Confusion about prescriptions and treatment may keep many from accessing ED care, survey finds
Nearly half (49.4 percent) of Canadian men aged 40 to 88 experience erectile dysfunction (ED), but most Canadians significantly underestimate how common the condition is, according to a new survey by Phoenix.
ED is defined as the inability to get or maintain an erection sufficient for sexual activity.
Phoenix stated that contributing factors may include age, medications, injuries, low testosterone, nervous system or blood flow complications, lifestyle, obesity, smoking, drug use, diet, and psychological or emotional issues.
While ED becomes more common with age, it can affect men at any point in life.
The survey found that 45 percent of respondents believe ED affects fewer than 40 percent of men over 40. Another 27 percent think the condition affects fewer than 30 percent of men in that age group.
The survey was conducted in English and French among members of the Angus Reid Forum.
According to Phoenix, the misperception likely contributes to stigma, leaving many men to suffer in silence.
The survey also revealed low awareness that ED affects younger men.
Sixty-four percent of Canadians were unaware that men aged 35 and under can experience ED.
That proportion increased to 71 percent among respondents asked about men aged 18 to 25.
The survey said that the misconception that ED is only an older man’s issue can make it more difficult for younger men to seek care.
“ED is a medical condition that men of all ages can experience. There shouldn't be anything awkward about it, but there is. We're trying to change that,” said Kevin Bache, co-founder and co-CEO of Phoenix.
He added that while discussing the condition may feel uncomfortable, men should understand what it entails and speak with a doctor.
Acting early, he said, can improve the chances of finding both mental and physical relief.
Despite the condition’s high prevalence, many respondents lacked clarity about treatment. Eighteen percent of men were unsure whether ED is treatable with medication.
Phoenix noted this knowledge gap may contribute to unnecessary suffering, especially when treatment options are accessible and effective.
The findings also revealed widespread misunderstanding about how ED medication is obtained.
Thirty-eight percent of men were unsure or incorrectly believed that a prescription is not required to purchase medications such as Viagra.
The misconception was most common among Gen Z, with 59 percent unaware that a prescription is needed—32 percent unsure and 27 percent believing it is unnecessary.
Phoenix emphasised the risk that Canadians may turn to unauthorized sexual enhancement products sold over the counter.
Health Canada warns that such products can pose serious health risks when used without a prescription or medical supervision.
“It’s no surprise that people aren’t aware of the prevalence of ED – it just doesn’t get talked about enough,” said Gavin Thompson, co-founder and co-CEO of Phoenix.
He noted that with greater openness and awareness, more people could access treatment options and seek support sooner.
Phoenix highlighted that ED is highly treatable. Phoenix stressed the importance of consulting a medical professional to identify underlying causes and develop an appropriate treatment strategy.
ED medications require a prescription from a licensed medical provider.
Phoenix, a digital health clinic for men, surveyed 1,509 Canadian adults between May 20 and May 22.
