A hernia is unlikely to cause erectile dysfunction or directly affect sexual function. However, some men may experience temporary sexual problems after surgery for certain types of hernias. Inguinal hernia surgery may cause pain that can affect sexual function until the affected area heals. An inguinal hernia is a protrusion of abdominal contents (fatty or intestinal tissues) through a weak area in the lower abdominal wall. An inguinal hernia can occur at either of two passages in the lower abdominal wall (near the groin area), one on each side of the groin. These passages are called inguinal canals. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), about 27 percent of adult men develop an inguinal hernia at some point in their lives. It is unlikely that the hernia will directly cause erectile dysfunction, since the reproductive system is not directly involved in its development. However, inguinal hernias mostly affect men and are the most likely type of hernia to have some indirect effect on erection due to the location of its origin in the groin. Inguinal hernia treatment is most often surgical. Without treatment, the patient may be at risk of serious complications. Stinging of the hernia (intestinal obstruction) usually involves disruption of blood flow, which can lead to tissue necrosis. A study states that some men experience pain and sexual dysfunction after inguinal hernia surgery. In research, it was found that about 9% of men experienced pain during sexual activity and about 5% experienced sexual dysfunction. The study defined sexual dysfunction as difficulty completing intercourse. However, pain and sexual dysfunction after recovery from inguinal hernia surgery is usually temporary. Other research has found that inguinal hernia surgery can positively affect sexual function. In a 2016 study, men were shown to have improved sexual function after surgery compared to pre-surgery. Scientists note that pain or bulging in the groin from an inguinal hernia can affect sexual function. Surgical treatment of hernias significantly improved the sexual function of study participants, especially in the later period after surgery. Patients should discuss with their doctor when it is safe to engage in sexual activity after surgery. Most patients can usually resume their daily activities within 3�5 days after the procedure. There may be slight pain and swelling in the groin and testicles after surgery. In these cases, the doctor may recommend pain relief options. Complaints often subside within 2 weeks. In case the pain is severe or constant,the patient should contact their physician. Erectile dysfunction that results from hernia surgery is usually temporary. However, if a man has concerns about his sexual function or if erectile dysfunction persists, he should contact a specialist. Treatments may be prescribed or advice offered to deal with erectile dysfunction. Treatment for erectile dysfunction depends on the cause of the problem. Erectile dysfunction therapy may include: Making lifestyle changes, such as stopping smoking and limiting alcohol consumption; Changing certain medications that may contribute to erectile dysfunction; Consultation with a psychologist to address emotional or psychological causes of erectile dysfunction; Taking drugs to treat erectile dysfunction, such as sildenafil or tadalafil; Surgery to treat erectile dysfunction to repair arteries or implant a device. References: 1. National Health Service (NHS). Hernia 2. National Center for Biotechnology Information (NCBI). Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis 3. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Inguinal hernia 4. Medical News Today. Can a hernia cause erectile dysfunction?