The following information is a summary of materials featured in the “Men’s Health” Integrative Health overview. It is meant to be a quick reference for use at the point of care. For more details and a list of references, see the overview.

Erectile Dysfunction (ED) is a common condition that many men experience, especially as they age. A study of U.S. men revealed that 52% of men 40-70 years old suffered some level of erectile dysfunction.

A good tool to measure the severity of ED is the International Index of Erectile Function (IIEF). This is a self-administered tool that can be used to follow treatment response during follow-up appointments as well.

Studies have demonstrated a relationship between the severity of ED and abdominal circumference. Having an abdominal circumference over 40 inches increases the risk of ED by two to three times. Abdominal circumference should be measured using a tape measure at the level of the umbilicus. The pant waist size is not a good measure as many men wear their pants below their true waist. 

Maintain Ideal Body Weight

This is probably the most important thing a man can do. As belly fat increases, there is an increase in activity of the enzyme aromatase, which converts testosterone in the adipose cells into estrogen. A study in Italy showed that exercising and losing weight can significantly improve erectile function. Meeting with a nutritionist or dietician is a good way to start the conversation on better diets and sensible weight-loss plans.

Avoid Xenobiotics

Xenobiotics are compounds from the environment that mimic the body’s hormones. Research has shown that the average testosterone level in men has gradually dropped over the years; this can influence erectile function. This may be in part due to all the environmental toxins that have accumulated over the years. The main toxins are:

• Bisphenol A (BPA). BPA is found in plastics. To avoid it, don't microwave food in plastic containers. Avoid plastic containers with the numbers 3, 6, or 7 engraved in the triangle on the product. Buy BPA-free water containers. Drinking water out of containers with the numbers 2, 4, 5, or 7 is OK. Do not drink out of Styrofoam containers.