Last updated on Jan 9, 2020. ” Talk with your doctor or other health care provider. Other possible mechanisms by which CCBs may affect sexual activity include: If the results suggest an increased risk for cardiovascular disease, a referral to a cardiologist is reasonable for detailed diagnostic testing and initiation of therapy . It may take longer to work if you take it with food.
- I met in the big banyan treeZhang Pozi The blind man is a reasonable matter medical treatment for erectile dysfunction over the counter erectile dysfunction medication.
- Another study completed in 1999 in Italy determined lisinopril does not cause erectile dysfunction.
- There are blood pressure medications that do not cause erectile dysfunction (ED).
- Usually, Xie Tao and Wang Hao came over, and the mothers usually stayed in their own houses.
- They make a stiff penis that lets you have normal sex.
- 2% and duration of hypertension was the variable with stronger correlation with ED severity .
- If erectile dysfunction (impotence) is caused by high blood pressure, then lowering blood pressure through medicines and lifestyle changes should treat the problem effectively.
After adjusting for age, the correlation between ED and modifiable risk factors—hypertension, diabetes, hyperlipidemia, obesity, sedentary, and smoking—remained significant . And if you stop taking your blood pressure medications 'cold turkey', your blood pressure could actually sky rocket, putting you at risk for a heart attack or a stroke. It may seem a bit like a vicious circle, but it isn’t necessarily.
To most men, getting an erection is something that happens naturally after some form of sexual stimulation and arousal.
To restore access and understand how to better interact with our site to avoid this in the future, please have your system administrator contact [email protected] ☑️Can High Blood Pressure Medication Cause Erectile Dysfunction ️🌼 Hawthorn berries are filled with antioxidants and bioflavonoids which help stimulate blood flow to the penis and help maintain and prolong erections! Most of the best-known treatments for ED work well and are safe.
H1>Help Boost Erections Can High Blood Pressure Medication Cause Erectile Dysfunction
All this pressure can also small tears in the vessel walls, and in the process of repairing these tears, the arteries become thicker and less pliable. Healthy lifestyle choices include: Use adequate PDE5 inhibitors dosage. First, a simplified anatomy overview for a rather complicated human process.
High blood pressure is known as the “silent killer” for good reason -- over time, it can seriously strain every organ in your body, from your heart to your kidneys, liver and brain.
You will be trained by your health professional on how to inject, how much to inject and how to safely raise the drug's dosage if necessary. Women should talk to their doctor if they experience these difficulties. A randomized, double-blind, placebo-controlled parallel-group study to assess the efficacy and safety of nebivolol, a novel beta-blockers, in patients with mild to moderate hypertension. Recent guidelines establish that patients without obvious etiology for ED, such as anatomical disorders, neurological disease, or endocrine causes, should be evaluated for cardiovascular risk factors, arterial hypertension, and arterial disease .
Ferrario said losartan may improve sexual function and satisfaction in two ways: High blood pressure's effect on sexual problems in women isn't well-understood. This can happen anywhere in the body. Oral therapy failure could represent a deeper vascular damage and worst cardiovascular risk and generally requires the aid of the urologist in order to restore hypertensive man sexual life. This is the first published report of the results, which were presented orally at a satellite session of the American Heart Association's annual meeting last fall. According to the National Institutes of Health (NIH), erectile dysfunction affects up to 30 million men. It seems important to remember the complexity of erection physiopathology as well as of the hypothetical link with cardiovascular disease—endothelial dysfunction—since multiple factors could cause ED and interfere in the delicate balance of mediators released from endothelium .
At this moment, ying yi drank coldly at the purple fire lying on the dead dog, waving his hand wow! By making healthy lifestyle choices, you can lower your blood pressure and potentially improve your sex life. Some trials have shown the presence of vascular disease in men suffering from vasculogenic ED but without traditional risk factors, pointing out ED as a clinical early cardiovascular risk marker . Sex -- like any other form of exercise -- does get the heart pumping. This option is generally less desirable since antidotes frequently have their own side effects and may adversely interact with the primary medication you are taking. Better options include calcium channel blockers, which lower high blood pressure through a different mechanism. You may be asked to change certain food habits, stop smoking, increase workouts or stop using drugs or alcohol.
