Erectile dysfunction treatment may prevent Alzheimer's disease

A study in the journal Neurology has found that certain erectile dysfunction medications may prevent the development of Alzheimer’s disease.
Effects of ED meds on circulation could have a knock-on effect on brain health
This study, published in February 2024, involved over 270,000 men who were diagnosed with ED between 2000 and 2017. The researchers found that men who took certain ED medications, including sildenafil (Viagra) and tadalafil (Cialis), were less likely to be diagnosed with Alzheimer’s disease later in life.
The study’s authors suggest that the way ED medications work - by increasing circulation and also improving blood flow to the brain - may be reducing incidences of brain inflammation, which is associated with the development of Alzheimer’s.
Researchers note that these findings, while merely a link that does not definitively prove causation, align with other research suggesting a strong link between PDE5 inhibitor drugs like sildenafil and tadalafil and better cognitive health.
Chronic ED should be considered a sign of underlying health issues
This study also builds upon the common understanding that chronic ED is not merely a sexual health problem and should also be considered a sign of underlying health conditions.
“It is not normal to have persistent erection issues,” said Dr. Hermenegildo Jose Zialcita, section head of urology at the Makati Medical Center, in a press statement. “If ED has reached a point where it affects your self-esteem and your relationship, it is best to seek medical advice.
Common medical understanding notes that ED can be linked to several underlying health issues that signal problems with blood circulation, nerve function, and hormonal imbalances. These include certain cardiovascular diseases, high cholesterol, prostate conditions, and substance abuse issues.
While ED may be a sign that an individual needs to seek medical care sooner rather than later, it should not be regarded as anything close to a death sentence. Sildenafil and tadalafil are FDA-approved medications that can support circulation, and other medications can manage blood pressure, cholesterol, and even blood sugar. Hormone therapies can help balance testosterone levels and normalize thyroid health.
If ED comes from psychological issues such as depression, anxiety, or stress, counseling might make a difference. Lifestyle changes can also support sexual health, and medical professionals regularly recommend lifestyle support in addition to medication. This includes switching up the diet and beginning regular exercise activities, especially cardio workouts like running and aerobics, which improve circulation as well as overall health.
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Solan, M. (2024, May 1). Erectile dysfunction drugs linked to lower Alzheimer’s disease risk - Harvard Health. Harvard Health. https://www.health.harvard.edu/mens-health/erectile-dysfunction-drugs-linked-to-lower-alzheimers-disease-risk
(2025, February 25). Why erectile dysfunction isn’t just about sex — it could signal bigger health issues. Rappler. https://www.rappler.com/life-and-style/health-and-wellness/erectile-dysfunction-signal-bigger-health-issues/
