Treating erectile dysfunction – how important is blood pressure control?

This study investigated the effect of blood pressure (BP) control on erectile dysfunction (ED).

They found that high BP levels were associated with a greater risk of ED.

Hypertension or high blood pressure (BP) is a risk factor for erectile dysfunction (ED). ED is a condition where men cannot get or keep a firm-enough erection for sexual intercourse. It affects a large proportion of men. It can have negative physical, emotional and mental side-effects. Many studies have shown a link between hypertension and a risk of ED. The mechanism underlying this is unknown. 

One study showed that men treated with anti-hypertensive (AHT) medication have lower rates of ED. It is unclear what causes this effect. Blood pressure control is important in managing hypertension. It may also be important in reducing the risk of developing ED. It is important to understand the level of BP control that is needed to prevent ED. 

This study included 39,320 men with hypertension. Patient data were obtained from a database. They analyzed BP levels and BP control over a 3-year period. They compared this data with ED symptoms. 

13.9% of patients were diagnosed with ED. The rates of ED were lower in patients with better BP control. Some patients with good BP control did develop ED. However, it developed significantly later than patients with poorer BP control.

Patients with a wide BP range had higher ED rates. Increases in systolic BP (the first reading of BP values) was a significant predictor of ED. Other factors that predicted ED included increased age and history of diabetes. 

The authors concluded that high BP levels were associated with a greater risk of ED.

This study was based on extracted patient data. Information might have been missing. This could affect the results. 

If you have any concerns regarding BP control and ED, please consult with your physician.