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Can High Blood Pressure Affect Erectile Dysfunction

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High Blood Pressure Hampers Blood Flow To The Penile Muscles

For men to develop an erection, the arteries in the muscles around the base of the penis must relax sufficiently to allow a surge of blood flowing into it. Nerve endings in the penis respond to excitement and stimuli to draw blood into the penis. At the same time, the nerves block blood flow from the veins back into the body to sustain the erection. High blood pressure prevents arteries in the penile muscles from swelling up and allowing blood flow. Without an adequate blood supply, it becomes impossible to get an erection.

The Link Between Blood Pressure And Erectile Dysfunction

There is no link between low blood pressure and erectile dysfunction. But, studies have proved that high blood pressure is one of the primary causes of erectile dysfunction. Some research also reported that at least 49% of men aged between 40 and 79 suffer from erectile dysfunction and cause is high blood pressure.

Several studies have shown that the majority of men suffering from high blood pressure also have erectile dysfunction. So, high blood pressure is the primary cause of ED. The most important thing to note here is, ED resulted from high blood pressure is usually considered severe.

The reason behind this is when there is high blood pressure it causes arteries to dilate. Hence the arteries carrying blood to the penis do not work as expected. When blood flow is absent, the smooth muscle in the penis loses its ability to relax. When they do not relax, there is no healthy blood flow to the penis and no erection.

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Does High Blood Pressure Cause Erectile Dysfunction

by Dr. Awadhesh Gupta | Jul 23, 2021 | Erectile Dysfunction, Men’s Health, Sexual Health

Few people are aware that high blood pressure is closely linked to Erectile Dysfunction in more ways than one. It may interest you to know that 49% of men who are aged 40 to 79 with ED also have hypertension. While having high BP is the direct cause of impotency, your doctor may talk to you about several related conditions that also cause ED. Heres a quick overview:

Erectile Dysfunction Can Be An Early Warning Sign

Diagnosed with Erectile Dysfunction? You

One of the first stages of coronary heart disease is endothelial dysfunction, a condition in which the blood vessels cannot dilate properly. Endothelial dysfunction often affects the blood vessels of the penis first. In many cases, ED might be the first clue that something is amiss. Erectile dysfunction is often a hint of underlying heart disease, Blaha says.

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Ed And Cardiovascular Risk

Several traditional risk factors were related to ED in medical literature with some evidences coming from well designed epidemiological trials. Age seems to be the clearest risk factor with strong association with the presence and severity of ED . After adjusting for age, the correlation between ED and modifiable risk factorshypertension, diabetes, hyperlipidemia, obesity, sedentary, and smokingremained significant . The increase of EDs prevalence with aging is followed by atherosclerotic lesions in vascular tree . Most men with hypothetic vasculogenic ED present at least one traditional cardiovascular risk factor . These evidences allowed the consideration of ED as a clinical manifestation of a functional or structural abnormality in penile circulation as component of a systemic vasculopathy .

Erection is a complex psiconeurovascular process and involves several system interactions that converge to an increase in hypogastrian-penian blood flow and subsequent activation of veno-occlusive mechanism of corpus cavernosum . It is well known that the blood increment towards cavernous tissues necessary for a rigid erection is huge and even small hemodynamic disturbances could produce sexual dysfunction . So, traditional risk factors such as hypertension, diabetes, and hyperlipidemia could contribute for ED development or worsening even in situations where psychological etiology seems more likely.

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Loss Of Libido And Interest

Women with high blood pressure may have lower libido and less interest in sex, especiallyif the condition is contributing to fatigue. If a womans blood flow to her vagina is reduced, it may also affect how her body responds both before and during intercourse.

Dont let high blood pressure hurt your sex life:

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The Penis And Erectile Function

The Structure of the Penis

The penis is composed of the following structures:

  • Two outer parallel columns of spongy tissue called the corpora cavernosa, or erectile bodies.
  • A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine as well as sperm through the penis. The corpus spongiosum ends in an expansion called glans penis, which contains the opening of the urethra.

These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels are surrounded by smooth muscles and supported by elastic tissue composed of a protein called elastin.

Erectile Function and Nitric Oxide

The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect penis, the following normally occurs:

  • Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
  • The smooth muscle tissues surrounding the many tiny blood vessels inside the corpus cavernosum also stay contracted, keeping the vessels narrowed and limiting the amount of blood that can collect in the penis.

During erection the following occurs:

Warning On The Use Of Herbs And Supplements

How to FIX erectile dysfunction with high blood pressure

Manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Such products can be sold without any proof of efficacy or safety. Just like a drug, herbs and supplements can affect the body’s chemistry, and therefore have the potential to produce harmful side effects. There have been a number of reported cases of serious and even lethal side effects from these products. You should always check with your doctor before using any herbal remedies or dietary supplements.

There is no evidence that any herbal product, vitamin, or dietary supplement can improve erections or sexual performance in men or women. Despite this, many herbs and dietary supplements are marketed as aphrodisiacs. Aphrodisiacs are substances that are claimed to increase sexual drive, performance, or desire. Recently, the FDA has warned that several products being sold over the counter as aphrodisiac supplements actually contain hidden ingredients, such as varying amounts of prescription PDE-5 inhibitors, and are not safe for use. There are several specific concerns for people taking alternative remedies for ED.


Yohimbe is derived from the bark of a West African tree. Side effects include nausea, insomnia, nervousness, and dizziness. Large doses of yohimbe can increase blood pressure and heart rate and may cause kidney failure. However, yohimbe has not been shown to be any better than placebo for enabling sexual intercourse.


Gingko Biloba

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The Takeaway: High Blood Pressure And Erectile Dysfunction Are Very Closely Linked In Several Ways Not Only Can Having High Blood Pressure Make It Harder To Achieve An Erection It Can Even Impact Your Sex Drive And Performance As Well Its Even Possible For Some Medications For High Blood Pressure To Cause Erectile Dysfunction As A Side Effect

Lowering your blood pressure will go a long way in helping to combat erectile dysfunction. A diet change, some more exercise, and cutting back on drinking and smoking are just a few changes that will help in the process.

In the meantime, it may be a good idea to talk with your doctor about prescription ED medication for treating erectile dysfunction. These drugs can help eliminate the symptoms of erectile dysfunction while you work to lower your blood pressure naturally.

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If Your Medicine Causes Erectile Dysfunction

Tell your doctor if you think blood pressure medicine may be causing erectile dysfunction.

If it is medication, and not just high blood pressure, switching to another prescription may solve the problem. Never stop taking medicine without your doctor’s OK.

But high blood pressure itself still could be to blame for your erectile dysfunction. In that case, ask about trying an erectile dysfunction drug like Cialis, Levitra, Stendra, Staxyn, or Viagra.

You should only take these drugs once your high blood pressure is under control. They are not safe for men with untreated high blood pressure. They are also not safe for men taking alpha-blockers, or men taking nitrate drugs for heart disease.

Show Sources

SOURCES: American Urological Association, “AUA Guideline on the Management of Erectile Dysfunction: Diagnosis and Treatment Recommendations.” Barksdale, J. Pharmacotherapy, May 1999 vol 19: pp 573-581. Ferrario, C. Journal of Clinical Hypertension, November/December 2002 vol 4: pp 424-432. Fogari, R. American Journal of Hypertension, January 2001 vol. 14: pp 27-31. Grimm, R. Hypertension, January 1997 vol 29: pp 8-14. Llisteri, J. American Journal of the Medical Sciences, May 2001 vol. 321: pp 336-341. WebMD Medical Reference provided in collaboration with The Cleveland Clinic: “Hypertension: Treatment With ACE Inhibitors.”

Causes Of Erectile Dysfunction

Poor Ability to Maintain Erections
  • Physical causes are the main reasons for ED. They include atherosclerosis , high blood pressure, diabetes, neurological disorders, medication side effects, prostate surgery, radiation treatment to the pelvis, and other health conditions.
  • Psychological causes of ED include anxiety, depression, stress, and problems in relationships.
  • Lifestyle factors that increase risk for ED include smoking, alcohol use, illicit drug use and other substance abuse.

Phosphodiesterase-5 Inhibitors

  • Penile implants
  • Vascular surgical procedures

It is very important to treat any underlying health conditions that may be causing ED. It is also important to engage in healthy lifestyle behaviors by eating right, staying physically active, reducing stress, and stopping smoking and substance abuse.

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Blood Pressure Medication And Ed

Some blood pressure drugs are more likely to lead to ED than others. If you learn which high blood pressure drugs are more likely to cause erectile dysfunction as a side effect, then you can talk with your doctor about them. This will help you get treatment that is best for you both in and out of the bedroom.

High Blood Pressure And Blood Flow

Normal, unobstructed blood flow is the key to healthy erections. When you feel aroused, your body increases the level of blood flow to tissue inside the penis, filling the corpora cavernosa and giving you an erection.