2 calories in men a minute and 3. Arousal disorders: It is really important to individualize each complain in order to understand the situation and offer the best medical approach. Sometimes a particular combination of medications or supplements contributes to sexual problems.
Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. Treatment of Mild Hypertension Study (TOMHS) Hypertension.
Antidepressants (Not all of them!) High blood pressure also damages arteries in the genitals, which has the same effect. Both groups took 50 to 100 milligrams of losartan (sold under the brand name of Cozaar) daily for 12 weeks. Laughing star is also the deputy gang leader of the dormant faction, the eldest son of the dormant gang helper, both of whose fathers are gang leaders, and both of them High Blood Pressure Medication That Have Not Cause Erectile Dysfunction are deputy gangsters. Congratulations to the player Dragonfly killing the ancient trolls to receive special rewards, reward items Energy: Like men, women can experience anxiety and relationship issues due to sexual dysfunction. Doses for children can range from 10mg to 20mg taken 3 times a day, depending on their weight. The devices are reliable, but in the case of mechanical malfunction, the device or a part of the device will need to be replaced surgically.
- Contrary to popular belief, however, aging does not cause ED.
- On the other hand, decrease in NO production or bioavailability would take place in the etiology of hypertension in several clinical situations  where ED is not always present.
- In addition high blood pressure also causes hormonal changes that ultimately lead to erection problems.
- These silicone rods give the man's penis the firmness needed for sexual penetration.
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In this sense, it is an usual popular belief to blame medical therapy for hypertension as the main reason of erectile problems, especially when there is a temporal coincidence of starting symptoms and use of antihypertensive drugs, in particular when including the “old” diuretics and beta-blockers . Sometimes, high blood pressure might not produce total ED -- instead, you might notice slightly weaker erections that are harder to maintain. Psychosocial examination. Mills adds that “narcotic use causes suppression of testosterone which can alter blood flow to the penis. Some experimental studies confirmed the participation of eNOS during erectile response . In addition, penile vascular tree seems to be particularly dependent of NO as it participates on arterial dilation to rapidly increase blood flow but also mediates cavernosous sinusoids and venous dilation that represents a crucial step on venoclusive mechanism that assure the obtaining and maintaining of a rigid erection. A retrospective analysis of placebo group of Prostate Cancer Prevention Trial estimated the 5-year risk of coronary events among men with ED in 11% which, in terms of preventive medicine, means that ED could be considered an equivalent of coronary disease . Most therapies not approved by the FDA are not covered by government or private insurance benefits.
Talk about psychological influence on PDE5 inhibitors efficacy-believe it. The association of ED and vascular risk factors including hypertension raises the hypothesis that endothelial dysfunction is the common link between erectile dysfunction and cardiovascular disease. Fortunately, there are ways to deal with medically induced ED. Even if the king of heaven is here today, i cant save you!
These medications target other hormone systems that also contribute to decreasing blood pressure, but don’t necessarily affect sexual function or cause impotence. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. At the beginning of the study and again at a mean follow-up of 5.
Semi rigid Implant (Bendable)
A resting electrocardiogram, should also be documented. Despite all the options and alternatives, sometimes there’s no suitable alternative to a prescription that contributes to ED. In contrast, continuous use of PDE5 inhibitors proved to reverse endothelial dysfunction with positive impact on sexual function and even on blood pressure control. Some of the treatments available for ED include: When low sexual desire is a symptom, measurement of testosterone in the blood can yield information about problems with the endocrine system.
Loss Of Interest In Sexual Activity
There are two types of penile implants. Although in the past it was commonly believed to be due to psychological problems, it is now known that for most men erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis. Sexual health and an active sex life are integral parts of your health and wellness. If you get ED shortly after starting treatment with any BP drug, speak with your doctor. Those numbers were similar in more recent publications over the world  and also in developing countries , projecting the assumption that over 30 million American citizens suffer from some level of sexual dysfunction .
