To what extent are condoms responsible for erection difficulties?

Research indicates that the use of condoms may cause some men to experience erection difficulties. However, in a study of 479 heterosexual men who used condoms and were 18 to 24 years old, those who reported condom-associated erection problems were also more likely to experience more generalized erection difficulties. Investigators also found that more than one-third of participants had never been taught how to use a condom correctly.

Clinicians should assess whether men using condoms experience condom-associated erection problems and where appropriate, make referrals for psychosexual therapy or provide educational information on condom use.

"Condom-associated erection problems have been a very under-researched topic. Increasing evidence suggests, however, that they may influence whether condoms are used correctly or from start to finish of sex," said Dr. Cynthia Graham, co-author of The Journal of Sexual Medicine study.