Post Date December, 03 2023
There are two reasons for erectile dysfunction in hypertensive patients: one is psychogenic, that is, mental stress caused by hypertension patients' high blood pressure, and the other is organic, that is, arteriosclerosis causes the reduction of vascular function of reproductive organs.
When having sex, people are not only engaged in physical activities, but also include mental activities such as excitement and fear. Therefore, with the increase of heart rate, the increase of cardiac output per minute, and the increase of sympathetic nervous system excitability, both systolic and diastolic blood pressure will increase. However, because the duration of blood pressure rise during sexual life is not long, it will not have adverse effects on the body function of normal people. However, for patients with hypertension, this transient increase in blood pressure may be a fatal blow, especially for elderly people and hypertensive patients with cardiac insufficiency. Common symptoms include cerebrovascular accident, pulmonary edema, arrhythmia, angina pectoris, etc.
Experts said that when treating hypertensive patients with erectile dysfunction, detailed medical history records and comprehensive physical examination are crucial to determine the cause of erectile dysfunction. It is also necessary to know the patient's medication history in detail, which will help doctors to choose the right drugs when treating patients.
As the direct cause of erectile dysfunction is hypertension, the primary task in treatment is naturally to reduce blood pressure, stabilize the development of hypertension, maintain the normal level of blood pressure, and facilitate the normal sexual life of patients. However, the basic blood pressure of daily life can not really reflect the change level of blood pressure during sexual life, so the disease examination should include exercise test and comprehensive evaluation of the change level of blood pressure if the concentration is high.
In order to prevent the occurrence of psychogenic erectile dysfunction, it is necessary for doctors to consult and guide the patients with hypertension, and tell them to lose weight, reduce salt intake, and avoid smoking and alcohol. Patients with hypertension do not need to strictly prohibit sexual life, as long as the following points are achieved, sexual life is safe. (1) Avoid intense sexual life, and the duration of sexual life should be appropriate and not prolonged. (2) Don't have sex immediately after eating, so as not to aggravate the burden on the heart and prohibit sexual life after drinking. (3) If there are symptoms of cardiovascular disease, stop sexual life immediately and seek medical advice in time.
We must find out the cause of sexual dysfunction and treat it symptomatically. We should not go to see a doctor because we feel that it is OK. If you have some discomfort, please go to a professional and scientific hospital as soon as possible. Sexual dysfunction should be detected and treated early to avoid missing the best treatment opportunity.
(Intern editor: Cai Junyi)
