How Hypertension Causes Erectile Dysfunction?

Today at the ESC Congress 2020, researchers reported that untreated men with high blood pressure had lower penile blood flow compared to men with normal blood pressure. Lower penile blood flow in men cause erectile dysfunction. When hypertension was treated, the differences disappeared. The findings should reassure men who worry about taking blood pressure medication because of potential side effects.

Lifestyle and Hypertension with Respect to Erectile Dysfunction :

Hypertension, the leading cause of death worldwide, affects over a billion people. Limiting salt intake, drinking in moderation, keeping active, controlling one’s weight, and giving up smoking are all aspects of a healthy lifestyle. Almost half of patients with prescription medication fail to take it as directed, despite the fact that doing so reduces the risk of death, stroke, and cardiovascular disease. Sexual dysfunction can lead people to stop taking these drugs.

Men with Hypertension vs. Normal Blood Pressure:

Men with hypertension are roughly twice as likely to experience erectile dysfunction and poor penile blood flow as men with normal blood pressure, which increases their risk of developing heart disease and death. High blood pressure causes the arteries to harden and narrow, reducing blood flow to the penis. Damage to the blood vessels is an early indicator of erectile dysfunction. Cenforce Professional 100 mg Pills are available from Genericvilla and are used to treat erectile dysfunction.

However, previous studies have shown that treated men with high blood pressure are more likely to experience erectile dysfunction than untreated men. Sexual dysfunction has also linked to the use of some antihypertensive drugs, including beta blockers and diuretics. This study looked into the possible effects of blood pressure-lowering drugs on the relationship between blood pressure and penile blood flow.

The study included 356 males without a history of diabetes or cardiovascular disease who sought medical help for erectile dysfunction between 2006 and 2019. The cohort divided into three categories: normal, high-normal, and hypertensive based on blood pressure levels. Antihypertensive medication treats nearly half of the patients (46%).

Penile Blood Pressure and Flow Rate:

Each patient underwent a penile colour Doppler ultrasound, the diagnostic gold standard for evaluating penile blood vessels and erectile dysfunction. After injection of a drug into the penile veins to dilate the blood vessels, blood flow measures. Blood flow in the penis is considered obstructed if the velocity is less than 25 cm/s.

Men without antihypertensive medication had slower penile blood flow with increasing blood pressure. Those with normal blood pressure had the fastest blood flow, followed by those with high-normal blood pressure, and finally those with hypertension or high blood pressure had the slowest. However, in men who were taking antihypertensive medication, there was no difference in the rate of penile blood flow between the three blood pressure groups.

Professor Charalambos Vlachopoulos from the National and Kapodistrian University of Athens in Greece said, “The progressive decrease in penile blood flow velocity across the three blood pressure categories in men not taking antihypertensive medication indicates significant structural changes in the penile blood vessels from long-standing hypertension.” “After treatment, there was no longer any difference in blood flow between the three groups of hypertension,” the authors write.

Comparative study of men who did and did not receive treatment:

Penile blood flow velocities were similar between patients with and without hypertension treatment. However, the treated men showed significantly lower penile blood flow than the high-normal men. Similarly, in the group of men with normal blood pressure, treated men showed lower penile blood flow than untreated men. You could also try the Silditop 100 mg Tablet for your ED.

According to Professor Vlachopoulos, these results indicate that hypertensive patients already have significant structural damage to their penile arteries, and that antihypertensive medications do not further reduce penile blood flow. Drugs may have a negative effect on penile blood flow, but men with normal or high-normal blood pressure have relatively undamaged penile arteries.

Concerned individuals, he said, should consult a physician. Traditional medications “are not suitable for men with untreated hypertension and should be taken only if absolutely necessary,” he said.

Professor Vlachopoulos advises caution when switching hypertension medications for men with erectile dysfunction. To begin, he warned against making the change if a co-occurring condition necessitates the use of a specific medication. Alternatives may be considered if patients are at risk of dropping out of life-saving treatment due to the distressing effects of erectile dysfunction. Second, changing to a different drug class does not always lead to better erections. It’s crucial that patients understand this going in so that they don’t form unrealistic expectations.

Conclusion:

Professor Vlachopoulos concluded, “Our study demonstrates that high blood pressure can be treated without causing erectile dysfunction.” Patients and doctors need to be honest and open about their discussions about the best treatment options.