In Riyadh, erectile dysfunction in riyadh (ED) is increasingly recognized not just as a sexual health concern, but as a critical "biomarker" for cardiovascular and metabolic health. With local prevalence estimated between 10.5% in general married populations and up to 85% in diabetic cohorts, the city’s healthcare system has moved toward a model of comprehensive, preventative care.

1. Common Causes in Riyadh (2026)

Causes are typically classified into organic (physical), psychogenic (psychological), or a combination of both.

Organic (Physical) Causes

• Diabetes Mellitus: The single most significant medical cause in Riyadh. It leads to nerve damage (neuropathy) and blood vessel damage (endothelial dysfunction).

• Cardiovascular Disease: ED is often an early sign of atherosclerosis (clogged arteries) or hypertension.

• Hormonal Imbalances: Low testosterone (hypogonadism) is frequently observed, often linked to metabolic syndrome.

• Post-Surgical Factors: Operations in the pelvic or perineal area can occasionally damage nerves or blood flow essential for erections.

Psychogenic (Psychological) Causes

• Depression & Anxiety: Studies in Saudi Arabia identify depression as a leading perceived risk factor (cited by over 60% of men in some surveys).

• Performance Anxiety: Common in younger men or following a stressful life event.

• Urban Stress: The fast-paced professional environment in Riyadh contributes to chronic stress and relationship friction.

2. Key Risk Factors in the Local Population

Living in an urban environment like Riyadh presents specific risk factors that clinicians monitor:

• Sedentary Lifestyle: A lack of regular physical activity is a primary risk factor. Men with "mild" or no activity have a much higher risk (OR 7.69) than active men.

• High BMI (Obesity): Over 60% of ED patients in some local studies are classified as overweight or obese.

• Smoking: Significant correlation exists between tobacco use and vascular ED, though some studies show a shift toward younger non-smokers experiencing psychogenic issues.

• Age and Marital Status: Prevalence rises steeply after age 50; however, being married and employed have also been identified as independent sociodemographic risk factors in regional studies.

3. Comprehensive Care in Riyadh

Riyadh offers a tiered "Stepped Care" model, starting from primary screening to advanced surgical intervention.

First-Line Care (Diagnostics & Lifestyle)

• Primary Screening: Available via the Sehaty App or local PHCs. This includes blood tests for HbA1c, lipids, and testosterone.

• Lifestyle Modification: This is the most recommended treatment (70% of men seek this first), involving weight loss, "heart-healthy" diets, and smoking cessation.

Specialized Treatment Options

Leading Care Facilities

• Al Hammadi Hospitals: Feature a dedicated Urology and ED department with units for prosthetic devices and laser therapy.

• Dr. Talal Merdad Medical Center: Renowned for specialized andrology, microsurgery, and penile implants.

• Royal Clinic Saudi Arabia: Known for modern regenerative protocols like the P-Shot and high-tech diagnostics.