Cannabis Use Linked to Higher Erectile Dysfunction Odds in Sexual Minority Men

In a cross-sectional survey of 549 sexual minority men, marijuana users had 1.83 times the odds of reporting erectile dysfunction compared to non-users (95% CI: 1.23-2.74) after adjusting for confounders. ED prevalence was higher among bisexual men than gay men.

Secondary analysis of the Men's Body Project, a cross-sectional online survey of sexual minority men. Multivariable logistic regression examined the association between self-reported marijuana use and erectile dysfunction.

Erectile dysfunction research has largely overlooked sexual minority men. This study fills an important gap by examining cannabis-ED associations in a population with both higher rates of cannabis use and unique sexual health considerations.

The endocannabinoid system plays a role in erectile function, and this finding adds to a growing body of evidence linking cannabis use to sexual dysfunction. However, the cross-sectional design cannot establish whether cannabis causes ED or whether other factors explain the association.

Cross-sectional design prevents determining causation. Self-reported ED and cannabis use are subject to recall and reporting bias. The online convenience sample may not represent the broader population of sexual minority men.