Medical Oddities: Long workweeks meet erectile function
From work stress to lullabies, bay leaves, and one-legged cycling, medicine gets weird.
By
Teraya Smith
October 1, 2026
Clinical Scorecard: Medical Oddities: Long workweeks meet erectile function
At a Glance
Category Detail
Condition Erectile Dysfunction
Key Mechanisms Workplace stress impacts hormonal levels and erectile function.
Target Population Full-time working men aged 22 to 40 years.
Care Setting Clinical practice and occupational health.
Key Highlights
Mean IIEF-5 scores decreased from 22.86 to 15.28 as stress increased. ED prevalence rose from 8.21% to 54.37% in high-stress groups. Morning cortisol levels increased while testosterone levels decreased with stress. Each additional 10 working hours per week correlated with a 1.82-point drop in erectile function scores. Supervisor support showed the strongest protective association against ED.
Guideline-Based Recommendations
Diagnosis
Utilize the International Index of Erectile Function-5 (IIEF-5) for assessment.
Management
Address workplace stressors and promote supervisor support.
Monitoring & Follow-up
Regularly assess hormonal levels (cortisol and testosterone) in stressed individuals.
Risks
Increased prevalence of erectile dysfunction associated with high workplace stress.
Patient & Prescribing Data
Full-time working men aged 22 to 40 years experiencing workplace stress.
Consider interventions that reduce workplace stress and enhance supervisor support.
Clinical Best Practices
Encourage work-life balance to mitigate stress-related health issues. Implement workplace wellness programs focusing on mental health.
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