What Causes Erectile Dysfunction and What Can You Do About It?

You might be better off on a medication less likely to cause a problem. “This study shows that lowering these critically important cardiac risk factors using these medications has little impact on changes in erectile function,” said lead investigator Dr. You and your healthcare provider might decide the best course of action is to try ED medication instead of switching antidepressants. Here is an overview of each category:

ED treatments: He is developing practical strategies to improve how physicians and consumers approach chronic disease treatment and prevention. Medicines that have a physical effect on the blood vessels in the penis, those that act on the brain or interfere with hormone levels (particularly testosterone) or affect the transmission of nerve messages, can all cause erectile dysfunction.

These 82 men were compared to an equal number of hypertensive men without sexual dysfunction.

The randomized, controlled trial, a substudy of the Heart Outcomes Prevention Evaluation-3 (HOPE-3) trial, focused on two medications: DISTRIBUTED BY TRIBUNE CONTENT AGENCY, LLC. Visual disturbances, ocular pain/pressure, abnormal lacrimation, tinnitus, decreased hearing, earache, taste abnormalities. Do you still need the medication(s) that you’re taking? In addition to side effects listed on the label, people also reported weight gain and hair loss after taking the drug. People taking them will never know if they prevented them having a stroke or heart attack, because it will never have happened. Also known as ED, erectile dysfunction is defined as the inability to achieve or maintain an erection firm enough for sex.

If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 800-222-1222 or through their online tool.

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However, sex-life satisfaction was similar for treatment with hydrochlorothiazide (alone or in combination with atenolol) and the more modern treatment with candesartan alone or in combination with the calcium antagonist felodipine [33]. In clinical trials worldwide, or in postmarketing experience, a variety of other AEs, in addition to those listed above, have been reported. Ask a doctor about trying Viagra today. Weiss RJ et al. In the guideline of the Heart Foundation, consensus was reached stating that ED is a predictable adverse effect of β-blockers [21]. Small testicles, lack of facial hair, and enlarged breasts (gynecomastia) can point to hormonal problems such as hypogonadism with low testosterone levels.

If you or a loved one has been prescribed one of these drugs for Alzheimer’s-related depression or agitation, talk to the doctor immediately. Erectile dysfunction archives, it might help – treatment with inactive placebos (inert substances used in evaluation of new drug treatments) works about one-third of the time in scientific studies when patients don’t know they’re getting a fake drug. Parkinson disease medicines: 8 If patients reported a normal IIEF EF domain score (26–30) at baseline, they were included in the mild group for purposes of data analyses, since ED is a self-reported condition. In a double-blind comparative study in 451 patients of both sexes, patients were allocated either to treatment with the calcium channel blocker amlodipine or with the ACE inhibitor enalapril for 50 weeks after a 4-week placebo run-in. Gainswave™ las vegas, it was 1983, in Las Vegas, at the annual meeting of the AUA [American Urological Association]. The researchers did not see any significant changes between the baseline and follow-up evaluations and concluded that the two drugs, used alone or together, did not improve or worsen erectile function.

  • The FDA has received reports of elevated liver enzymes and very rare reports of hepatitis in patients taking the drug.
  • Mean increases in serum triglycerides were observed in patients treated with bisoprolol fumarate and hydrochlorothiazide 6.
  • In a prospective observational study among 93 men it was suggested that ED following statin therapy is more likely in patients with severe endothelial dysfunction due to established cardiovascular risk factors, including age, smoking and diabetes [69].


What can my doctor do? Later studies failed to confirm a relationship with digoxin use and changes in serum hormone levels [44–46]. Unlike other beta-blockers, which are used to treat high blood pressure, nebivolol (Bystolic) does not cause erectile dysfunction as a side effect. Erectile dysfunction may be a symptom of underlying medical conditions, which if not detected may cause further medical problems. Asthma, bronchospasm, bronchitis, dyspnea, pharyngitis, rhinitis, sinusitis, URI (upper respiratory infection). 0 peripheral edema 0. For adults with high blood pressure, many blood pressure medications can decrease sexual appetite and function, and it is for this reason that many adults choose to forego taking such drugs. Click on "Free Coupon" below and sign up to get your free SingleCare pharmacy savings card.

What Is Erectile Dysfunction?

If you go out in hot weather, especially if you are exercising, avoid becoming overheated or dehydrated. To cut to the chase, both diuretics and beta blockers are good at lowering high blood pressure, but sometimes they may also come with side effects, which include erectile dysfunction. Never stop taking a medication without your doctor’s consent. Thanks for visiting! For some women, this leads to a decrease in sexual desire or arousal, vaginal dryness, or difficulty achieving orgasm. If you have high blood pressure but aren't receiving treatment -- or if your blood pressure is soaring despite treatment -- your doctor may ask you to abstain from sex or other strenuous activity until your pressure is under control. Burchardt M et al.

