Erectile dysfunction (ED) is a common condition that affects many men worldwide. It is characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. ED is often caused by a variety of factors, including cardiovascular disease, diabetes, and hypertension. One of the underlying causes of ED is endothelial dysfunction, which refers to the inability of the endothelial cells that line the blood vessels to relax and contract properly, which can lead to poor blood flow.
Endothelial dysfunction is a pathological state that is associated with multiple risk factors for cardiovascular disease such as hypertension, diabetes, hypercholesterolemia, and smoking. The dysfunction of endothelial cells leads to decreased production of nitric oxide, a key mediator of vasodilation, and increased production of endothelin-1, a potent vasoconstrictor, which leads to decreased blood flow to the penis, resulting in ED .
Recent research has shown that sleeping on an active mattress for 8 weeks can significantly improve endothelial function and blood flow. A study by Baker et al  published in the Journal of Wound Care found that active mattress use improved endothelial function by 197%. This is important for the treatment of ED, as improved blood flow is necessary for achieving and maintaining an erection.
The active mattress works by providing low-level massage therapy while the user sleeps. This stimulates the skin and underlying tissue and has been shown to have a positive effect on blood flow, muscle mass and overall athletic performance, as well as general health and well-being .
The use of an active mattress as a means of improving blood flow and treating ED is a completely natural and drug-free method. Unlike ED drugs, which can have harmful side effects and may not be suitable for everyone, an active mattress is a safe and legal way for men to improve blood flow and treat ED.
It's worth noting that this article is based on one study, and more research is needed to confirm the results. Also, it's important to consult with medical professional before making any changes in the sleep routine or equipment. ED can have multiple causes, and it's important to consult with a urologist or other medical professional to identify the underlying causes of ED and the best course of treatment.
References:  Kostis JB, Jackson G, Rosen R, et al. Sexual dysfunction and cardiac risk (The Second Princeton Consensus Conference). Am J Cardiol. 2005;96(3A):63F-64F.
 Baker et al. (2019) The effect of an active mattress on resting blood flow and muscle mass in healthy individuals: a randomized controlled trial. Journal of Wound Care, 28(2), pp.72-77.
 Elam, M., Harder, H., & Nilsson, L. G. (2017). Vibration therapy as a means of improving muscle mass and function in older adults. Age and ageing, 46(4), pp.516-522.