{"id":5309,"date":"2022-08-27T13:47:03","date_gmt":"2022-08-27T06:47:03","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=5309"},"modified":"2026-08-27T20:14:04","modified_gmt":"2026-08-27T13:14:04","slug":"prevention-de-la-dysfonction-erectile","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2022\/08\/27\/erectile-dysfunction-preventive\/","title":{"rendered":"Exercice et dysfonction \u00e9rectile\u00a0: ce qui fonctionne r\u00e9ellement et dans quelle mesure."},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Every man with erectile dysfunction is told to exercise regularly, and almost none is told what that means. This page gives the numbers \u2014 and starts with something more important that the earlier version of this article did not mention at all.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Why this is not really a sex problem<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The arteries supplying the penis are narrow \u2014 considerably narrower than the coronary arteries. When arterial disease begins anywhere in the body, those small vessels are affected first, which is why <strong>erectile dysfunction frequently appears years before a heart attack or stroke<\/strong>, and why it is treated in this clinic as a warning sign rather than only as a sexual complaint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical consequence: a man presenting with ED, particularly under about 60 or with diabetes, high blood pressure, raised cholesterol or a smoking history, should have his <strong>blood pressure, blood sugar and lipids checked<\/strong>. That is not padding the consultation \u2014 it is the most valuable thing that can come out of it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Which also reframes what follows. Exercise is not only about erections; it is about the arteries that produce them.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"5323\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/08\/27\/erectile-dysfunction-preventive\/miserable-displeased-man-has-sick-look-red-swollen-eyes-smirks-face-suffers-from-conjunctivitis-seasonal-allergy-poses-against-blue-background-people-disease-health-problems-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;7.1&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5DS R&quot;,&quot;caption&quot;:&quot;Miserable displeased man has sick look, red swollen eyes, smirks face, suffers from conjunctivitis, seasonal allergy, poses against blue background. People, disease, health problems concept.&quot;,&quot;created_timestamp&quot;:&quot;1583093163&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Miserable displeased man has sick look, red swollen eyes, smirks face, suffers from conjunctivitis, seasonal allergy, poses against blue background. People, disease, health problems concept.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"No one would like to suffer ED\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;No one would like to suffer ED&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Man looking troubled, illustrating the distress caused by erectile dysfunction\" class=\"wp-image-5323\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Upset-man.jpg?resize=750%2C500&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Distressing in itself \u2014 and often the earliest sign that the arteries need attention.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What the evidence supports<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">From <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29661646\/\">the pooled analysis of trials<\/a>, the regimen associated with improvement is specific enough to be useful:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Moderate to vigorous aerobic exercise<\/strong> \u2014 running, brisk walking, jogging, cycling, swimming.<\/li>\n\n\n\n<li><strong>40 minutes per session.<\/strong><\/li>\n\n\n\n<li><strong>4 times per week<\/strong> \u2014 160 minutes in total. More, in the range of 200 to 300 minutes weekly, appears to do more.<\/li>\n\n\n\n<li><strong>For at least 6 months.<\/strong> The shortest training period showing benefit was around two months, so something may be noticeable by then \u2014 but the fuller effect takes half a year, and men who stop at six weeks because nothing has happened have stopped too early.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Two qualifications on the type. <strong>Weight training alone has not been shown to improve erectile function<\/strong> \u2014 it is worth doing for other reasons and should be added to aerobic work rather than replace it. And on cycling: it is on the list, but <strong>very long hours on a narrow saddle can compress the nerves and vessels of the perineum<\/strong> and contribute to the problem. A wider saddle, a proper fit and breaks on long rides deal with that; it is not a reason to stop cycling.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"5318\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/08\/27\/erectile-dysfunction-preventive\/bicycling\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.5&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1495640636&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;85&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.0025&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bicycling is one of the recommended physical activities.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bicycling is one of the recommended physical activities.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Man cycling, one of the aerobic activities studied for improving erectile function\" class=\"wp-image-5318\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Bicycling.jpg?resize=750%2C500&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Cycling counts \u2014 with attention to saddle and fit on long rides.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">On pelvic floor exercises<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version of this article said the literature firmly says <em>no<\/em> to any benefit from pelvic floor exercise. <strong>That is stronger than the evidence warrants and has been softened.