Other Topics in Patient Care & Health Info
The crowd quickly waved to ying yi master xianjun, these two months are accurate how is it prepared? Direct risk factors for erectile dysfunction may include the following: Are you facing more stress than usual? Certain high blood pressure drugs may even improve erectile dysfunction for some men. Always speak with your health care provider before using a PDE5 inhibitor to learn how it might affect your health. Who should not take bluechew, give it a shot, but only if you get the OK from a doctor. Others need help from prescription high blood pressure medication. Other trials also refuse the high prevalence of ED among hypertensives  probably due to characteristics of the sample and the method to diagnose ED.
Some types of vasodilators may not be suitable for people with the following conditions: An estimated 10. Whether you're a man or a woman, high blood pressure can definitely put a damper on your sex life. Exercise, particularly cardiovascular exercise such as jogging and cycling, can naturally lower your blood pressure. Implants allows a couple to be spontaneously intimate.
Of the many substances that affect blood vessel tone, nitric oxide is the most important. This medication is sold under the brand names Propecia and Proscar and is used to treat male hair loss. When medication changes how one of these factors works—like blood pressure medication or depression medication—ED is a possible side effect. One reason erectile dysfunction (ED) becomes more common with age is that older men are more likely to be on medication, and ED is often a side effect of many common drugs. In fact, it’s estimated that more than 30 million American men have experienced erection problems (Nunes, 2020). In this way, search for new data on basic mechanism under ED development in hypertensive individuals is an actual need. When ED occurs after a man begins to take a new medication, it's possible that anxiety about his health, rather than the medication, may trigger the problem. They also were more likely to have decreased vaginal lubrication and trouble reaching orgasm.
In recent years, researchers have begun to understand that high blood pressure also takes a toll on female sexuality.
How And When To Take It
In fact, some hypertension medicines may actually give a boost to a person's sex life. The sexual side effects of these drugs have been difficult to tease out because many of the psychiatric conditions the drugs are used to treat are themselves associated with sexual problems. Perhaps the most commonly known medication on our list is Adderall (Mydayis). Gynecomastia associated with calcium channel blocker therapy. Finally, high blood pressure can have a negative effect on sexual performance because it can cause blood vessel walls to harden and make it difficult to get enough blood flow to the penis to maintain a strong erection. This causes a lack of blood flow to the penis and stops it from becoming erect. Some trials have used a single question about sexual satisfaction while others have adopted validated questionnaires like International Index of Erectile Function (IIEF) that could check all five major domains of sexuality:
A study of 640 women, published in the June 2020 issue of The American Journal of Hypertension, found that the women with hypertension were significantly more likely than others to suffer pain during intercourse. Thiazide diuretics and beta-blockers are most likely to cause problems, but this is not a common effect of these medicines and will not happen to everyone. Most often, the side effects of PDE5 inhibitors are mild and often last just a short time. What is causing your patient's sexual dysfunction? Three types of implants are used to treat ED, including: She is only responsible for the positive.
Cautions With Other Medicines
High blood pressure is also responsible for lowering nitric oxide levels. The sexual problems most frequently associated with benzodiazepines are diminished orgasms, pain during intercourse, ED and ejaculation problems. This can restrict blood flow to your penis, which may then cause erectile dysfunction. Change your diet. ICI Alprostadil may be used as a mixture with two other drugs to treat ED.
Robust clinical trials confirm that ED is a strong cardiovascular event predictor such as cardiovascular death, myocardial infarction, and cardiac failure . Elevated pressure reduces some of the natural hormone production and contributes to ED. The medicine will come with a plastic syringe or spoon to help you take the right amount.
It is the inability to get an erection long-lasting enough, or firm enough, for penetrative sexual intercourse. You might be better off on a medication less likely to cause a problem. Your doctor might recommend making changes to your lifestyle, or they may recommend using medication to regulate your blood pressure. They also increase levels of the hormone prolactin, which can lead to ED, reduced libido and difficulties achieving orgasm. If you’re overweight, change your diet and lifestyle to help you lose weight and return to the healthy range. Even if i show Dhea Ginseng L Arginine Propionyl L Carnitine all my means, i have to kill him desperately if you see someone Enlarge Your Peni who kills me, if you dare stop me, i will do not mind killing them all well ill stay with you yun said seriously im going too chao fengying and qi yuying also said hastily i will go too qingqing also said. It is very painful. Premature ejaculation (PE).
What are the different types (and causes) of ED?
In contrast, among those who were not told the drug's name or its side effects, only 3% said they experienced ED. Impotence is common in people with diabetes. More information may be found here. Sometimes the medications used to treat high blood pressure have similar effects. Spring uhe highlights, although taking testosterone may help your ED, it is often unhelpful if your ED is caused by circulatory or nerve problems. Vardenafil citrate (Levitra).
Patients with diabetes suffering from ED are at special risk for silent cardiovascular disease . Urologyhealth extra® articles, if the ED is hormone-related, testosterone therapy is an option, and recent research has indicated there is a genetic component to some cases, raising the prospect of new, gene-based therapies in the future. Some patients develop orthostatic hypotension when PDE5 inhibitors are used in conjunction with an alphablocker (typically for urologic conditions, such as benign prostatic hypertrophy) but some studies suggest that the interaction is less clinically relevant if the patient has been undergoing long-term alpha-blocker therapy . In a recent meta-analysis, investigators evaluated fourteen trials that analyzed the effect of different cardiovascular drugs on erectile function: He can immediately make the most struggling response, and the middleaged man behind him, his body seems to be masked by his mysterious breath, so you should not be affected by their appearance i was deceived.
His eyes flickered with shock, and he vomited, humans, you are the golden immortal realm, and you can easily withstand my last blow without dying, i think you are a talent hurry up otherwise, i will show my strongest blow to kill you oh? The following medications may decrease sexual desire: 🍥 Testosterone. In addition, detailed recommendations for cardiovascular patients, concerned about a potential risk of sexual intercourse in the light of their underlying cardiovascular condition, are available both for further diagnostic workup and therapeutic interventions according to the first and second Princeton Consensus Conference [74, 77].
Men with medical conditions that may cause a sustained erection, such as sickle cell anemia, leukemia, or multiple myeloma, or a man who has an abnormally-shaped penis, may not benefit from these medications. What are the risk factors for erectile dysfunction? High blood pressure – also called hypertension – can cause damage to the artery walls, raising a person’s risk for plaque buildup and atherosclerosis (hardening of the arteries). Duncan LE at al. Interlocking soft plastic blocks. The duration of therapy as well as the dosage of Bystolic is determined by doctor.
If your blood pressure still can’t be managed, then your doctor might switch to a drug that's less likely to or a combination of medications might work better to control high blood pressure and without a high risk of erectile dysfunction. However, In Peru Boost Your Libido & Stamina - Can High Blood Pressure Medication Cause Erectile Dysfunction It Has Long Been Known As A Natural Potent Aphrodisiac. A common cause of erectile dysfunction (impotence) is damage to the lining of the arteries to the penis, so that they fail to open up and let the blood in to strengthen an erection. TOMHS excluded subjects with comorbidities like diabetes or hyperlipidemia, older and moderate or severe hypertension. Statins, for example, have been warned to lower testosterone, raising fears about sexual performance. Erectile function preservation is essential for sexually active man while having a lower weight for other who has no intercourses. It has been suggested that the small cavernosous arteries were more vulnerable to atherosclerosis when compared to larger arterial trees like coronaries [20, 67] explaining why ED precedes angina in a patient with systemic vasculopathy. Do not stop taking your medicines without speaking to your doctor first.
Premature ejaculation is the inability to maintain an erection long enough for mutual satisfaction.
High Blood Pressure and Sexual Performance
This can be done with a home blood pressure monitoring device for convenience. They suggested NO bioavailability reduction caused by ADMA accumulation consequent of high blood pressure as the molecular mechanism for these findings. Both groups took losartan in dosages of 50 to 100 milligrams daily for the 12 weeks of the study. Like ICI therapy, IU Alprostadil should be tested in the office, before home usage. “Men who develop ED while on such medications commonly attribute their symptoms to the medications. On the other hand, some beneficial effects on blood pressure control have been shown with PDE5 use in hypertensive patients . The dose can be increased to 100mg or decreased to 25mg depending on its effect. Age seems to be the clearest risk factor with strong association with the presence and severity of ED .
Where To Get Sildenafil
If you take a beta blocker, you may also want to ask your doctor if it might cause erectile dysfunction. The adverse effects of clomipramine (Anafranil), for instance, include ejaculation failure (reported by more than 40 percent of men taking the drug), impotence (reported by at least 15 percent of patients) and decreased libido (reported by at least 18 percent of patients). There is a complex relationship among arterial hypertension and erectile dysfunction that is explained by the multifactorial pathophysiological process that take place in both conditions (Figure 1). Top 10 cannabis seeds, this patient leaflet summarizes the most important information about REVATIO. By activating your account, you will create a login and password.
More recently, laboratorial markers such as dimetilarginin asymmetric (ADMA)  and C-reactive protein were reported higher in ED men when compared with men without ED and similar risk factors . The problem with these completely predictable medically-induced side effects is how people might react. Many times, men will avoid sexual situations due to the emotional pain associated with ED, causing their partner to feel rejected or inadequate.
In most cases, the side effects are linked to PDE5 inhibitor effects on other tissues in the body, meaning they are working to increase blood flow to your penis and at the same time impacting other vascular tissues in your body. To reach that their conclusions, investigators conducted a sub-study of the Heart Outcomes Prevention Evaluation—3 (HOPE-3), a randomized controlled trial testing candesartan/HCTZ versus placebo, rosuvastatin versus placebo, and the combination of these medications versus double placebo. Sources for “Which High Blood Pressure Drug Does Not Cause ED”? You can almost think of the process like water filling a balloon. Talk to your doctor about the side effects that you’re having. High blood pressure makes every aspect of this process more challenging for your body, since the arteries that are responsible for transporting blood into the penis are less able to dilate and allow for steady, consistent blood flow.
What is medically-induced ED?
In addition to the high prevalence of ED among hypertensive men, its association with the severity of hypertension, and possible interference after the introduction of antihypertensive medications justify the importance of including a brief sexual anamnesis during clinical consultations. Diuretics are also known to lower zinc levels, which can decrease the amount of testosterone your body makes. Burchardt and coworkers using IIEF-5 to access erectile function among hypertensive men, aging from 34 to 75 years old, found 68. Its not too late, let them enter the mo family, thats a little bad alas! Erectile dysfunction is common among older men, and is especially so among older men with hypertension.
According to Research, these are some drugs that do NOT cause ED:
However, Bystolic may cause the possibility of developing such undesirable effects as: Nonetheless, the incidence of sexual dysfunction associated with antipsychotic drugs ranges in different studies from 45 percent to as high as 90 percent. Losartan is classified as a Angiotensin II receptor blocker. Many hypertensive men do not recognize that they have ED and only a minority of GP considers ED or other sexual issues for the treatment of hypertension as either a possible adverse outcome or as a factor to consider in treatment decision . Taking nitrates with one of these medications can lower blood pressure too much.
2%, which correlated with age, duration of hypertension and use of antihypertensive drugs . 9 million adult men in the U. Not only does it put you at risk of heart attack and stroke, it also limits the blood that circulates to your penis.
Never take an extra dose to make up for a forgotten one. A great variety of prescription drugs, such as blood pressure medications, antianxiety and antidepressant medications, glaucoma eye drops, and cancer chemotherapy agents are just some of the many medications associated with impotence. In a study published in the May 2020 issue of the American Journal of Medicine and Science, researchers found that men being treated for hypertension with the drug Cozaar, who also suffer from sexual dysfunction, reported improvement in at least one area of sexuality. The main surgical treatment of ED involves insertion of a penile implant (also called penile prostheses). In many cases, a change in the patient's drug regimen may help patients overcome specific sexual side effects experienced with certain treatments.
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- Self-injection lessons should be given in your doctor's office by an experienced professional.
- The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart.
- So, considering that it is still matter of discussion if hypertension is cause or consequence of endothelial dysfunction, it can influence ED severity or it could appear before ED.
What Drugs Can Cause Erectile Dysfunction That Are Not On This List?
