Although erectile dysfunction (ED) is not directly caused by hernias, the pain and suffering they produce, particularly following surgery, can have an indirect impact on sexual function.A hernia can cause swelling, pressure, and pain in the groin, potentially leading to sexual performance issues.A hernia happens when an internal organ or other tissue pushes through the connective tissue or muscle that normally contains it, which can lead to an odd-looking bulge that’s visible under your skin. Most hernias are located around your abdomen or groin.