For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. Can high blood pressure affect sexual functioning? Sexual dysfunction as an obstacle to compliance with antihypertensive therapy. During the second placebo period, sexual intercourse rate increased in both groups, although it remained lower as compared to baseline, particularly in the atenolol-treated patients. Four patients were lost at follow-up. Effects of antihypertensive therapy on sexual activity in hypertensive men. American Journal of the Medical Sciences, May ; vol. Be honest with your doctor If you have high blood pressure, you usually don't have to live with a loss of sexual satisfaction. Both atenolol and lisinopril were equally effective in decreasing BP values.
In the few studies concerning sexual function in female patients with antihypertensive treatment, metoprolol seems to negatively affect female sexual function index scores FSFI [ 16 ], especially in comparison with ARBs which seem to ameliorate FSFI scores [ 17 , 18 ]. It has been suggested that potentially favourable sexual side effects of captopril were secondary to improved cardiac function; however, there are not sufficient data to support this hypothesis [ 49 ]. But the impact on your sex life may be obvious. It should be kept in mind that more than two-thirds of hypertensive patients require combination therapy of at least two drugs to reach their blood pressure goals. Challenges for men Over time, high blood pressure damages the lining of blood vessels and causes arteries to harden and narrow atherosclerosis , limiting blood flow. In recent years, researchers have begun to understand that high blood pressure also takes a toll on female sexuality. They are also not safe for men taking alpha-blockers, or men taking nitrate drugs for heart disease. They also were more likely to have decreased vaginal lubrication and trouble reaching orgasm. Be honest with your doctor If you have high blood pressure, you usually don't have to live with a loss of sexual satisfaction. Clin Sci Mol Med Suppl. Sex -- like any other form of exercise -- does get the heart pumping. To verify the basic assumptions of cross-over design, besides the evaluation of period effect, the presence of carry-over or sequence effect was also investigated. Men should discuss any concerns with their doctor. Effect of antihypertensive treatment with valsartan or atenolol on sexual activity and plasma testosterone in hypertensive men. If these measures are insufficient, a referral to a sexologist or a gynaecologist can be the considered. In contrast, in other more recent trials no significant adverse effects on sexual function were found with metoprolol [ 12 ], propranolol [ 13 ], acebutulol [ 14 ] and atenolol [ 15 ]. Since ARBs are now generic, they should be considered as first-line therapy in men for whom erectile function is important most men , rather than relying on switching in the case they are brave enough to mention ED. Also, a-adrenoceptor blockers such as doxazosin and tamulosin should only be combined with these erectile dysfunction medications under close monitoring by your doctor. Sign up now High blood pressure and sex: The drugs controlled blood pressure equally well. Did you have problems in maintaining an erection? Cathleen is widowed with adult children. Be prepared to answer questions your doctor may ask, such as: Effect of antihypertensives on sexual function and quality of life: One studylooked at the drug Cozaar , an ARB. Lancet Sep 12;2
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