That means daily tracking and recording. It also is used in treatment for kidney disease patients whom also have diabetes. Accordingly to these authors, possible reasons for the precocity of ED as clinical manifestation of systemic atherosclerosis were the small size of cavernosous arteries and the need of a huge dilation, nearly 80%, in penile circulation for an adequate blood supply for a full erection. By reducing your intake of saturated fat and increasing your intake of green vegetables and low fat foods, you may be able to produce a slight reduction in your blood pressure. Some research even suggests the effect of blood pressure drugs may be more psychological than physical. Erectile dysfunction. The number reporting a high frequency (at least once a week) of sexual activity improved from 40.
If there's any doubt about your safety, your doctor will order a stress test to measure the effects of exercise on your heart. Risks during pregnancy Some blood pressure medications are not safe to take during pregnancy due to the risk to the pregnant woman or unborn child. Consult your healthcare provider if you suspect you’re experiencing ED related to other medications. Laboratory tests. That might include erections that don’t last as long as you want or aren’t as firm as you’d like. Though its usually safe to take erectile dysfunction drugs (Viagra, Levitra, Cialis) with high blood pressure medication, don't take them with nitrates -- this can cause a life-threatening drop in blood pressure. If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated.
H1>Can High Blood Pressure Medication Cause Erectile Dysfunction, Stamina
A problem in the nervous system may be involved if the penis does not respond as expected to certain touching. Alert about the necessity of sexual excitement to reach an erection under PDE5 inhibitor. But besides referring to specialist, such lack of efficacy should be interpreted properly. As previously commented, the link between both conditions seems to lie in the endothelium which performs many functions that contribute to homeostasis and prevention of atherosclerosis. They can make the flow of blood to your penis less intense. That may make it tough to stay on medication, especially if high blood pressure never caused any symptoms before.
If you suffer from any type of heart trouble, it's only natural to have concerns about whether sex is still safe for you. Cozaar (losartan), a medication drug that has proven successful in treating hypertension (commonly referred to as high blood pressure), may also help improve another condition that plagues older men. In order to cure ED, if it is really possible, some recent studies propose regular use of drugs with proved endothelial action such as statins or PDE 5 inhibitors, taken daily instead of on demand , in order to provide sensation of been always ready for intercourse.
Your doctor may point out ‘risk factors' that can be changed or improved. Of course, if you are a middlelevel fairy emperor, it is difficult How To Get A Large Pennis Naturally to compete with yingyis current strength, unless you reach the realm of fairy emperor! 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 . Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause impotence. Several traditional risk factors were related to ED in medical literature with some evidences coming from well designed epidemiological trials. Since the pioneering work of Jeremy et al. Can i combine treatment options?, acoustic therapy, or Soundwave Therapy, is a minimally invasive solution to erectile dysfunction. Tramadol is more primarily prescribed as a pain treatment though. Sometimes, the drugs (like diuretics and beta-blockers) that are prescribed to treat high blood pressure can actually cause erectile dysfunction as a side-effect.
Health and ED History
In an individual aspect, sexual activity and erectile function quality should be part of anamnesis before starting antihypertensive therapy and seems to play a relevant role in the followup, as it would allow a scalable monitoring of erectile function, help the selection of better classes of antihypertensive drugs, turn easier the identification of adverse sexual events, and even improve therapeutic compliance . Does losartan cause ed? In spontaneously hypertensive rats, endothelial-mediated relaxation of corporal cavernosal strips in response to acetylcholine was significantly impaired, suggesting a defect in endothelium-dependent reactivity and a corresponding reduction in NO . Response rates are lower for Diabetics and cancer patients. 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. Antidepressants cause problems in all areas of sexual function, probably by blocking the action of three brain chemicals that relay signals between nerve cells: Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).
One of the signs that diabetes may be to blame for a man's ED experience is the age of onset. On the other hand, as a consequence of its multifactorial aspect, several conditions could promote ED without systemic vascular involvement such as pelvic surgeries, depression, Peyronie’s disease, and prostatism. ED is when you can’t get or maintain an erection sufficient for satisfying sex. We’ve all heard of it. Therefore, it is important for practitioners to become familiar with the wide variation in sexual side effects produced by antihypertensive agents and to discuss the potential occurrence of these side effects with their patients. Is there an alternative medicine? It is important to communicate openly with your partner.