<\/strong> Aerobic training is where the good evidence sits; pelvic floor muscle training has smaller and more mixed trial support for erectile function, and a clearer role in recovering continence and erectile function <em>after prostate surgery<\/em>. It is not the main answer, and it is not nothing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A correction that matters: heart disease is not a reason to stop exercising<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version of this article stated that everyone benefits from exercise <em>except<\/em> men with a history of invasively treated ischaemic heart disease, and captioned a photograph with the words that such a patient is not suitable to exercise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>That has been removed, because it inverts standard cardiac care.<\/strong> Supervised exercise after a stent or bypass \u2014 cardiac rehabilitation \u2014 is one of the best-established treatments in cardiology and reduces the risk of dying. Telling a man who has had a stent that exercise is unsuitable for him is the opposite of the advice his cardiologist gives, and it is the group with the most to gain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Where that statement came from is a study exclusion. Trials of exercise for erectile dysfunction often exclude men with treated ischaemic heart disease, for good methodological reasons \u2014 their medication affects erections independently, and their exercise capacity is limited, both of which muddy the result. <strong>A criterion for keeping someone out of a study is not a reason to keep them off a treadmill.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What is true for this group is narrower and worth saying plainly: <strong>exercise should be started under cardiology guidance rather than independently<\/strong>, the intensity is set for the individual, and improvement in erections may be limited by the medication regardless of how much training is done.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"5319\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/08\/27\/erectile-dysfunction-preventive\/critical-ill-man\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;CHAYATORN L.&quot;,&quot;camera&quot;:&quot;ILCE-7M3&quot;,&quot;caption&quot;:&quot;Very old Asian man age between 85 - 90 years old admitted in the hospital, elder man got a critical health problem. Close up at a wrinkled hand old an old man that resting on the bed in hospital.&quot;,&quot;created_timestamp&quot;:&quot;1604218767&quot;,&quot;copyright&quot;:&quot;2020 CHAYATORN L.&quot;,&quot;focal_length&quot;:&quot;55&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Patient with history of invasively treated ischemic heart disease is not suitable to do exercise.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Patient with history of invasively treated ischemic heart disease is not suitable to do exercise.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Patient with heart disease, for whom exercise is guided by cardiology rather than avoided\" class=\"wp-image-5319\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Critical-ill-man.jpg?resize=750%2C500&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">After a stent or bypass, exercise is guided rather than avoided \u2014 this group has the most to gain.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The rest of what helps<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stopping smoking<\/strong>, which damages exactly the vessels involved.<\/li>\n\n\n\n<li><strong>Losing weight<\/strong>, which improves erections and raises testosterone.<\/li>\n\n\n\n<li><strong>Reviewing your medicines.<\/strong> Several common drugs contribute to ED and there are often alternatives \u2014 worth asking rather than assuming.<\/li>\n\n\n\n<li><strong>Treating sleep apnoea<\/strong>, if you snore heavily and wake unrefreshed.<\/li>\n\n\n\n<li><strong>Reducing alcohol.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">And exercise works <em>alongside<\/em> treatment rather than instead of it \u2014 the combination performs better than either alone. See the <a href=\"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\">medical treatment options for ED<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"5321\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2022\/08\/27\/erectile-dysfunction-preventive\/swimming\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;VLADIMIR GAPPOV&quot;,&quot;camera&quot;:&quot;NIKON Z 6&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1571481203&quot;,&quot;copyright&quot;:&quot;VLADIMIR GAPPOV&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;500&quot;,&quot;shutter_speed&quot;:&quot;0.0025&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Swimming is one kind of recommended physical activity.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Swimming is one kind of recommended physical activity.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=800%2C450&#038;ssl=1\" alt=\"Man swimming, a moderate to vigorous aerobic activity suitable for improving erectile function\" class=\"wp-image-5321\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=18%2C10&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/08\/Swimming.jpg?resize=750%2C422&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Any moderate to vigorous aerobic activity counts \u2014 the one you will keep doing is the right one.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention before starting<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chest pain, tightness or unusual breathlessness on exertion<\/strong> \u2014 get this assessed before beginning vigorous exercise, not after.<\/li>\n\n\n\n<li><strong>Blackouts or palpitations<\/strong> during or after activity.<\/li>\n\n\n\n<li><strong>Erectile dysfunction that came on abruptly in a younger man<\/strong>, or alongside pain and curvature \u2014 different problems needing different assessment.<\/li>\n\n\n\n<li><strong>An erection lasting more than four hours<\/strong>, which needs treatment the same day.<\/li>\n\n\n\n<li><strong>Never having been assessed for blood pressure, blood sugar and cholesterol<\/strong> despite having ED. That is the appointment to make.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Exercise and Erectile Dysfunction<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What type of exercise helps?