Does Cannabis Cause Erectile Dysfunction? *f0CyOc237*

Cannabis use has been increasingly linked to erectile dysfunction through multiple physiologic mechanisms, particularly involving cannabinoid receptor signaling in both central and peripheral tissues critical to erectile function. The presence of cannabinoid receptors in penile tissue and brain regions governing sexual function suggests that cannabis-derived compounds may impair vasodilation, neurotransmitter activity, or psychological factors necessary for normal erections. Major medical organizations, including the American Urological Association, have begun addressing this concern as cannabis legalization increases usage rates and patients may not spontaneously report this adverse effect. Given the prevalence of erectile dysfunction and rising recreational cannabis use, clinicians should include cannabis consumption in sexual history assessments and counsel patients that cessation may improve erectile function. Patients presenting with new or worsening erectile dysfunction should be specifically queried about cannabis use patterns, as this modifiable risk factor may be more easily addressed than other contributing causes.

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