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How to reverse erectile dysfunction caused by alcohol

Written by Brandon Okey. Mina Draskovic, B.Psy., reviewed this content for accuracy.

Alcohol harms sexual function and triggers erectile dysfunction (ED) in many men who frequently drink to excess. Fortunately, as soon as you quit drinking, your reproductive system will start healing. The amount of alcohol consumed is the most significant predictor of sexual dysfunction, which means that stopping alcohol consumption is the primary way to reverse alcohol-related ED.

A 2007 study postulates that alcohol-induced erectile dysfunction is reversible with abstinence. Nearly 90% of men in the study regained erectile function within three months of quitting drinking.

Table of Contents

Breaking alcohol dependence isn’t easy, but with proper support, you can reclaim your sexual health and overall wellness. Our alcohol rehab program combines medical expertise with personalized care to address addiction and the underlying issues that fuel it.

Is alcohol-related erectile dysfunction from alcohol reversible?

Erectile dysfunction caused by alcohol is reversible for most men. Men’s overall sexual function improves once they stop drinking. According to a 2022 study published in the Journal of Sexual Medicine, erectile function in nearly 90% of men was restored within just three months of sobriety.

The research identified that younger men without liver damage who drank less and for fewer years regained function faster than older men with liver disease and longer, heavier drinking histories. This makes sense because alcohol damages your sexual health in proportion to how much and how long you drink.

A 2019 medical review explains why this improvement happens when you quit drinking:

  • Testosterone levels begin to normalize after being suppressed by alcohol.
  • Your nervous system recovers from alcohol’s depressant effects.
  • Blood flow to sexual organs improves, which is essential for achieving erections.
  • Blood pressure stabilizes into a healthier range for erectile function.
  • Hormonal balance is restored between testosterone and estrogen.
  • Mental health improves as brain chemistry rebalances.
  • Energy levels increase as your body stops processing toxins.
  • Sleep quality improves beyond the disrupted patterns caused by alcohol.
  • Liver function begins to heal and better regulates hormone production.
  • Physical sensitivity returns to genital tissues previously numbed by alcohol.

These complementary healing processes work together to restore proper erectile function. 

How long after quitting drinking will erectile dysfunction improve?

The timeline for recovering from alcohol-induced erectile dysfunction is different for every man, but most follow a predictable pattern of improvement.

  • First 7–10 days: During this initial detox period, your body focuses on managing alcohol withdrawal symptoms. You might not notice any improvement in erectile function yet.
  • 2–4 weeks after quitting: This is when many men first notice positive changes. Morning erections often return, and some men report improved ability to achieve erections during sexual activity.
  • 1–2 months of sobriety: By this point, most men with mild to moderate alcohol-induced ED experience major improvements. Erections become firmer and more reliable as blood flow increases and hormone levels adjust.
  • 3 months without alcohol: This marks a major milestone. For many, sexual performance feels close to normal again. Arackal and Benegal found that men who stopped drinking for 2–3 months had sexual function comparable to non-drinkers. 
  • 3–6 months of sobriety: Men with more extensive drinking histories continue to see gradual improvements during this period. Erectile function becomes more consistent, and sexual desire typically stabilizes.
  • 6+ months alcohol-free: Even men with severe, long-term alcohol problems usually experience substantial recovery by this point. Some may notice continued improvements in sexual function up to a year after quitting.

If you’ve maintained sobriety but still struggle with erectile function after 6 months, consult a healthcare provider and check for other potential causes.

If you’re struggling to take that first step toward quitting alcohol, Ardu can guide you through the process with professional support. Our supervised detox services help you safely manage withdrawal symptoms while our expert team creates an individualized sobriety roadmap tailored to your specific needs. We provide ongoing support for every aspect of your recovery, from easing physical discomfort to rebuilding relationships affected by alcohol use disorder (AUD).

How to reverse alcohol-induced erectile dysfunction

The foundation of recovery begins with complete abstinence from alcohol. Your sexual function can’t recover while alcohol continues to circulate in your system.

