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Updated: Sep 22, 2025

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Is Reddit a reliable source for information on erectile dysfunction treatment?

Nicholas Sellke1, Erin Jesse2, Michael Callegari1

  • 1Urology Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

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|May 21, 2022
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Summary

Many Reddit users discuss erectile dysfunction (ED) treatments online. However, most recommended ED therapies lack strong clinical evidence and are not guideline-based.

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Area of Science:

  • Urology
  • Digital Health
  • Public Health

Background:

  • Patients increasingly use social media for health information.
  • Online forums like Reddit are popular sources for discussing sensitive health issues such as erectile dysfunction (ED).

Purpose of the Study:

  • To identify, characterize, and assess the quality of ED treatments discussed on Reddit.
  • To compare online recommendations with established clinical guidelines.

Main Methods:

  • Analysis of 2634 comments from the Reddit subreddits r/AskMen and r/ErectileDysfunction.
  • Categorization of discussed treatments into sexual behavior changes, lifestyle modifications, medical interventions, partner communication, and supplements.
  • Evaluation of treatment recommendations against American Urological Association guidelines.

Main Results:

  • 45 unique ED treatments were identified, with behavioral and lifestyle changes being most common.
  • Only 24.4% of discussed treatments align with current clinical guidelines.
  • Despite low guideline adherence, 43.8% of positive statements endorsed non-guideline-based therapies, suggesting high self-reported success rates for alternative treatments.

Conclusions:

  • Reddit hosts active discussions on a wide range of ED treatments.
  • The majority of ED treatments recommended on Reddit are not supported by robust clinical evidence.
  • There is a significant gap between online discussions and evidence-based medical advice for ED.