Erectile dysfunction (ED) is often associated with older men, but it increasingly affects younger men, including those living in Riyadh. Younger men experiencing ED may face unique challenges, as the condition can impact confidence, relationships, and overall quality of life. Understanding the causes, risk factors, and management strategies is essential for early intervention. In younger men, psychological factors are often the primary contributors to ED. Stress, anxiety, depression, and performance pressure can interfere with the brain’s ability to send signals to initiate an erection. In Riyadh, the fast-paced lifestyle, academic and work pressures, and social expectations can intensify these psychological stressors, leading to difficulties in achieving or maintaining erections. Performance anxiety, in particular, can create a cycle where fear of sexual failure perpetuates ED. Lifestyle factors also play a significant role. Sedentary habits, poor diet, smoking, excessive alcohol consumption, and lack of physical activity can negatively affect blood flow and hormonal balance. Obesity and metabolic conditions, increasingly common among young men in urban areas like Riyadh, can reduce testosterone levels and impair vascular health, directly contributing to ED. Medical conditions such as hormonal imbalances, thyroid disorders, or diabetes, though less common in younger men, may also cause erectile dysfunction. Additionally, certain medications, recreational drug use, and sleep disturbances can further exacerbate the problem. Addressing ED in younger men requires a comprehensive approach. Psychological support, stress management, and lifestyle modifications—including regular exercise, balanced nutrition, sufficient sleep, and avoidance of smoking or excessive alcohol—are essential first steps. In cases where underlying medical or hormonal issues are present, consultation with a healthcare professional for diagnosis and treatment is critical. Early intervention in younger men can not only restore sexual function but also improve confidence, mental health, and overall well-being, making it an important health priority in Riyadh.