
How Can Exercise Help ED? Research on Aerobic Exercise, Walking, and Erectile Function
We review aerobic exercise through randomized trials and meta-analyses, then outline a realistic way to start walking and compare your own records.
Key points
Search for “exercise for erections” and you will often see squats or pelvic-floor training first. When clinical research from different countries is reviewed together, aerobic exercise is one of the options with comparatively substantial evidence.
That does not mean walking or jogging produces a dramatic change immediately after one session. Several studies have examined structured exercise interventions over weeks or months and compared erectile function before and after the program.
Easy Walk 15

Brisk Walk 20

Walk 30

Brisk Walk Intervals

Jog 15

Eleven aerobic-exercise trials found improvement
A systematic review and meta-analysis published in 2023 combined 11 randomized controlled trials.
The groups performing aerobic exercise scored an average of 2.8 points higher on IIEF-EF than control groups.
Participants, exercise programs, and durations differed between trials. The 2.8-point result cannot be used as a prediction that every person will change by exactly that amount.
It is still useful that several randomized trials of aerobic exercise pointed in the same direction.
Aerobic exercise also stood out in a 2024 analysis
Another 2024 meta-analysis examined seven randomized controlled trials of physical activity and ED in adult men who were not using PDE5 inhibitors.
Physical activity overall was associated with improved erectile function. When exercise type was separated, the aerobic-only group showed a statistically clear improvement.
The pelvic-floor and aerobic-plus-strength subgroups did not show a clear difference in that analysis.
This does not mean strength training has no value. Some subgroups had few trials and participants, and the comparison was not sufficient to rank every exercise type.
Guidelines also discuss exercise
The third edition of the Japanese ED clinical practice guideline recommends lifestyle interventions such as diet and exercise for obesity and smoking cessation guidance.
The EAU guideline also includes regular exercise and weight loss among approaches to modifiable risk factors before or alongside ED treatment.
Exercise is not a replacement for an ED medicine that a clinician has recommended. If erection problems continue, consider lifestyle changes and medical evaluation together.
Is it okay to start with walking?
Research programs use defined intensity and duration, but someone who rarely exercises does not need to start by running for a long time.
Start by recording a day with 15 minutes of walking. Next, try 20 minutes at a somewhat faster pace. Keeping the minutes completed and whether you could continue is easier to compare than setting a huge goal immediately.
The existing column “Compare Walking and Male Condition in Your Records” explains how to put a 20-minute walk into the Daily Log.
Look at several weeks, not one result
Feeling better on the evening after exercise does not show that exercise caused the change.
BananaUp separates days with and without Cardio and places EQ, ease of maintenance, sleep, alcohol, and stress alongside them. When there are only a few records, it avoids definitive conclusions and waits for enough entries to review the overall pattern.
Stop for chest pain, fainting, or unusual severe shortness of breath during exercise. If a healthcare professional has given you cardiovascular or exercise instructions, follow those instructions.
If difficulty getting or maintaining an erection continues for several weeks, do not decide that “more exercise” is the only answer. Speak with a healthcare professional, since ED can be related to vascular or metabolic conditions.
Use the Routine Finder to review options based on exercise experience and lifestyle. With 14-day tracking, compare Cardio days and rest days under the same dates.
Sources
- https://academic.oup.com/jsm/article/20/12/1369/7301709
- https://pubmed.ncbi.nlm.nih.gov/38937909/
- https://www.urol.or.jp/lib/files/other/guideline/26_ed_v3.pdf
- https://uroweb.org/guidelines/sexual-and-reproductivehealth/chapter/management-of-erectile-dysfunction
- https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
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