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BBs work by blunting and even shutting off the Adrenaline response, and adrenaline is a vaso dialator. So if you cant get aroused and can't get increased blood flow...notorious for these sexual sides in men. I gave up my BB personally. I was using 25mg Metoprolol XL and didn't really notice negative sides at that very low dose, but I do with 50mg. So I stopped taking it. My Cardiologist knows of a drug but is only approved for congestive heart failure (insurance wont pay) but can drop your heart rate without as he says, killing your "mojo".