Erectile dysfunction (ED) is a common sexual concern for men, especially older men prone to cardiovascular diseases and medications with side effects that affect sexual performance.
For men鈥檚 health awareness month, I spoke with five men who share what it鈥檚 like to keep their sexual lives active despite their challenges with erectile dysfunction.

Johnson*, 45
I was diagnosed with stage two hypertension after I turned 40 and have been on blood pressure medication ever since. A major side effect is erectile dysfunction. I initially stopped taking the drugs after I noticed because I couldn鈥檛 stand not enjoying sex with my wife. However, she was more concerned about my health and insisted we return to the doctor to ask if other medications could be considered. My medication has been changed a couple of times, but it鈥檚 been the same. Now that my erection isn鈥檛 like it used to be, we鈥檝e incorporated a lot more foreplay into lovemaking. It wasn鈥檛 like we didn鈥檛 do foreplay before, but now that鈥檚 what we focus on more. On some days when the erection surprises us both, we have penetrative sex. I鈥檝e suggested buying sex toys, but my wife wouldn鈥檛 hear of it. She鈥檚 fine with the foreplay, and I can鈥檛 complain.
Ademola*, 50
I鈥檝e been managing erectile dysfunction for more than 15 years now. It got in the way of my sexual life in the early years because my wife and I didn鈥檛 know much outside of regular 鈥渕issionary sex鈥�. However, things changed after we attended a couples鈥� retreat. The retreat had a session for sex education for couples, and we were keen to attend because we both knew of my condition. It was at that retreat that we learnt more about how to spice up our sexual life outside of penetrative sex, including the use of adult toys. The strap-on toy has really helped; I don鈥檛 have to worry about a weak erection or going limp during sex.
Hassan*, 43
The sex hasn鈥檛 been the same with my wife since we were both diagnosed with cardiovascular diseases. Before I was placed on medications, I鈥檇 noticed my erection wasn鈥檛 like it used to be. Even though my wife didn鈥檛 think it was much of an issue, I was bothered. She was more concerned about our general health, and I kept reminding her that sex is also an important part of our health. I spoke with some of my friends, and I learned that some of them faced similar challenges. I guess it鈥檚 one of the downsides of ageing. Now, I use prescribed medication to control ED, but I also do lots of exercises to keep my testosterone levels up. My doctor also advised taking lots of watermelon before sex, and it helps.
Ibrahim*, 30
I was diagnosed with bilateral hydrocele鈥攁 swelling of both scrotums鈥攚hen I was 10 and had to undergo surgery. The swelling returned when I was in senior secondary school, and it affected my erection. I could barely get my penis up, and I was always in so much pain. I had another set of surgeries when I was in 100 level. After the surgery, I noticed my erection was always in the semi-solid range. I complained to the doctors and was placed on some medications, but they don鈥檛 seem to help that much. When the medications do work, and the erection is strong enough, I feel pain in my scrotum.
The whole experience made me avoid relationships for the longest time because I lived with the constant worry that I couldn鈥檛 sexually satisfy my partner. I鈥檝e had breakups caused by my inability to satisfy sexual desires; they wanted more than foreplay and all the other sexual gimmicks. After that, I resolved to seek out someone who wasn鈥檛 so keen on sex. When my current partner mentioned she was asexual, I was more than relieved. Our sex life is perfect because we both have tailored expectations.
Ibrahim*, 32
One of the hardest parts of getting diagnosed with HBP was learning that the drugs could affect my erection. The doctor wasn鈥檛 really nice about it either. When I told him my dick wasn鈥檛 as hard as it used to be, he said, 鈥淵ou have to pick one between your health and your erection.鈥� I didn鈥檛 even know what to say. The treatment was supposed to be temporary, but after some checkups, my BP wasn鈥檛 down, and the doctor said I should keep to the medication. I still take the drugs, but I always stop when I鈥檓 planning to have penetrative sex. So, if I want to have sex on Friday, I stop taking the drugs on Tuesday or Wednesday. I know this isn鈥檛 ideal, but that鈥檚 how I鈥檝e been managing it.
Read this next:




