An Aussie sex worker has noticed a common issue among her clients – something many men are too embarrassed to discuss, despite it potentially pointing to a deeper health problem.
A rarely discussed issue affecting millions of men is gaining renewed attention, with one professional escort highlighting something that often leaves men feeling embarrassed, frustrated, and emasculated.
“I think this is a really important topic of conversation to have because I feel like there’s a lot of men struggling with this that don’t actually realize that is what is going on,” Lilith Lodge explained in her YouTube clip “Let’s talk erectile dysfunction.” “It’s just not something that is commonly spoken about.”
Lodge, an escort from Brisbane, said she regularly encounters erectile dysfunction and describes it as one of the most common yet least discussed challenges men face.
What is erectile dysfunction?
Erectile dysfunction, commonly known as ED, refers to the inability to get or maintain an erection, and while many assume it is uncommon, the data suggests otherwise.
In fact, statistics show a sharp rise in ED cases over the past 30 years, with more than 152 million men affected worldwide in 1995 and that number climbing to an estimated 322 million by 2025, according to Johns Hopkins Medicine.
‘Not uncommon’
For Lodge, those figures reflect something she sees firsthand. While occasional difficulty is not unusual – especially in situations involving nerves or inexperience – she stresses that repeated issues should not be ignored.
“It’s really not uncommon for this to happen here or there as an occasional thing,” Lodge explained. “If it’s an occasional thing, it’s probably not erectile dysfunction…But if this is a repeat issue, that is when you need to go and seek help for it.”
She warns that persistent symptoms can point to more serious underlying health conditions, making it important to take the issue seriously rather than dismiss it.
“It can actually be a sign of a much more serious health condition. That’s why I really want to push that you need to go and see a medical professional,” she said.
She’s not wrong.
‘Caused by physical problems’
According to Johns Hopkins, “In the past, erectile dysfunction was commonly believed to be caused by psychological problems. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis.”
Medical experts link erectile dysfunction to a range of physical conditions, including heart disease, high blood pressure, diabetes, obesity, and poor circulation. Lifestyle factors such as smoking, alcohol use, and certain medications can also contribute, while mental health plays a significant role.
More than ‘just seeing a hot chick’
While these physical and lifestyle factors help explain the condition, Lodge says the reality is far more complex.
Lodge challenges the common assumption that arousal is purely physical, explaining that it involves a far more complex interaction within the body.
“It is so much more than just seeing a hot chick…There is so much more to that,” she said. “It is like a connection between multiple different parts of your body – your mind and emotions, your hormones, your nerves, your blood vessels, everything.”
That complexity means psychological factors, particularly anxiety, can quickly interfere and make the situation worse.
“You can start getting into your head, ‘Oh my god, it’s not working,’ and it just makes it worse and worse,” she added.
‘Not our fault’
Through her work, she sees firsthand how common the issue is, reinforcing just how many men experience it.
“It is not uncommon at all. I probably encounter this at least once a fortnight, if not more frequently,” she said.
She also addresses how some men react in those moments, urging them not to lash out at “providers.”
“If you’re not able to hold and maintain that erection. There is nothing wrong with that, but it is not our fault,” she said. “You may be lashing out at providers who genuinely feel that they have done something wrong and you may be really really upsetting them by doing that.”
‘Get an actual diagnosis’
Rather than ignoring the issue or assigning blame, she encourages men to take practical steps and seek professional advice.
“See your GP firstly. You need to go and see a real GP to get an actual diagnosis,” she said.
Treatment depends on the underlying cause and may include medication, lifestyle changes such as improved diet and regular exercise, or psychological support when needed.
“Even consider seeing a therapist… just having somebody to discuss these things with would be really beneficial,” Lodge suggested.
Normalize the conversation
By speaking openly about what she regularly encounters, Lodge aims to normalize the conversation and encourage men to take action.
“It is really hard to see people struggling with this and not going and seeking help for it,” she said. “This is something that I do encounter on a regular basis and it’s not something that ever bothers me. My only issue is when clients are projecting their anger…onto myself.”
Were you aware that erectile dysfunction can be linked to serious health conditions? Share this story to help spread awareness and get more people talking.
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