erection. In addition to physical discomfort, Peyronie's disease can also cause anxiety, stress, and emotional distress, which can further exacerbate ED.

How To Resolve Erectile Dysfunction Symptoms in 20s

There are several ways to potentially reverse ED symptoms, depending on the underlying cause. Here are some possible options:

Lifestyle Changes

Making changes to your lifestyle can help improve ED symptoms. This can include regular exercise, maintaining a healthy diet, quitting smoking, reducing alcohol consumption, and managing stress.


Medications such as phosphodiesterase type 5 (PDE5) inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are often prescribed to treat ED. These medications increase blood flow to the penis, helping to achieve and maintain an erection. However, they do require a prescription from a healthcare provider.


For some men, psychological factors such as anxiety, depression, or relationship issues can contribute to ED. Counseling or therapy may help address these underlying issues and improve sexual function. This is a great way to help men who are experiencing anxiety, stress, or relationship issues. 

Not to mention, counseling for those with additions that are causing an issue with erectile dysfunction in 20s could prove to be an easier option to reverse the ED symptoms in 20s.  

It's important to talk to a healthcare provider about the best treatment options for you, as they can help determine the underlying cause of your ED and recommend the most effective course of action. Now that you know more about the 10 causes of erectile dysfunction in 20s, and how you could potentially reverse those symptoms, here are more details about the most recommended over the counter options for ED symptoms today: 

1.     Elm and Rye Libido 

Image courtesy Elm and Rye 

Elm and Rye's Libido Gummies are a one-of-a-kind dietary supplement that promotes healthy sexual function and enhances libido for both men and women. Comprised of natural ingredients such as maca root, horny goat weed, and ginseng, these gummies can increase sexual desire, bolster endurance, and foster overall sexual wellness.

With their natural composition, these gummies offer a safe and effective alternative to prescription medications. Simply consume two gummies per day to help support healthy sexual function and elevate libido.

Elm and Rye ensures the quality and safety of their Libido Gummies by crafting them with premium ingredients in a GMP-certified facility. These gummies also contain no artificial colors, flavors, or preservatives, making them a healthy and natural addition to your daily regimen.

Image courtesy Penguin 

Penguin Male Libido Capsules are a thoughtfully crafted dietary supplement designed to foster healthy sexual function and augment libido in men. These capsules are made with a powerful blend of natural ingredients, including tongkat ali, muira puama, l-arginine, ginseng, and more, that work in tandem to enhance sexual performance in various areas of the body.

Each serving of Penguin Male Libido Capsules contains a potent dose of 8mg of Zinc, 140mg of Tongkat Ali, 134mg of Muira Puama, 100mg of Siberian Ginseng, 50mg of Maca, 50mg of Nettle, 10mg of Saw Palmetto, and 3mg of Yohimbe. These ingredients were meticulously selected for their ability to bolster sexual function, increase endurance and stamina, and elevate libido.

Tongkat Ali, a natural herb, is known to heighten testosterone levels, thereby enhancing sexual desire and performance. Meanwhile, Muira Puama, an aphrodisiac used for centuries, is renowned for its ability to improve sexual function and support overall sexual health.

Siberian Ginseng and Maca, two natural adaptogens, can elevate energy levels and reduce stress, leading to a positive impact on sexual function. Additionally, Nettle and Saw Palmetto are included in the formula for their ability to support prostate health, which is crucial for overall sexual function.

Image courtesy Everest 

Everest's Full Spectrum CBD Gummies for ED offer a superb natural remedy for individuals seeking a safe and effective solution to improve their sexual health. These gummies are infused with high-quality CBD and THC extracted from naturally grown hemp, ensuring maximum efficacy and potency.

Each gummy is packed with a delicious Blue Raspberry flavor and is vegan and Non-GMO. The hemp utilized in these gummies is grown in the USA, adhering to the highest quality standards.

With 5mg of THC per serving, in addition to other cannabinoids, terpenes, and flavonoids, these Full Spectrum CBD gummies provide the entourage effect, augmenting the overall benefits of the CBD and THC. The full spectrum of cannabinoids and terpenes present in these gummies enhances the overall efficacy, making them a superb choice for improving sexual health.

4.     Colorado Botanicals Gummies

Image courtesy Colorado Botanicals 

Colorado Botanicals CBD Gummies for ED provide an exceptional natural remedy for individuals seeking to improve their sexual health. These gummies are infused with high-quality CBD extracted from organic, non-GMO hemp grown in the USA, ensuring premium quality.

With a delicious mixed berry flavor, these gummies offer a convenient and enjoyable way to incorporate CBD into your daily routine. The CBD utilized in these gummies is a broad-spectrum extract, containing a comprehensive range of cannabinoids, terpenes, and flavonoids, but is entirely THC-free, making them an ideal choice for individuals who prefer to avoid THC.

5.     Charlotte’s Web Calm CBD Gummies

Image courtesy Charlotte’s Web 

For individuals seeking a natural remedy to improve their sexual health, Charlotte's Web CBD Gummies for ED offer an excellent solution. These gummies are infused with high-quality CBD extracted from organic, non-GMO hemp grown in the USA, ensuring superior quality.

With a delicious natural fruit flavor, these gummies provide a convenient and enjoyable way to incorporate CBD into your daily routine. The CBD utilized in these gummies is a full-spectrum extract, containing a comprehensive range of cannabinoids, terpenes, and flavonoids, including a small amount of THC.

6.     Verma Farms CBD gummies

Image courtesy Verma Farms 

Verma Farms CBD Gummies offer a delicious and convenient way to incorporate the benefits of CBD into your daily routine. Made from high-quality, non-GMO hemp grown in the USA, these gummies are infused with full-spectrum CBD extract, ensuring you receive the full range of cannabinoids, terpenes, and flavonoids.

These gummies come in a variety of flavor options, each bursting with delicious taste, making them a treat that you will look forward to taking every day.

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