Erectile dysfunction is difficulty getting or maintaining an erection. Some evidence suggests that certain nutritional supplements may help with the problem. Many conditions can contribute to erectile dysfunction in men, including hormonal disorders, cardiovascular disease, anxiety, depression, and certain medications. In addition, there is evidence that erectile dysfunction is more likely to occur in older men, obese men, and smokers. Vitamins and minerals are vital to the body, including helping the reproductive system to function effectively. Getting enough nutrients can improve overall health. There is no definitive evidence that certain vitamins can treat erectile dysfunction, however there is evidence of a possible link between certain nutrient deficiencies and the condition. Vitamin D A 2020 review and meta-analysis notes an association between vitamin D deficiency and severe erectile dysfunction. Previously, research had shown that men with hypogonadism also had low levels of vitamin D. After treatment with human chorionic gonadotropin hormone for hypogonadism, vitamin D levels increased. Hypogonadism develops when the body does not produce enough sex hormones. This can lead to low sexual desire and difficulty getting an erection. Another study involving young men with low vitamin D levels found that vitamin D deficient participants had lower erectile function. These results suggest a link between vitamin D deficiency and erectile dysfunction. Vitamin D can reduce oxidative stress, regulate blood pressure, and stimulate nitric oxide production. All of these can contribute to an erection. The main source of vitamin D for the body is sunlight. The acquisition of vitamin D occurs through regular exposure of the skin to the sun, and it is also possible to get some vitamin D from eating foods such as: Fatty fish, such as salmon and sardines; Mushrooms; Milk; Enriched cereals; Egg yolk; Liver. In some cases, vitamin D supplements may need to be taken to maintain optimal levels. Vitamin B9 There is evidence that vitamin B9 (or folic acid) also plays a role in erectile dysfunction. In a 2014 study, many of the participants with erectile dysfunction were also folate deficient. A 2020 study of 100 men found that supplementation with folic acid, the synthetic form of folate, led to improvements in the severity of erectile dysfunction. Folic acid comes in two forms: a synthetic version that manufacturers add to foods, and folate, which occurs naturally in foods. The following foods are rich in folate: Beef liver; Vegetables, such as spinach, kale, Brussels sprouts and broccoli; Avocado; Asparagus; Eggs; Citrus fruits and bananas; beans, peas,lentils and other legumes Folate can also be taken in supplement form, and folic acid is found in fortified foods such as cereals and pasta. Vitamin B3 Vitamin B3 (or niacin) can also improve erections. An older study concluded that niacin alone may improve moderate to severe erectile dysfunction. However, more research is needed to confirm these findings. Foods rich in vitamin B3 include: Beef liver; Turkey and chicken breasts; Salmon and tuna; Peanuts; Lentils; Brown rice; Sunflower seeds Tribulus terrestris Tribulus terrestris (Granny’s teeth) has long played a role in traditional medicine in India and China. It is often found in male sexual health products. Results of animal studies show that the herb: Enhances erection; Increases libido; Increases testosterone levels (although conclusive evidence to support this is lacking) The herb also appears to increase nitric oxide production and enhance vasodilation. However, more studies are needed to prove the herb’s effectiveness for the condition. Vitamin C A 2017 review notes that vitamin C helps improve blood flow and increase testosterone levels, both of which are important for sexual function. However, another 2021 review concluded that there is no evidence that vitamin C supplements can improve erectile dysfunction. Before deciding to take nutritional supplements, it is important to consult a specialist. References: 1. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Definition & Facts for Erectile Dysfunction 2. Nature. The effect of low vitamin D status on sexual functioning and depressive symptoms in apparently healthy men: a pilot study 3. Office of Dietary Supplements (ODS). A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiencythat the herb increases nitric oxide production and enhances vasodilation. However, more studies are needed to prove the herb’s effectiveness for the condition. Vitamin C A 2017 review notes that vitamin C helps improve blood flow and increase testosterone levels, both of which are important for sexual function. However, another 2021 review concluded that there is no evidence that vitamin C supplements can improve erectile dysfunction. Before deciding to take nutritional supplements, it is important to consult a specialist. References: 1. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Definition & Facts for Erectile Dysfunction 2. Nature. The effect of low vitamin D status on sexual functioning and depressive symptoms in apparently healthy men: a pilot study 3. Office of Dietary Supplements (ODS). A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiencythat the herb increases nitric oxide production and enhances vasodilation. However, more studies are needed to prove the herb’s effectiveness for the condition. Vitamin C A 2017 review notes that vitamin C helps improve blood flow and increase testosterone levels, both of which are important for sexual function. However, another 2021 review concluded that there is no evidence that vitamin C supplements can improve erectile dysfunction. Before deciding to take nutritional supplements, it is important to consult a specialist. References: 1. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Definition & Facts for Erectile Dysfunction 2. Nature. The effect of low vitamin D status on sexual functioning and depressive symptoms in apparently healthy men: a pilot study 3. Office of Dietary Supplements (ODS). A new potential risk factor in patients with erectile dysfunction and premature ejaculation: folate deficiency