Complete abstinence from alcohol

Your body needs a toxin-free environment to repair the vascular and nerve damage caused by excessive drinking. Even occasional alcohol consumption disrupts this healing process. Men who maintain total abstinence see the fastest and most complete recovery of erectile function.

Medically supervised detox

Heavy drinkers often need professional support during the withdrawal phase. Proper detox lays the groundwork for your body to begin restoring sexual function. Alcohol detox triggers physical symptoms that range from uncomfortable to dangerous. Our medical detox team monitors vital signs, administers appropriate medications, and facilitates your safety throughout this critical first stage. 

Temporary ED medications

ED medications such as sildenafil (Viagra) or tadalafil (Cialis) work by relaxing blood vessels in the penis, enhancing nitric oxide effects to improve blood flow. While your vascular system and hormones gradually recover from alcohol’s damage during early sobriety, these medications offer a confidence-building bridge. They create successful sexual experiences that break the cycle of performance anxiety many men face. 

But they are not permanent solutions. Your doctor can determine the right medication and dosage based on your health situation and recovery progress. Many men find they need these medications less frequently as their bodies heal from alcohol’s effects.

Hormone assessment and treatment

Alcohol suppresses testosterone production and disrupts your endocrine system. Many men discover their hormone levels remain unbalanced months into sobriety. A straightforward blood test reveals whether low testosterone levels contribute to persistent erectile issues. Men with confirmed hormonal deficiencies benefit from testosterone replacement therapy. This targeted treatment works alongside your body’s natural recovery processes to accelerate sexual healing while your endocrine system rebounds from alcohol’s suppressive effects. 

Psychological counseling

Even as physical recovery progresses, psychological barriers often linger. Many men develop performance anxiety after repeated failures caused by alcohol-induced ED. This anxiety triggers stress hormones that constrict blood vessels, the exact opposite of what’s needed for erections. 

Professional counseling tackles these mental blocks at their source. Cognitive behavioral therapy equips you with practical techniques to interrupt anxiety cycles and rebuild sexual confidence. Through guided sessions, you’ll transform negative thought patterns that maintain erectile difficulties despite your sobriety.

Relationship support

ED impacts both partners and causes misunderstandings and emotional distance. Many partners mistakenly believe they’ve become unattractive or that the relationship has lost its spark. 

Relationship counseling breaks down these misconceptions through structured communication exercises. Therapists guide couples to express needs and concerns without blame. You’ll learn techniques to rebuild intimacy gradually, focusing first on non-sexual touch and connection. This pressure-free approach allows physical intimacy to reemerge naturally as recovery progresses, strengthening both your relationship and erectile function.

If you’re ready to reclaim your sexual health by addressing alcohol dependency, professional support makes the journey more successful. The first step toward reclaiming your sexual health begins with safely breaking free from alcohol

Our professional alcohol detox program includes IV hydration therapy to combat dehydration and restore electrolyte balance. We also provide medication management to reduce withdrawal symptoms including anxiety and insomnia. 

Expert support during this step promotes a safer detox experience and speeds up your recovery. Contact Ardu today to begin your journey back to health.

Supporting recovery with lifestyle changes

Beyond direct treatment approaches, lifestyle modifications can accelerate your recovery. These changes strengthen your body’s natural healing processes and address multiple factors that influence erectile health:

