As featured by:

  • 26 March 2025
  • Mr. Leon Almashan

Last updated on March 26, 2025

Obesity is an escalating concern in the UK. Recent data from the World Obesity Federation indicates that the UK ranks 10th globally for obesity prevalence, with the average adult weighing approximately 13 kg (28 lbs) more than the global average.

This trend underscores the need for effective public health strategies to address the rising rates of obesity and its associated health risks.

Being overweight and the impact on intimacy 

To a certain extent, whether the UK ranks first or tenth in obesity statistics may be less important than the fact that being overweight or obese is increasingly seen as normal by many.

Excess weight, particularly around the mid-section, can affect aspects of physical intimacy in ways that may not be immediately apparent. One common concern is that obesity may interfere with the body’s ability to supply sufficient blood flow and could also be associated with reduced natural testosterone production, both of which may impact factors associated with erectile function.

Leptin Resistance & Obesity

One of the key ways obesity can impact men’s health is through the development of leptin resistance. Leptin resistance can lead to increased appetite by reducing the body’s natural signals of fullness. This resistance often develops as obesity raises lipid levels in the blood, triggers certain inflammatory responses, and alters hormone regulation. Leptin resistance is also linked to decreased testosterone production, which may impact overall vitality and wellness.

Other ways obesity may contribute to changes in testosterone levels in men include the effects of excess abdominal fat, which can influence the balance of various hormones. Increased body fat often triggers hormonal shifts that lead to a higher conversion of testosterone into hormones associated with other physical traits. Research also suggests that testosterone levels are often inversely associated with body mass index (BMI) in men.

Erectile Dysfunction And Obesity

Obesity and Nitric Oxide Generation

Obesity can also reduce overall nitric oxide production in men, which plays a crucial role in maintaining blood vessel health. Excess body fat may contribute to oxidative stress, affecting nitric oxide production and potentially impacting circulation. Nitric oxide is essential for supporting men’s health and overall physical response, and a lack of sufficient nitric oxide can lead to reduced function. Maintaining a healthy weight may help support optimal nitric oxide levels and reduce the risk of related challenges.

Nitric oxide levels can also be affected by insulin resistance, which is often linked to excess body weight. Insulin resistance can contribute to oxidative stress and inflammatory responses, which may impact blood vessel health and reduce nitric oxide production. Maintaining proper endothelial function is typically associated with balanced insulin levels.

Excess body weight may also contribute to health challenges by increasing inflammation in the body. Elevated inflammation markers, such as C-reactive protein, are commonly seen at higher levels in individuals with certain health concerns, highlighting the importance of a balanced weight for overall wellness.

Obesity and Diabetes

Obesity is often associated with various health conditions, such as heart disease, hypertension, high cholesterol, and diabetes, which can all contribute to erectile dysfunction (ED). High blood pressure and elevated cholesterol levels may affect blood vessel health and circulation, potentially reducing blood flow to key areas, including tissues involved in sexual function. This reduction in circulation can make it more challenging to maintain a healthy erectile response, a common concern for men with obesity-related health issues.

  Diabetes is also a major factor contributing to ED in men, with those who have type-2 diabetes being more likely to experience ED than those without this condition. Diabetes can affect blood flow to essential tissues, impacting physical responses related to sexual health. Additionally, excess body fat significantly increases the risk of developing diabetes.

Obesity has both psychological and physical impacts that can affect overall well-being. Men with excess body weight often experience challenges with self-esteem and body image, which may lead to stress or depression. Maintaining mental health is important for overall physical wellness, including sexual health, as psychological factors such as stress and depression can influence one’s ability to experience fulfilling intimate relationships.

Erectile Dysfunction And Obesity

Weight Loss & Overcoming ED

A European study examining the effects of weight loss on erectile dysfunction (ED) divided participants into two groups. The first group received professional guidance on weight management and physical activity, while the second group received minimal written information.

  • Participants in the first group lost an average of 33 pounds over a two-year period, while those in the control group lost an average of less than 5 pounds during the same timeframe
  • Notably, 31% of men in the group that lost an average of 33 pounds reported improvements in erectile function, compared to only 5% in the control group who experienced similar benefits.

