Core business, the role of hypertension

High blood pressure affects nearly 10 million French. Very many men are involved. Among them, 1 in 7 suffer from due to hypertension itself or the prescription erectile dysfunction. Attention, these problems are often initially bad treatment monitoring. Only solution: overcome its reluctance and talking to his doctor.

When you’re heart, Affairs of the heart are not always easy. On the one hand, sexual failures are more common than other men, on the other hand, the fear of heart attack fears that these love stories end badly… How to share the fantasy and the reality?

High blood pressure

Hypertension and erectile dysfunction
High blood pressure (hypertension) is defined by a pressure blood pressure systolic over 14 (140 mm of mercury) or the pressure blood diastolic over 9 (90 mm of mercury). According to the latest epidemiological data established by the national Committee to combat high blood pressure, it is estimated that 10 million people are high blood pressure and that 7 million are under treatment.

Among this large population, men can have any erectile dysfunction due to their high blood pressure and/or because of the treatment that they follow. A major study epidemiological American (Massachusetts Male Aging Study) carried out in 1994 shows that erectile dysfunction concern 9.6% of 1290 men 40 to 70 years surveyed. Among treated hypertensive, this percentage was 15%, either 1 patient treated on 7.

Alteration of the arteries
Why high blood pressure promotes the occurrence of erectile dysfunction? There are two main causes:

This condition causes an alteration of the arteries, whose structure is altered due to the increase in pressure. In addition, high blood pressure promotes atherosclerosis, i.e. the thickening and hardening of artery walls. The passage of the blood in the arterial tissue is so disabled and the quality of the erection decreased;

Some treatments for high blood pressure may also have an impact on the sexuality of the patient.
Some studies3 report a fix to get and maintain an erection that is greater in hypertensive patients treated compared to the untreated. The mechanisms involved are still pretty mysterious.

What is less, this is the bad monitoring of the treatment of erection problems. Impact on the sexual life of the hypertensive patient treated even sometimes causes a discontinuation of treatment, which is not without consequences on cardiovascular fate3.

Despite these side effects, few patients would be able to overcome their reluctance and to discuss it with their doctor. “If you go beyond the psychological course express the problem, it is possible, more or less easily, to erectile dysfunction solutions. In some cases, a simple modification of the treatment can solve the difficulties; elsewhere on the contrary, it will take both to reassure the patient and possibly prescribe a treatment of the erectile dysfunction which, most often, poses little problems of interaction with the treatment hypertensive.”said Dr. Nicolas Danchin, hypertension specialist at a conference on the relationship between hypertension and erectile dysfunction. The only absolute contraindication is the association of nitrates and inhibitors of phosphodiesterase.