March 5, 2025

How Does Night Shift Work Lead to Erectile Dysfunction?

Written by
Edward Calleja
Erectile Problems
General Urology
Wave Blue

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can be a distressing condition for many men and can significantly impact self-esteem and relationships.

The Link Between Shift Work Sleep Disorder (SWSD) and Erectile Dysfunction

Shift Work Sleep Disorder (SWSD) is a condition commonly experienced by people who work non-traditional hours, such as night shifts, early morning shifts, or rotating shifts. This disorder arises from a disruption in the body's natural sleep-wake cycle, known as the circadian rhythm. The circadian rhythm is your internal clock that tells your body when to sleep, wake up, and perform other essential physiological processes.

When this rhythm is disturbed, it can lead to several health issues, including insomnia, excessive sleepiness, and other sleep-related problems. More importantly, research has shown that men with SWSD are at a higher risk of developing erectile dysfunction.

How Shift Work Negatively Impacts Erectile Function

A study published in the Journal of Sexual Medicine examined the link between SWSD and erectile dysfunction in men who work non-standard shifts. The study involved 754 men, 204 of whom were non-standard shift workers, and 48 were diagnosed with SWSD. The findings revealed the following:

  • Men with SWSD had significantly lower erectile function scores than those without the disorder.
  • Specifically, men who worked night shifts had erectile function scores that were lower than men who worked during the day.
  • The study suggested that the disruption in circadian rhythm caused by night shifts could be a contributing factor to erectile dysfunction.

Why Does Working Night Shifts Cause Erectile Dysfunction?

The relationship between sleep and erectile function is complex. Here's how shift work might impact sexual health:

  1. Hormonal Disruption: Testosterone, the hormone most associated with male sexual function, is primarily produced during sleep, particularly during the rapid eye movement (REM) phase. Disrupted sleep can lower testosterone levels, contributing to ED.
  2. Poor Sleep Quality: Men with poor sleep quality, which is common among night shift workers, may experience a reduction in overall well-being and energy levels, further exacerbating issues with sexual function.
  3. Psychological Stress: Working non-standard hours can lead to increased stress, anxiety, and depression, all of which are known risk factors for erectile dysfunction.

Tips to Improve Erectile Function for Night Shift Workers

Fortunately, there are steps that men working night shifts can take to mitigate these effects:

  • Maintain a Consistent Sleep Schedule: Try to go to bed and wake up at the same time every day, even on days off. This can help regulate your circadian rhythm.
  • Optimise Sleep Environment: Make your sleep environment as conducive to rest as possible. Use blackout curtains, maintain a cool room temperature, and limit noise to ensure better sleep quality.
  • Exercise Regularly: Physical activity can help improve both sleep quality and erectile function. Aim for at least 30 minutes of moderate exercise most days of the week.
  • Consider Testosterone Therapy: For men with low testosterone levels, testosterone replacement therapy may be beneficial in improving erectile function.

Can Lifestyle Changes Help Combat Erectile Dysfunction Caused by Night Shifts?

Exploring possible treatments or lifestyle changes can be an important step toward improving both sexual and overall health. Screening men for shift work and SWSD can be a useful tool in healthy males, and adjusting sleep schedules, wherever possible, may result in improvement of erectile and sexual function in affected men.