Patients should not take the medication when they may be pregnant. Be sure your doctor knows that you're breastfeeding before taking hydrochlorothiazide. Antipsychotics are used to treat schizophrenia, bipolar disorder and other serious psychiatric conditions. But, in a comparing study between the ACE inhibitor lisinopril and the β-blocker atenolol, lisinopril only caused a temporary decline in sexual activity. Erectile dysfunction drugs comparison chart, this condition may cause permanent impotence if not treated. After 12 weeks of treatment with the drug losartan, 88 percent of hypertensive males with sexual dysfunction reported improvement in at least one area of sexuality, said Carlos Ferrario, M. Different interactions can cause different effects.

What About Psychological Therapy For Erectile Dysfunction?

25 mg HCTZ 25mga (N=130b) (N=28b) (N=149b) (N=28b) (N=142b) Potassium Mean Changec (mEq/L) +0. Clonidine article, so both BP control and the side effect of different antihypertensive drugs should be considered to improve the patients’ adherence. Child dosage (ages 12 to 17 years) Typical starting dosage: Some high blood pressure medications are less likely to cause sexual side effects, such as: Margaret’s a 53-year-old with high blood pressure and was first treated with lisinopril seven years ago.

This drug can cause electrolyte and fluid loss, which may make you produce even less urine. It may also help treat swelling that’s caused by kidney problems. Hydrochlorothiazide is the second most commonly prescribed antihypertensive in the United States.

Diuretics, such as hydrochlorothiazide (HCTZ), can cause problems with excessive urination, although this problem often diminishes with long-term use.


For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. 3 percent to 58. Water pills (diuretics). But if your symptoms are severe, call 911 or go to the nearest emergency room right away. Atenolol on the other hand caused a chronic worsening of sexual function [17]. The potassium-sparing diuretics amiloride and triamterene do not seem to affect sexual function [35].

Bring this log with you to your doctor appointments. That needs to change, but it will be a long haul. Can jelqing improve your erections? Think of pulling your belly button into your spine. 4 chest pain 0. Speak to your healthcare provider about side effects and desired outcomes to see if you can devise a different treatment strategy that works for you. On the whole, evidence shows that statins can have a beneficial effect on erectile function because the beneficial effects seem to be more powerful than the negative effects on the testosterone level [80].

You may find that open communication is the best way to achieve sexual satisfaction. But it's possible that high blood pressure could affect a woman's sex life. Keep reading to learn more about this condition and how you can best manage it.

Promote Overall Health

Patients were asked to complete an SEP diary at the time of each sexual encounter and to complete the IIEF questionnaire at baseline after the treatment-free run-in period, and after 4, 8 and 12 weeks of treatment. Inclusion criteria and exclusion criteria were similar for all studies in this analysis. Erectile dysfunction is more commonly known as impotence. The bottom line: Both groups took 50 to 100 milligrams of losartan (sold under the brand name of Cozaar) daily for 12 weeks. As a general practitioner, I have handed out drugs to perfectly healthy people nearly every day of the 10,000 or so days of my working career.

Angiotensin converting enzyme inhibitors or ACEIs, like lisinopril, frequently cause a bothersome dry cough.

What Are Erectile Dysfunction Treatments For Men With Cardiovascular Disease?

Even a single episode of erectile dysfunction can cause anxiety. For additional information, please contact [email protected] Despite its popularity, researchers do not have a clear grasp as to how it works to lower blood pressure. 22; 95 % CI 1. For women who are breastfeeding: Kochar MS et al. In the second of our guest blogs for Men’s Health Week, Oxfordshire GP Richard Lehman looks at new evidence on blood pressure pills and has some questions answered about which may be best, but is left wondering about whether they are letting men down in the bedroom.

You've chosen to add topics from the topic group to your selected topics. Musini VM, Nazer M, Bassett K, Wright JM. This is doubly misleading, because although the drugs concerned do cause the kidneys to produce more urine at high doses, they have little effect at the doses used to lower BP. Additionally, the GAQ was asked at the end of the study ‘Has the treatment you have been taking during this study improved your erections? What to do if you miss a dose: Must be kidding. The study of 80,000 cases of skin cancer in Denmark found that the longer a person took the medication, the higher the risk was for developing SCC — up to seven times greater than if never taking the drug at all. Share with each other the types of sexual activity you enjoy most.

(5%) were reported to have hypertension. No matter how promising a new treatment may appear during tests in a laboratory, it must go through clinical trials before its benefits and risks can really be known. Women may notice vaginal dryness secondary to decreased vaginal lubrication, leading to painful intercourse. It comes with serious risks if you don’t take it as prescribed.

  • These words are enough to make any man nervous.
  • You can’t take hydrochlorothiazide if your kidneys can’t make enough urine.
  • Both drugs reduced her interest in sex.
  • 9%; at daily doses of ≥150 mg, the incidence was 52.
  • Sexual health and an active sex life are integral parts of your health and wellness.
  • Both groups took losartan in dosages of 50 to 100 milligrams daily for the 12 weeks of the study.
  • Always consult with your doctor first!