  • Regular cardiovascular exercise: Daily physical activity for at least 30 minutes improves blood flow to sexual organs, boosts testosterone, and reduces cardiovascular disease risk factors.
  • Heart-healthy nutrition: Foods such as leafy greens, whole grains, and omega-3-rich fish reduce inflammation, clear blood vessel plaques, and improve circulation to sexual organs.
  • Quality sleep: Aim for 7–8 hours of uninterrupted sleep nightly to stabilize testosterone levels and reduce stress hormones that interfere with erectile function.
  • Stress management techniques: Meditation therapy or deep breathing counteract the effects of stress hormones that constrict blood vessels and impair erections.
  • Proper hydration: Consistent water intake throughout the day maintains blood volume and improves circulation to sexual organs.
  • Weight management: Even modest weight loss improves erectile function by addressing vascular problems and hormonal imbalances associated with excess weight.
  • Tobacco cessation: Quitting smoking delivers immediate benefits to erectile function by improving blood vessel health and circulation.
  • Moderate caffeine consumption: Limit caffeine, especially in the afternoon and evening, to support hormone balance and reduce anxiety that impacts sexual function.
  • Digital detox periods: Establish technology-free times, particularly before sleep, to improve rest quality and reduce stress levels that affect sexual health.

When to seek medical help

The combination of quitting alcohol and adopting healthy lifestyle changes often successfully reverses erectile dysfunction for most men, but some situations warrant professional medical attention. Your recovery might require additional support if:

  • You’ve maintained complete sobriety for 3–6 months with no improvement in erectile function.
  • You experience sudden or severe ED that doesn’t align with typical alcohol-related patterns.
  • You notice other concerning symptoms such as testicular pain or changes in urination.
  • You have underlying conditions such as diabetes, heart disease, or high blood pressure.
  • You’re taking medications that might contribute to erectile dysfunction.
  • You experience persistent psychological distress about sexual performance despite sobriety.

A urologist or sexual health specialist can perform specific tests to identify other potential causes and recommend targeted treatments if needed. Even if alcohol was the primary cause of your ED, underlying conditions might delay recovery and require additional intervention.

Ardu's holistic program for overcoming alcohol dependence

At Ardu Recovery Center in Provo, Utah, we understand the complex connection between alcohol dependency and sexual health. Our male-oriented rehabilitation program addresses both issues simultaneously through a comprehensive approach tailored to men’s specific needs.

Our evidence-based treatment begins with medically supervised detox to safely manage alcohol withdrawal syndrome. During this critical phase, our healthcare team provides 24/7 medical supervision to monitor vital signs and keep you comfortable as your body eliminates alcohol from your system.

Once detox is complete, our integrated treatment plan tackles the physical and psychological aspects of addiction which includes:

  • Private therapy sessions using cognitive behavioral techniques help you identify drinking triggers and develop healthier coping mechanisms for stress and emotional challenges.
  • Male-only group support creates a space where you can openly discuss sensitive issues, like sexual dysfunction, with others experiencing similar challenges.
  • Structured fitness programs rebuild physical strength and cardiovascular health essential for restored sexual function.
  • Practical stress management techniques reduce anxiety that contributes to alcohol dependency and erectile dysfunction.
  • Comprehensive nutrition guidance repairs your body from long-term alcohol abuse and supports hormone balance.

Many men with chronic alcohol abuse also struggle with underlying mental health issues. Our dual diagnosis treatment addresses these co-occurring conditions so you can break the cycle where heavy drinking worsens mental health while mental health issues fuel more drinking.

Throughout your recovery journey, our expert team monitors your progress and adjusts your treatment plan as needed. This personalized approach makes sure you receive exactly the support you need to overcome alcohol dependency and restore sexual health.

Ready to reclaim control of your life and sexual well-being? Call us at 801-872-8480 to speak with our admissions team about our specialized alcohol rehabilitation program for men.

Brandon Okey

Brandon Okey is the co-founder of Ardu Recovery Center and is dedicated to empowering people on their journey to sobriety.

Alcohol and erectile dysfunction FAQ

Can low testosterone cause ED?

Low testosterone impairs erectile function. Testosterone maintains healthy blood flow to the penis and supports firm erections during sexual intercourse. Men with low levels often struggle with both reduced sexual desire and difficulty achieving erections sufficient for satisfactory performance. This is a common issue among patients with alcohol dependence because excessive alcohol consumption directly suppresses testosterone production. 

Which drink is best for testosterone?

