the Link Between High Blood Pressure and Erectile Dysfunction - Cardiology

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Hypertension issues?


Last year, I suddenly experienced low libido and difficulty achieving an erection.
I went to see a doctor, and my hormone levels were normal.
I also tried traditional Chinese medicine for a while but didn't notice any improvement.
Recently, I've been having trouble breathing, which made me wonder if I might have diabetes or high blood pressure leading to erectile dysfunction.
Today, I went to the hospital for a health check-up, including cardiovascular assessments and blood pressure measurements.
To my surprise, my blood pressure was 15X over 88.
I was shocked when I saw the reading, and the nurse asked if my blood pressure had always been this high.
I told her no; my previous average was around 110 to 140, typically around 110 to 120.
Since I returned home, I've been worried that I might have high blood pressure.
I've heard that high blood pressure can lead to atherosclerosis, which in turn can cause erectile dysfunction.
Doctor, could these symptoms be related to high blood pressure? Additionally, I have experienced intermittent shortness of breath, and sometimes I can feel my heart racing strongly.

A You, 20~29 year old female. Ask Date: 2015/08/29

Dr. He Dongjin reply Cardiology


Hello, it seems that the symptoms of autonomic nervous system dysfunction caused by excessive stress have led to high blood pressure, which can result in arteriosclerosis and erectile difficulties, particularly in older adults.
High blood pressure may only become a noticeable issue after many years.
There's no need to be overly anxious.
As for whether you have high blood pressure, I cannot determine that.
However, one single measurement is not sufficient to diagnose hypertension; multiple readings that are still abnormal should be considered.
Changhua Hospital is concerned about your well-being.

Reply Date: 2015/08/29

More Info


High blood pressure, or hypertension, is a significant health concern that can lead to various complications, including erectile dysfunction (ED). Your experience of sudden changes in sexual desire and difficulties with erections, coupled with elevated blood pressure readings, raises important questions about the potential link between these issues.

Hypertension can affect erectile function through several mechanisms. First, high blood pressure can lead to damage of the blood vessels, including those supplying the penis. This damage can impair blood flow, which is crucial for achieving and maintaining an erection. The process of atherosclerosis, where arteries become narrowed and hardened due to plaque buildup, is often accelerated by hypertension. This can restrict blood flow not only to the heart but also to other areas of the body, including the penis.

Moreover, hypertension is often associated with other risk factors that can contribute to erectile dysfunction. These include diabetes, high cholesterol, and obesity. If you have concerns about diabetes, it’s essential to have your blood sugar levels checked, as diabetes can also lead to nerve damage and impaired blood flow, further complicating erectile function.

In your case, the sudden increase in blood pressure readings (e.g., 155/88 mmHg) compared to your previous averages (110-120 mmHg) is concerning. It’s important to monitor your blood pressure regularly and consult with a healthcare provider to determine the underlying cause of this change. Lifestyle factors, such as diet, exercise, and stress management, can significantly influence blood pressure levels. Incorporating regular physical activity, maintaining a healthy weight, and following a balanced diet low in sodium and rich in fruits and vegetables can help manage hypertension.

Additionally, the symptoms you describe, such as feeling like you can’t catch your breath and experiencing a rapid heartbeat, could be related to anxiety or other cardiovascular issues. It’s crucial to discuss these symptoms with your doctor, as they may warrant further evaluation, including an electrocardiogram (ECG) or echocardiogram, to assess heart function and rule out any underlying conditions.

Regarding your concerns about hormonal imbalances, while you mentioned that hormone levels were normal, it’s worth noting that testosterone levels can also be influenced by overall health, including blood pressure and metabolic health. Low testosterone can contribute to decreased libido and erectile dysfunction, so it may be beneficial to have this evaluated if symptoms persist.

In summary, there is a clear link between high blood pressure and erectile dysfunction. It’s essential to address your hypertension through lifestyle changes and possibly medication, as managing your blood pressure can improve not only your overall health but also your sexual function. Regular follow-ups with your healthcare provider are crucial to monitor your blood pressure and any related symptoms. If you continue to experience difficulties with erections or other concerning symptoms, don’t hesitate to seek further evaluation and treatment options.

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