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Smokers can expect to suffer from a number of smoking related ailments. The greatest health risks of smoking involve respiratory cancers and chronic obstructive pulmonary disease. Most people affected by smoking related disease suffer from respiratory and cardiovascular diseases.
Smokers also have higher risks of experiencing many other diseases, including osteoporosis, periodontal disease, impotence, male infertility, and cataracts. Various studies have shown that the risk of impotence to smokers is 1.3 to 1.7 times the risk to non-smokers. In fact, though smokers make up less than a quarter of the population, 40% of those with impotence are current smokers.
Nicotine may both decrease arterial flow to the penis as well as block corporeal smooth muscle relaxation which prevents venous occlusion. Arterial occlusive disease can decrease the pressure and arterial flow to the sinusoidal spaces (small blood vessels). This increases the time to an erection and reduces the rigidity of the erect penis.
Smoking also harms lipid metabolism, causing higher triglyceride and lower HDL circulation. These changes contribute to development of atherogenic processes that cause vascular damage in penile arteries.
Ultrasound, coupled with Doppler technology, can measure blood flow velocities to and from the ultrasound probe. Smokers and past smokers show lower peak systolic blood velocity within the penis. The magnitude of these effects are strongly related to the length of smoking history.
More information at
Smoking - Impotence and Erectile Dysfunction