Bottom Line

Cancer is not a known side effect of valsartan, but in July 2020 manufacturers issued a valsartan recall for some batches of medication contaminated with N-nitrosodimethylamine (NDMA) — a toxic chemical known to cause cancer and death in animals. In an unfortunate twist, many drugs that are good for your heart can be hard on your sex life. Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction. 2 Blood pressure disorders NEC (high-level term). The number of men involved in the study who reported impotence dropped from 75. After a 1-month washout period off diuretic therapy, the men were randomized to a 2-month trial of a thiazide treatment or placebo. How can medicines affect sexual function? Stop taking hydrochlorothiazide as soon as you find out you're pregnant.

Drug Basics & Safety

Speak to your doctor about what options may be right for you. If you get ED shortly after starting treatment with any BP drug, speak with your doctor. Women should not take valsartan if they are pregnant. Always carry your medication with you. After reviewing 15 trials involving 35,000 subjects, Ko et al. Do not be put off seeking help. What kind of doctor should i see for erectile dysfunction? In “absolute risk,” this is a small increase of. With your doctor’s help, you can determine the best course of treatment to restore sexual function.

This means less blood is able to flow to the penis.

(1), then it was removed from the model and the between-treatment-group P-value was obtained from the reduced model. Effect of caffeine on erectile function via up‐regulating cavernous cyclic guanosine monophosphate in diabetic rats. We delved into the research on several of these, which we are sharing in a series of articles here. Although sexual activity is unlikely to pose an immediate threat to your health — such as a heart attack — high blood pressure can affect your overall satisfaction with sex. You might feel faint or dizzy.

In fact, a sexual issue may be the first symptom that raises the suspicion of underlying heart disease or peripheral artery disease. In recent years, researchers have begun to understand that high blood pressure also takes a toll on female sexuality. That is not too surprising, since ED often occurs in men who smoke or are overweight—both of which are common risk factors for high blood pressure.

The number reporting overall sexual satisfaction increased from 7.

All Thiazide Drugs Are Useful For Lowering Blood Pressure

Agranulocytosis, thrombocytopenia. Dizziness after standing up and sexual dysfunction are common across all blood pressure medications because they interfere with the body’s natural mechanisms to regulate blood flow. If you forget to take your dose, take it as soon as you remember. How they can cause sexual dysfunction: Men who fail to seek treatment for erectile dysfunction often feel as though they are alone in their suffering, but nothing could be further from the truth.

The percentage of patients responding positively to GAQ was based on the number of patients who responded to that question. It’s just the nature of drug side effects. Patients were included in the thiazide diuretic group if they took any one of the following medications: July 20, 2020.


Please sign into you HealthSavvy account. This is because they work by altering levels of chemicals in the brain. These were generally not of clinical importance and rarely resulted in discontinuation of bisoprolol fumarate. Medically induced erectile dysfunction is something you (and your healthcare provider) can fix. — — Thiazide diuretic use is associated with male sexual dysfunction but does not appear to adversely affect other aspects of quality of life. You might also want to explore switching drugs, especially if you’re older and taking one of the tricyclic antidepressants, which are considered to be potentially inappropriate drugs for older people. Hydrochlorothiazide is the generic form of the brand-name drug Microzide. Also with less blood flow sensitivity can diminish.

In fact, some hypertension medicines may actually give a boost to a person's sex life.

In that respect it differs from all the other thiazides subsequently marketed for hypertension. If you have experienced erectile issues or you have some of the risk factors mentioned above, it may be worth making a trip to your doctor’s office. Take as directed Hydrochlorothiazide is used for long-term treatment. Some of the study participants were told about the sexual side effect of the blood pressure drug, and ED was reported by almost one-third of the participants. Yes, other sexual problems in addition to erectile dysfunction can be related to the drugs used to treat high blood pressure.

Q: Is hydrochlorothiazide a blood thinner?

This study is typically performed after the injection of a chemical that causes the arteries to open up, a vasodilator (prostaglandin E1), into the corpora cavernosa in order to cause dilation of blood vessels and promote blood flow into the penis. He or she may be able to substitute for a different one. Over time, high blood pressure causes changes in the blood vessels that decrease flow to the penis and impair holding blood inside to maintain an erection. But what — exactly — happens?

How is erectile dysfunction treated?

Q: I take a water pill every day - HCTZ 25 mg. Could it be causing joint pain and achiness?

Loss of sexual desire and drive, lack of sexual fantasies, gynecomastia (enlargement of breasts), and diminished facial hair suggest low testosterone levels. If you take too much hydrochlorothiazide, your blood pressure might drop too low. If this mechanism is disrupted, it results in retrograde ejaculation, with semen flowing along the path of least resistance from the urethra up into the bladder. Sexual function in hypertensive patients receiving treatment.

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