High blood pressure can make this more difficult by damaging blood vessels. Hypertension is closely linked to narrowed, ruptured or otherwise damaged blood vessels — an issue that can negatively affect blood flow and even potentially increase your risk of having a stroke or heart attack.

Damaged blood vessels result in weaker, less consistent blood flow throughout your body — a condition that makes developing an erection much more difficult.

When there isnt enough blood flow to fill the corpora cavernosa, you might have trouble with getting and maintaining an erection. Sometimes, high blood pressure might not produce total ED — instead, you might notice slightly weaker erections that are harder to maintain.

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Can High Blood Pressure Affect Erectile Dysfunction Know About High Blood Pressure And Erectile Dysfunction

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There are a number of medical conditions that lead to erectile dysfunction in men, and one such condition is High Blood Pressure.

Medications for High blood pressure and erectile dysfunction are two common things if a man is suffering from hypertension. Few high blood pressure medications also lead to certain adverse effects.

What is High Blood Pressure?

If the readings of blood pressure are consistently 140 over 90, or higher, for more than weeks then it is said to be High Blood Pressure or Hypertension.

Even, if one of the numbers is over the normal range for few weeks then it is known as HBP. The high blood pressure puts a strain on your heart & blood vessels, which increases the risk of a heart attack and many other chronic ailments.

Causes of High Blood Pressure

The exact cause of High blood pressure is unknown however, the following are the risks of Hypertension:

  • Consumption of too muchsalt

  • Insufficient intake offruits and vegetables

  • Lack of activeness

  • Consumption of too much alcohol.

Complications of High Blood Pressure

High blood pressure leads to:

  • Sexual dysfunction or erectile dysfunction in men

  • Lower libido in women Stroke

  • Kidney failure

  • Peripheral artery disease

How High Blood Pressure Leads to Erectile Dysfunction

What is erectile dysfunction ?

  • Lack of interest in sex

  • Delayed or absent ejaculation

What causes an erection?

What are the symptoms of Erectile Dysfunction?

The following are the symptoms of Erectile Dysfunction

High Blood Pressure And Erectile Dysfunction

How High Blood Pressure Affects Erectile Dysfunction? | Dr. Vasan SS – Manipal Hospital

High blood pressure, also known as hypertension, is one of the most common medical conditions, and affects nearly one in every four American adults. It is also very closely linked with erectile dysfunction as blood pressure and blood flow are both very important with developing and maintaining erections.

Bringing your blood pressure into a more healthy and optimal range is not only good for your overall health, but is also a good way to reduce the risk of experiencing erection issues and improving your sexual health.

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Can You Take Erectile Dysfunction Meds With High Blood Pressure

So, what happens if you have both high blood pressure and erectile dysfunction? Are you able to take erectile dysfunction medications to help improve your sex life? Its best to talk to one of our treatment providers about your specific circumstances and find a treatment plan suited for your needs.

In some cases, you may be able to use ED therapies if you have high blood pressure. However, its crucial to talk to your provider about your health and other medications youre taking. For instance, if you use certain high blood pressure medications, such as alpha blockers and nitrates, you shouldnt take certain ED drugs like sildenafil or tadalafil, as mixing the medicines can lead to life-threatening low blood pressure. In these cases, you can work with your doctor to determine a course of action based on your needs. For instance, you may be able to switch to different blood pressure medications or you might be able to use other ED therapies, like TriMix injections. Our healthcare providers can work with you to help find customized treatment solutions for your symptoms.

How To Lower Your Blood Pressure

If you have high blood pressure, the best thing you can do is talk to your doctor about how you can safely and sustainably reduce it. Your doctor might recommend making changes to your lifestyle, or they may recommend using medication to regulate your blood pressure.

Often, high blood pressure is caused by several factors at once. Below, weve listed some of the most effective steps you can take to naturally lower your blood pressure and reduce your risk of experiencing blood pressure-induced ED:

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Angiotensin Ii Receptor Blockers And Erectile Dysfunction

Studies have shown that angiotensin receptor blockers either have no significant negative effects or in some cases, beneficial effects on erectile function.

ARBs are a group of drugs used to treat high blood pressure and heart failure. These medications work by blocking the action of a chemical which narrows the blood vessels. As a result, blood vessels widen, increasing blood flow and lowering blood pressure. In some people, this effect also improves erectile function.

Some common ARBs taken for high blood pressure include:

  • Edarbi
  • Diovan

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