If you are overweight and experiencing erectile dysfunction (ED), it may be beneficial to consider a treatment programme that addresses both lifestyle and urological factors. This approach often includes focusing on diet, exercise, and overall wellness.

Reducing excess body fat can be a challenging journey that requires mental strength and commitment. A balanced diet and regular physical activity are essential steps, with exercise helping to manage body fat and a nutritious diet supporting both general health and improved physical function.

Erectile Dysfunction & Obesity – How We Can Help You

MansMatters is the only clinic in the UK that offers a comprehensive, holistic programme designed to address both Erectile Dysfunction (ED) and obesity. Our programme includes support from an expert nutritionist, a tailored exercise plan focused on sexual function and general fitness, and, if needed, access to a hypnotherapist and qualified therapists to help build motivation and self-confidence.

While many ED clinics focus on isolated treatments, MansMatters takes an integrated approach, recognising that, for individuals with obesity, addressing lifestyle and wellness is a key component of effective ED treatment.

Once we have helped you get your weight under control, we can move to the next step.

Erectile Dysfunction And Obesity

Erectile Dysfunction & Obesity FAQs

Is Obesity Directly Linked With ED?

The association between ED and obesity is widely accepted in the medical world. Numerous medical studies have demonstrated this.

How Does Obesity Cause ED?

Obesity creates a number of physical and psychological effects on the body. Due to obesity, men are more likely to experience a low libido or sexual urge, caused by a lower level of testosterone. Obesity has an inverse relationship with testosterone hormone levels. Excessive body fat can also induce ED by narrowing blood arteries. This results in low levels of blood supply to penile tissues, which in turn leads to ED. Obesity also causes ED in men by increasing the systematic inflammatory agents in the body.

How Does Obesity Affect Testosterone Hormone Production?

Excess body fat in the body causes testosterone to turn into the oestrogen hormone. Obesity can also lower testosterone level by generating leptin resistance.

What Other Consequences of Obesity May Affect Erectile Function?

Obesity lowers the level of Nitric Oxide (NO) in the body. Nitric Oxide is very important for proper erectile function. Without adequate level of NO, men are more likely to develop ED. A strong level of Nitric Oxide is required for men to obtain strong erections.

How Does Obesity Lower Nitric Oxide and is NO Important for Proper Erectile Function?

Some of the major consequences of obesity are endothelial dysfunction and insulin resistance. Both of these mechanisms are directly linked with decreased levels of Nitric Oxide. NO deficiency can result in the lack of blood flow to the penile tissues which can ultimately lead to ED.

Does Obesity Have Other Physical Consequences Which Can Lead To ED?

Obesity can cause heart issues, high blood pressure, high cholesterol, and diabetes. All of these medical aliments inhibit the proper blood flow within the penis and, cause ED. Likewise, obesity greatly increases the chance of developing ED.

Does Losing Weight Help in Treating ED?

Losing weight can help. Losing weight often brings beneficial consequences. General health should improve as should Nitric Oxide and testosterone hormone levels. Obese men who get in a healthier physical shape by losing weight often experience a much healthier and satisfying erectile function. But it’s not easy to lose weight and requires mental strength and determination.

Do You Help Men with Weight Loss?

Unlike many other ED clinics, we know that excess weight needs to be addressed as an important part of the overall treatment process.

Is Shockwave Therapy Effective in Treating ED in Obese Men?

Our focused shockwave therapy is highly effective in treating ED. Shockwave therapy breaks up the fatty tissues which block the blood vessels that are essential for better blood flow within the penis and by generating new blood vessels inside the penile tissues.

Mr. Leon Almashan

About the Author

Mr. Leon Almashan

Mr. Almashan is a recognised specialist in advanced, non-surgical treatments for men’s health conditions, including Erectile Dysfunction and Peyronie’s Disease.

A graduate of St. George’s Medical School, he has developed innovative treatment protocols that have supported improved quality of life for 1000’s of patients worldwide.

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