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Moderate to vigorous aerobic exercise \u2014 running, brisk walking, jogging, cycling, swimming. Weight training alone has not been shown to improve erectile function and should be added to aerobic work rather than replace it. Pelvic floor training has smaller and more mixed evidence, with a clearer role after prostate surgery.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How much, and how long before I notice anything?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Forty minutes, four times a week \u2014 160 minutes in total, with 200 to 300 minutes weekly doing more. Something may be noticeable by two months, with the fuller effect at around six. Stopping at six weeks because nothing has changed is stopping too early.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">I have had a stent. Should I avoid exercise?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No \u2014 and an earlier version of this article wrongly said so. Supervised exercise after a stent or bypass is standard cardiac care and reduces mortality. What is true is that it should be started under cardiology guidance with the intensity set individually, and that cardiac medication may limit how much erections improve.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can I use exercise instead of medication?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The two work better together than either alone. Exercise addresses the underlying vascular problem, which medication does not; medication produces results sooner, which exercise does not. Choosing between them is unnecessary.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should ED make me worry about my heart?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It should make you check. The penile arteries are narrower than the coronary arteries and are affected earlier by the same disease, so ED often precedes a cardiac event by years. Blood pressure, blood sugar and cholesterol are worth measuring in any man presenting with erectile dysfunction \u2014 particularly under about 60 or with existing risk factors.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone completed an andrology fellowship at Chang Gung Memorial Hospital Kaohsiung, Taiwan, and sees men&#8217;s health patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring a list of your medicines and any recent blood pressure, blood sugar or cholesterol results.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/08\/27\/erectile-dysfunction-preventive\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/08\/27\/erectile-dysfunction-preventive\/\",\n      \"name\": \"Exercise and Erectile Dysfunction: What Actually Works, and How Much\",\n      \"description\": \"Moderate to vigorous aerobic exercise, 40 minutes four times weekly for at least six months, improves erectile function. Erectile dysfunction is also an early marker of cardiovascular disease.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-08-27\",\n      \"dateModified\": \"2026-08-27\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version stated that men with a history of invasively treated ischaemic heart disease are excepted from the benefits of exercise, and captioned an image with the statement that such patients are not suitable to exercise. 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Pelvic floor training has smaller and more mixed evidence, with a clearer role after prostate surgery.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How much exercise, and how long before improvement?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Forty minutes four times weekly, totalling 160 minutes, with 200 to 300 minutes weekly producing more benefit. Change may be noticeable by two months with fuller effect around six months.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"I have had a coronary stent. Should I avoid exercise?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"No. Supervised exercise after stenting or bypass is standard cardiac care and reduces mortality. It should be started under cardiology guidance with individually set intensity, and cardiac medication may limit how much erections improve. An earlier version of this article wrongly advised otherwise.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Should erectile dysfunction make me worry about my heart?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"It should prompt checking. The penile arteries are narrower than the coronary arteries and are affected earlier by the same disease, so erectile dysfunction often precedes a cardiac event by years. Blood pressure, blood sugar and cholesterol are worth measuring in any man presenting with ED.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Ce que les m\u00e9decins entendent par exercice r\u00e9gulier, en chiffres \u2014 et l&#039;\u00e9l\u00e9ment le plus important\u00a0: la dysfonction \u00e9rectile est souvent le premier signe d&#039;alerte indiquant que les art\u00e8res sont en danger.<\/p>","protected":false},"author":185281453,"featured_media":10039,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"How much aerobic exercise improves erectile dysfunction and how long it takes \u2014 and why ED is often the earliest warning sign of cardiovascular disease.","jetpack_seo_html_title":"Exercise for Erectile Dysfunction: The Evidence | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1377,1728,1532],"class_list":["post-5309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-erectile-dysfunction","tag-exercise","tag-men-health"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-1nD","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/ED-Prevention.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/5309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/comments?post=5309"}],"version-history":[{"count":19,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/5309\/revisions"}],"predecessor-version":[{"id":11745,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/posts\/5309\/revisions\/11745"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media\/10039"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/media?parent=5309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/categories?post=5309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/fr\/wp-json\/wp\/v2\/tags?post=5309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}