Causes of ED

Dagga and erectile dysfunction: how cannabis affects your sex life

Cannabis use is common in South Africa, and some men say it improves sex while others notice problems. Here is what research says about dagga and erectile dysfunction.

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In short: Research on cannabis and erections is mixed. Some studies link frequent use with higher rates of erectile dysfunction, while occasional users may report more relaxation and pleasure. Heavy, long-term use has been linked with lower sperm quality and possibly lower testosterone. Smoking cannabis also exposes blood vessels to smoke, which harms circulation.

How cannabis may affect sex

Cannabis acts on the endocannabinoid system, which is involved in mood, arousal and pain. Effects vary with dose, frequency, the strain and the person.

Short-term

Some men report more relaxation, heightened sensation and reduced anxiety. Others experience anxiety, paranoia or difficulty concentrating, which can affect performance.

Erections

Studies are mixed. Some reviews have found higher rates of ED among regular cannabis users. Cannabinoid receptors are present in penile tissue, and frequent use may interfere with normal erectile function.

Smoking and blood vessels

Smoking cannabis, especially mixed with tobacco, exposes blood vessels to smoke and carbon monoxide. See smoking and erectile dysfunction.

Testosterone and sperm

Heavy, long-term use has been associated with lower sperm count and quality, and some studies suggest lower testosterone. See signs of male infertility.

Desire

Frequent use may reduce motivation and drive over time.

Other concerns

  • Cannabis can interact with some medicines.
  • Heavy use is linked with anxiety, depression and dependence in some people. See depression and erectile dysfunction.
  • Edibles can be much stronger than expected.

Cutting back

If you notice erection, desire or fertility problems:

  • Reduce frequency and amount.
  • Avoid mixing with tobacco.
  • Take breaks of several weeks to see how your body responds.
  • Replace evening use with relaxation habits such as exercise, slow breathing or rooibos tea. See rooibos tea benefits for men.

If you struggle to cut down, support is available from healthcare professionals and organisations such as SANCA.

How we can help

Our naturopaths offer confidential, non-judgemental support for erections, desire and stress, with natural remedies and a practical plan.

Why men choose our natural approach

Walk in or consult remotely

Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.

Natural and non-surgical

Herbal remedies and practical guidance, with no injections or surgery.

Faster appointments

Enquiries answered 24/7, with same-day appointments often available.

Transparent pricing

Consultations are R2,500, with any remedy costs confirmed before you commit.

Private self-check: 5 quick questions

Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.

  1. How often can you get and keep an erection firm enough for sex: almost always, most of the time, sometimes, or rarely?
  2. Do you still notice morning or night-time erections?
  3. Have stress, poor sleep, alcohol, smoking or long hours increased recently?
  4. Do you take medicine for blood pressure, the heart, diabetes or mood?
  5. Has your interest in sex dropped noticeably over the past year?

If you answered “sometimes” or “rarely” to the first question, a consultation is a sensible next step. Morning erections that still happen are often a reassuring sign that lifestyle, stress or confidence are playing a part, which natural support can address well. A yes to question four means any remedy needs checking for interactions first.

What happens at your first consultation

  1. Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
  2. Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
  3. Receive a personalised natural plan, with any remedy costs confirmed upfront.
  4. Follow up in person or remotely so your progress is reviewed and your plan adjusted.

Your health and safety

Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.

Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.

Consultation price

A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.

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Frequently asked questions

Can dagga cause erectile dysfunction?

Some studies link frequent cannabis use with higher rates of ED, although research is mixed.

Does weed lower testosterone?

Heavy, long-term use may lower testosterone and sperm quality in some men.

Does cannabis make sex better?

Some men report more relaxation and sensation, but others experience anxiety and performance problems.

Will stopping cannabis improve my erections?

Many men notice improvements after cutting back, especially if they also stop smoking tobacco.

How much does a consultation cost?

A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.

Book your consultation today

Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.

Book a confidential consultation +27 10 205 9855

References and further reading

Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.