Does liver disease affect men's sexual function?

In general, liver disease may affect male sexual function, with more noticeable effects when the condition is severe or has been uncontrolled for a long time. Mild cases or well-controlled conditions typically do not cause significant impact. If concerned, it is recommended to consult a doctor in advance. Detailed analysis is as follows:

If liver disease is in an advanced stage (such as decompensated cirrhosis or severe hepatitis), or has not been effectively controlled over a long period, it may lead to hormonal imbalances (e.g., reduced inactivation of estrogen, decreased testosterone levels), generalized fatigue, and anxiety, which can subsequently impair erectile function, libido, and even result in sexual dysfunction. In such cases, priority should be given to treating the liver disease. Once the condition stabilizes, sexual function may gradually improve along with overall health.

If the liver disease is mild (e.g., mild fatty liver, chronic hepatitis B virus carrier state) and is well-managed through lifestyle modifications or proper treatment, with normal liver function and no obvious physical discomfort, it usually does not significantly affect sexual function. Such individuals only need regular monitoring of their liver condition and maintenance of a healthy lifestyle, without excessive concern about sexual health.

Men with liver disease should actively undergo treatment and regular liver function check-ups. If sexual dysfunction occurs, they should promptly inform their doctor to determine whether it is related to the liver condition. It is important to avoid symptom exacerbation due to anxiety, maintain a positive mindset, and seek professional medical help when necessary.