ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Hypertension medications and erectile dysfunction
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="madman" data-source="post: 180670" data-attributes="member: 13851"><p><em><span style="color: rgb(184, 49, 47)">Sexual health is an integral part of overall health, and an active and healthy sexual life is an essential aspect of a good life quality. Cardiovascular disease and sexual health share common risk factors (arterial hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking) and common mediating mechanisms (endothelial dysfunction, subclinical inflammation, and atherosclerosis).</span></em> This generated a shift of thinking about the pathophysiology and subsequently the management of sexual dysfunction. The introduction of phosphodiesterase type 5 inhibitors revolutionized the management of sexual dysfunction in men. <span style="color: rgb(0, 0, 0)">This article will focus on erectile dysfunction and its association with arterial hypertension. This update of the position paper was created by the Working Group on Sexual Dysfunction and Arterial Hypertension of the European Society of Hypertension. This working group has been very active during the last years in promoting the familiarization of hypertension specialists and related physicians with erectile dysfunction, through numerous lectures in national and international meetings, a position paper, newsletters, guidelines, and a book specifically addressing erectile dysfunction in hypertensive patients.</span> It was noted that erectile dysfunction precedes the development of coronary artery disease. The artery size hypothesis has been proposed as a potential explanation for this observation. This hypothesis seeks to explain the differing manifestation of the same vascular condition, based on the size of the vessels. <em><span style="color: rgb(184, 49, 47)">Clinical presentations of the atherosclerotic and/or endothelium disease in the penile arteries might precede the corresponding manifestations from larger arteries. Treated hypertensive patients are more likely to have sexual dysfunction compared with untreated ones, suggesting a detrimental role of antihypertensive treatment on erectile function. The occurrence of erectile dysfunction seems to be related to undesirable effects of antihypertensive drugs on the penile tissue. <strong>Available information points toward divergent effects of antihypertensive drugs on erectile function, with diuretics and beta-blockers possessing the worst profile </strong></span><span style="color: rgb(0, 0, 0)"><strong>and angiotensin receptor blockers and nebivolol the best profile. </strong></span></em></p><p></p><p>[ATTACH=full]41627[/ATTACH]</p><p></p><p><strong>CONCLUSION </strong></p><p></p><p><em><strong><span style="color: rgb(184, 49, 47)">Assessment of sexual function should be part of routine history taking by all physicians treating patients with arterial hypertension, not only as a part of a holistic approach of the patient but in the effort to pursue significant and tangible benefits.</span></strong></em> The essential first step for the treating physician is to initiate the discussion about sexual function and function to engage in an open dialogue with the patient and the sexual partner. In this, the patient (couple) shall be informed about the magnitude of the problem and ensured that effective and safe treatment is available. Finally, a realistic plan in co-operation with the couple in terms of shared-decision making should be developed.</p></blockquote><p></p>
[QUOTE="madman, post: 180670, member: 13851"] [I][COLOR=rgb(184, 49, 47)]Sexual health is an integral part of overall health, and an active and healthy sexual life is an essential aspect of a good life quality. Cardiovascular disease and sexual health share common risk factors (arterial hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking) and common mediating mechanisms (endothelial dysfunction, subclinical inflammation, and atherosclerosis).[/COLOR][/I] This generated a shift of thinking about the pathophysiology and subsequently the management of sexual dysfunction. The introduction of phosphodiesterase type 5 inhibitors revolutionized the management of sexual dysfunction in men. [COLOR=rgb(0, 0, 0)]This article will focus on erectile dysfunction and its association with arterial hypertension. This update of the position paper was created by the Working Group on Sexual Dysfunction and Arterial Hypertension of the European Society of Hypertension. This working group has been very active during the last years in promoting the familiarization of hypertension specialists and related physicians with erectile dysfunction, through numerous lectures in national and international meetings, a position paper, newsletters, guidelines, and a book specifically addressing erectile dysfunction in hypertensive patients.[/COLOR] It was noted that erectile dysfunction precedes the development of coronary artery disease. The artery size hypothesis has been proposed as a potential explanation for this observation. This hypothesis seeks to explain the differing manifestation of the same vascular condition, based on the size of the vessels. [I][COLOR=rgb(184, 49, 47)]Clinical presentations of the atherosclerotic and/or endothelium disease in the penile arteries might precede the corresponding manifestations from larger arteries. Treated hypertensive patients are more likely to have sexual dysfunction compared with untreated ones, suggesting a detrimental role of antihypertensive treatment on erectile function. The occurrence of erectile dysfunction seems to be related to undesirable effects of antihypertensive drugs on the penile tissue. [B]Available information points toward divergent effects of antihypertensive drugs on erectile function, with diuretics and beta-blockers possessing the worst profile [/B][/COLOR][COLOR=rgb(0, 0, 0)][B]and angiotensin receptor blockers and nebivolol the best profile. [/B][/COLOR][/I] [ATTACH type="full"]41627[/ATTACH] [B]CONCLUSION [/B] [I][B][COLOR=rgb(184, 49, 47)]Assessment of sexual function should be part of routine history taking by all physicians treating patients with arterial hypertension, not only as a part of a holistic approach of the patient but in the effort to pursue significant and tangible benefits.[/COLOR][/B][/I] The essential first step for the treating physician is to initiate the discussion about sexual function and function to engage in an open dialogue with the patient and the sexual partner. In this, the patient (couple) shall be informed about the magnitude of the problem and ensured that effective and safe treatment is available. Finally, a realistic plan in co-operation with the couple in terms of shared-decision making should be developed. [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Hypertension medications and erectile dysfunction
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top