How COPD Affects Men’s Health


This article was written by Kalli Mago.


Studies show men often wait to see the doctor until they have severe symptoms,1 but getting a diagnosis earlier can make a big impact on COPD and other chronic conditions.2

One survey shared that 72% of American men would rather clean the bathroom or mow the lawn than go to a doctor's appointment. Only half said they would see the doctor for a yearly check-up.

In honor of Men's Health Week, we're highlighting health issues that impact millions of men worldwide. This includes common health problems that affect people who have COPD. If you recognize any of the symptoms, talk to your doctor and get the care you need to support your health.

Men and COPD

Today, we know that COPD has a big impact on both men and women. However, it's important to know the distinct ways that COPD affects men.

Many men are exposed to COPD through their work. For example, jobs might expose people to dust, fumes, and other things in the air that damage their lungs. Jobs like mining, farming, and car repair can make the risk of COPD higher.3

Certain types of COPD also have a bigger impact on men. Emphysema is more common and more severe in men.4 Men with COPD may also be likely to have worse lung function. This means their lungs have a harder time moving air in and out of the body.4

COPD and Men's Heart Health

Men develop heart diseases more often and earlier than women.5 These health problems often overlap with COPD.6 COPD and heart disease can work together to make symptoms of each disease worse. Some heart conditions can make COPD flare-ups more likely. At the same time, COPD flare-ups can increase the risk of heart problems.6

If you have COPD, your doctor should look at your heart health during your appointments. Getting treatment can improve your symptoms, helping you manage both your heart condition and COPD.

COPD and Men's Sleep Health

Sleep apnea is also a common disease for people with COPD. When you have obstructive sleep apnea, your breathing often starts and stops while you sleep.7

Symptoms include loud snoring and pauses in your breathing during sleep. Daytime headaches and tiredness are also common signs. Sleep apnea can also lead to heart problems.7

About 66% of people with moderate to severe COPD also have sleep apnea.7 Anyone can have sleep apnea, but it's more common in men.8 It affects about 17-24% of middle-aged men and 9% of middle-aged women.

COPD and Men's Hormonal & Sexual Health

Some men with COPD also have problems connected to hormonal or sexual health. Men who have COPD often have lower testosterone levels. Testosterone is the sex hormone that plays an important role in male health.8

One recent study found that 41.8% of men with COPD produce less testosterone or sperm.9 Symptoms include a low sex drive, erectile dysfunction (ED), low energy, depression, muscle weakness, and bone weakness.

ED is connected with COPD for other reasons, too. Smoking, long-term inflammation, and medications can all contribute to ED. It may affect as many as 87% of men who have COPD.10

Erectile dysfunction can have a major impact on quality of life and overall well-being. However, one study found that nearly nine out of 10 men with COPD would not discuss sexual issues with their doctor.11 If you are struggling with ED or any other issues impacting your sexual health, talk to your doctor about treatment options.

Men's Health Week Checklist

This Men's Health Week, here's a checklist of steps you can take to protect your lungs today:

  • If you work in a job that exposes you to harmful fumes, dust, smoke, or other air pollutants, always wear personal protective equipment.
  • Do you smoke or vape? Make a plan to quit. Quitting smoking and vaping is one of the best things you can do for your long-term lung health.
  • Experiencing symptoms such as chronic cough, breathlessness, wheezing, tightness in the chest, or unusual tiredness? Don't wait. Schedule an appointment with your doctor.
  • Stay up to date on vaccines. Getting your flu shot, COVID boosters, pneumonia vaccines, and others can help you avoid respiratory infections.
  • Get active. Exercise can strengthen your heart and lungs, while providing many other benefits that support your long-term health.
  • Make time for annual doctor's appointments. Don't wait until you have new symptoms to see your health care provider. Regular check-ups can help you and your doctor keep a close eye on your health to better support overall well-being.

Resources:

  1. Höhn A, Gampe J, Lindahl-Jacobsen R, Christensen K, Oksuyzan A. Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. J Epidemiol Community Health. 2020;74(7):573-579. doi:10.1136/jech-2019-213435
  2. Larsson K, Janson C, Ställberg B, et al. Impact of COPD diagnosis timing on clinical and economic outcomes: the ARCTIC observational cohort study. Int J Chron Obstruct Pulmon Dis. 2019;14:995-1008. doi:10.2147/COPD.S195382
  3. Silver S.R., Alarcon W.A., Li J. Incident chronic obstructive pulmonary disease associated with occupation, industry, and workplace exposures in the Health and Retirement Study. Am. J. Ind. Med. 2021;64:26-38. doi: 10.1002/ajim.23196.
  4. Perez TA, Castillo EG, Ancochea J, et al. Sex differences between women and men with COPD: A new analysis of the 3CIA study. Respir. Med. 2020;171. doi: https://doi.org/10.1016/j.rmed.2020.106105
  5. Freedman AA, Colangelo LA, Ning H, et al. Sex differences in age of onset of premature cardiovascular disease and subtypes: the coronary artery risk development in young adults study. Am Heart J. 2026;15(3). https://doi.org/10.1161/JAHA.125.044922
  6. Maeda T, Dransfield, MT. Chronic obstructive pulmonary disease and cardiovascular disease: mechanistic links and implications for practice. Current Opinion in Pulmonary Medicine. 2024;30(2):141-149. doi: 10.1097/MCP.0000000000001040
  7. Dagher C, Kaur A. Chronic obstructive pulmonary disease and obstructive sleep apnea overlap syndrome: narrative review. Medical Research Archives. 2025;13(12). https://doi.org/10.18103/mra.v14i1.7176
  8. Lin CM, Davidson TM, Ancoli-Israel S. Gender differences in obstructive sleep apnea and treatment implications. Sleep Med Rev. 2008;12(6):481-496. doi:10.1016/j.smrv.2007.11.003
  9. Castro HM, Knoblovits P, Furcada JM, De Vito EL, Suarez SM, Costanzo PR. Prevalence of hypogonadism in men with and without chronic obstructive pulmonary disease: A cross-sectional study. Endocrinología, Diabetes, y Nutrición. 2024;71(8):348-354. doi: https://doi.org/10.1016/j.endinu.2024.05.010
  10. Marinelli L, Lanfranco F, Motta G, Zavattaro M. Erectile dysfunction in men with chronic obstructive pulmonary disease. J Clin Med. 2021;10(12):2730. doi:10.3390/jcm10122730
  11. Kaptein AA, van Klink RCJ, de Kok F, Scharloo M, Snoei L, Broadbent E, Bel EHD, Rabe KF. Sexuality in patients with asthma and COPD. Respir. Med. 2008;102:198-204. doi: 10.1016/j.rmed.2007.09.012.

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