Water is the best drink for supporting healthy testosterone levels. No alcoholic beverage benefits testosterone—all types of alcohol can reduce hormone production, with the quantity of alcohol consumed directly correlating to the degree of suppression. For men recovering from alcohol-induced sexual dysfunction, green tea and pomegranate juice contain antioxidants that may support hormone production. Coffee in moderate amounts (1–2 cups daily) shows some positive effects on testosterone levels in some studies, but excessive consumption can increase stress hormones that counteract these benefits.

How long after quitting drinking will sperm improve?

Sperm quality begins improving within one week of abstinence. After three months without alcohol, most men show significant improvements in sperm count, motility, and morphology. Research indicates sperm production takes approximately 74 days, so a full cycle of healthier sperm development occurs during this 3-month period. Men with moderate drinking histories typically see faster improvements than long-term heavy drinkers. 

Can alcohol permanently damage sperm?

While alcohol’s effects on sperm are largely reversible, excessive consumption over many years may cause permanent damage in some cases. Long-term alcohol use disrupts hormone production, damages testicular tissue, and alters DNA within sperm cells. Heavy drinkers who consume more than 14 standard drinks weekly face higher risks of lasting damage. 

Men with alcoholic liver disease experience more severe and potentially permanent fertility issues due to the liver’s critical role in hormone metabolism. Most men without severe liver damage see substantial recovery of sperm quality within 3–6 months of complete abstinence.

How long after quitting drinking will testosterone levels return to normal?

Testosterone levels begin recovering within days of your last drink. Most men with moderate alcohol intake see significant improvement within 2–4 weeks of abstinence. For heavy drinkers with more than 10 drinks daily, full testosterone recovery typically takes 3–6 months. During this healing phase, your body repairs alcohol-damaged Leydig cells in the testes that produce testosterone. 

Age influences recovery speed: younger men generally experience faster normalization. Some men notice improved mood, energy, and sexual desire before testosterone fully normalizes. If levels remain low after six months of sobriety, consult an endocrinologist to check for other underlying conditions.

Does quitting alcohol improve circulation?

Blood circulation improves significantly after quitting alcohol. Within the first week, blood pressure begins to stabilize as blood vessels relax from alcohol’s constricting effects. By the one-month mark, most men experience noticeably improved blood flow throughout the body, including to sexual organs. This enhanced circulation directly supports stronger erections and sexual performance. 

Alcohol-damaged blood vessels begin repairing themselves, while heart function strengthens during abstinence. These vascular improvements reduce your risk of cardiovascular disease while supporting erectile function.

Resources

Arackal BS, Benegal V. Prevalence of sexual dysfunction in male subjects with alcohol dependence. Indian J Psychiatry. 2007 Apr;49(2):109-12. doi: 10.4103/0019-5545.33257. PMID: 20711392; PMCID: PMC2917074.

Karunakaran A, Michael JP. The Impact of Abstinence From Alcohol on Erectile Dysfunction: A Prospective Follow up in Patients With Alcohol Use Disorder. J Sex Med. 2022 Apr;19(4):581-589. doi: 10.1016/j.jsxm.2022.01.517. Epub 2022 Feb 27. PMID: 35236641.

Lei Chen, Guang-rui Shi, Dan-dan Huang, Yang Li, Chen-chao Ma, Min Shi, Bin-xiao Su, Guang-jiang Shi, Male sexual dysfunction: A review of literature on its pathological mechanisms, potential risk factors, and herbal drug intervention, Biomedicine & Pharmacotherapy, Volume 112, 2019, 108585, ISSN 0753-3322, https://doi.org/10.1016/j.biopha.2019.01.046.

Further reading

How is alcoholism linked to hypersexuality?

Will my sex drive improve if I stop drinking?

Health risks alcohol carries for men

Why is alcohol bad for mental health?

How does alcohol damage DNA?

Toxic properties of alcohol and its metabolites

Even moderate alcohol consumption is bad for the stomach

The relationship between alcohol consumption and period-like cramps