High blood pressure and sex: Overcoming the challenges

 High blood pressure and sex: Overcoming the challenges

High blood pressure and sex: Overcoming the challenges

Treating high blood pressure and satisfying your sexual desire can be achieved at the same time; If you are upfront about your problems and fully cooperate with your doctor.

There are usually no signs or symptoms of high blood pressure. But its effect on your ability to have intercourse may be obvious. 

Although sexual intercourse is unlikely to pose a direct threat to your health; such as having a heart attack; High blood pressure may affect the degree of sexual satiety in general.

It has been proven that there is a relationship between high blood pressure and sexual problems in men. 

As for wives who suffer from a lack of sexual satisfaction, it has not been proven so far that high blood pressure has anything to do with this.

Challenges for men

Over time, high blood pressure damages the lining of blood vessels, causing hardening and narrowing of the arteries (atherosclerotic disease) and reduced blood flow. 

This means that less blood flows to the penis. 

For some men, reduced blood flow makes it difficult to get and maintain an erection; This is often called erectile dysfunction. This problem is fairly common.

Just one episode of erectile dysfunction may cause anxiety. Fears that this will happen again may lead the husband to avoid intercourse; And then affects his relationship with his wife.

High blood pressure may be an obstacle to ejaculation and thus reduced sexual desire. Sometimes medications to treat high blood pressure have similar effects.

challenges for women

So far, there is no clear understanding of the role of high blood pressure in the occurrence of sexual problems in women. But high blood pressure can affect a woman's sex life.

High blood pressure may reduce blood flow to the vagina. For some women, this results in decreased libido or arousal, vaginal dryness, or difficulty reaching orgasm. 

Improving arousal and using emollients can be helpful. Just like men, women can experience anxiety and relationship problems due to sexual dysfunction. 

A woman should speak to her doctor if she encounters such problems.

Side effects of high blood pressure medications: sexual problems

Among the high blood pressure medications that may cause sexual dysfunction as one of the side effects are:

Water pills (diuretics): Diuretics can reduce strong blood flow to the penis, making it difficult to achieve an erection. 

They can also cause the body to deplete zinc, which is needed to produce the sex hormone testosterone.

Beta-blockers: These medications can affect the reaction of the nervous system that causes an erection. 

Beta-blockers may also make it difficult for the arteries of the penis to dilate to allow enough blood to flow through to achieve an erection.

To reduce the risk of side effects from these medications, including sexual problems, take these medications exactly as prescribed by your doctor. 

If you're still experiencing side effects, talk to your doctor about other potential medications that may have fewer side effects.

Medicines with a lower risk of sexual side effects

If sexual side effects persist, check with your doctor about other medication options. Some high blood pressure medications are less likely to cause sexual side effects, including:

Angiotensin-converting enzyme (ACE) inhibitors

Calcium channel blockers

angiotensin II receptor blockers


To help your doctor decide which medication is most appropriate for you, tell him or her about all the other medications you're currently taking. 

Including herbal supplements and over-the-counter medicines. Sometimes combination medications or nutritional supplements contribute to sexual problems.

If your doctor tells you it's OK, you may be able to stop taking your blood pressure medications temporarily to see if your sex life improves. 

To make sure your blood pressure stays within a safe range, you may need to get frequent blood pressure readings while you're not taking blood pressure-lowering medications that may be causing sexual problems. These readings can be obtained with a home blood pressure monitor.

Drugs to treat erectile dysfunction and high blood pressure

Men who are considering medications for erectile dysfunction should consult their doctor first. 

It's usually safe to combine medications used to treat erectile dysfunction, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis), with high blood pressure medications.

Taking these medications with nitrates, which are taken either regularly for chest pain or in an emergency setting, may cause dangerously low blood pressure.

Be honest with your doctor

If you suffer from high blood pressure, this does not mean that you are deprived of the fulfillment of your sexual desire. Start by talking to your doctor. 

The more information your doctor has about your condition, the better he can treat your high blood pressure; Which helps you to always have a normal sex life. You should be prepared to answer questions your doctor may ask, which may include:

What medications do you take?

Has your relationship with your wife changed recently?

Have you ever felt depressed?

Are you feeling more tired than usual?

Improve your general health

By making healthy lifestyle choices, you can lower your blood pressure and increase your chances of improving your sex life. Healthy lifestyle choices include:

Avoid smoking or using tobacco

Make sure to eat healthy foods

Reducing the amount of salt in the diet

lose excess weight

exercise regularly

Undoubtedly, a slim body can boost your confidence and help you feel more attractive in front of your wife, thus improving your sex life.

Make sure to pave the way for a normal sex life

Your response may vary Sexuality depends on your spouse's feelings and where intercourse takes place. 

To enhance the fulfillment of your sexual desire, consider intercourse when you and your partner feel relaxed. 

Explore many ways to achieve intimacy, such as a massage or soaking in a warm bath. Share with your partner the other types of sexual activity that you feel most enjoyable about. You may discover that open communication is the best way to achieve sexual gratification.

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