Erectile dysfunction has a strong metabolic component. Weight loss often resolves it.

Why it happens

Endothelial dysfunction (blood vessel lining issues) underlies most metabolic-related ED. Diabetes, hypertension, and obesity all damage the small vessels supplying penile tissue.

What changes on GLP-1

Improved blood vessel function + reduced cardiovascular risk + better testosterone = often noticeable improvement within 6 months.

If it persists

Once weight loss is meaningful and metabolic markers improve, talk to a urologist about additional treatment if needed. PDE-5 inhibitors are safe with GLP-1.