Yes, erectile dysfunction can affect conception if it prevents penetration during intercourse. It does not affect sperm quality or fertility and patients with ED can successfully conceive once the underlying cause has been treated.
Fertility issues in men generally stem from issues with sperm, or with hormonal issues, unaffected by ED.

Can ED Medications Affect Male Fertility and Sperm Quality?
No, commonly used ED medication such as sildenafil (Viagra) or tadalafil (Cialis) do not affect sperm quality or affect male fertility. These drugs work by improving blood flow to the penis and do not directly affect sperm or hormones.
View our Treatment OptionsDoes the Cause of My Erectile Dysfunction Affect My Chances of Having Children?
The most common causes of ED today are psychological or stemming from a medical condition affecting blood flow in the penis. These would not affect chances of conception.
Other causes, such as obesity, hormonal imbalances, along with lifestyle factors like smoking, excessive alcohol consumption or a physiological issue with your testicles however, may affect fertility and thus ability to conceive.
If you are thinking of having children but suffer from ED, speak to a healthcare provider who can help to treat your symptoms and address your concerns based on your individual circumstances.
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