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Although
it seems unlikely that blood pressure and premature ejaculation
could be linked, they actually affect one another directly on many
levels. Blood pressure abnormalities, such as hypertension (high
blood pressure), can seriously contribute to weak erections and
premature ejaculation. In addition, the stress and anxiety that
comes with high blood pressure can make sex extremely difficult
and make ejaculation control nearly impossible. Current traditional
blood-pressure medication simply resolve blood pressure problems,
but does not remedy the sexual difficulties that often times go
hand in hand with the illness.
NOTE:
< means less than; >= means greater
than or equal to.
Source: National Heart, Lung, and Blood Institute.
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Sometimes there are no symptoms; but
if they occur, they may include headaches, difficulty in breathing,
low energy, indisposition, blurred vision, weight gain, increased
heart rate, or a feeling of dizziness and nausea. Most men suffer
from impotency and/or premature ejaculation due to hypertension.
Hypertension is called the "silent killer" because it
often reveals very few symptoms, yet has a devastating effect on
a man’s sexual performance. Plus, because of the lack of symptoms,
many men are left without answers and very few clues as to what
the problem could be.
A Cause for Panic
There are many causes for high blood pressure, as there are many
causes for premature ejaculation. What most people don’t know
is many blood-pressure-lowering medicines, such as anti-hypertensive
medication, can be the culprit in causing premature ejaculation
and loss of ejaculation control. This is due to the fact many of
the medications treat blood pressure by smoothing muscles and blood
vessels, including those that can be found in the penis. While this
would appear to be a side effect that could be avoided, in truth
it is one of the many ways the medications directly treat blood
pressure and there is no way around it while taking the medication.
The following table lists medicines that have had sexual side effects
and/or direct effects on people’s sexual health. It is important
to remember that not everyone experiences side effects with medicines.
If you are worried your medication might be affecting your sexual
function, or already started noticing negative effects, you should
discuss these problems with your doctor.
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ACE
inhibitors (e.g. enalapril, lisinopril)
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Heart
failure, high blood pressure
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Alpha
blockers (e.g. prazosin, doxazosin)
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High
blood pressure, enlarged prostate
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Beta
blockers (e.g. atenolol, propranolol and
including timolol eye drops)
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High
blood pressure, angina Glaucoma
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Calcium
channel blockers (e.g. verapamil, nifedipine)
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High
blood pressure, angina
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Impotence,
Decreased sex drive, Ejaculation failure,
or Delayed ejaculation
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Impotence,
Decreased sex drive, Ejaculation failure
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Thiazide
diuretics (e.g. bendrofluazide)
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Impotence,
Decreased sex drive, Ejaculatory disturbances
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References:
Drug-induced sexual dysfunction and infertility. Pharmaceutical
Journal 1999; 262(7047): 780-784. Impotence and lipid lowering
drugs. Pharmaceutical Journal 2000; 264 (7089): 460. Wagner
G, Saenz de Tejada I. Update on male erectile dysfunction.
BMJ 1998; 316: 678-682. |
Risky
Business
Like many things in life, blood pressure can affect different people
for many different reasons. It truly is a mixture of luck and lifestyle,
because you never know how a body will react to outer and inner
circumstances. While some people have low pressure by nature, others
are predisposed to dangerously high levels of blood pressure. Here
are some risk factors for people who have suffered from premature
ejaculation or other sexual problems associated with high blood
pressure:
• Age
• Alcohol
• Anxiety and
depression
• Diet
• Gender
• Genetics and
race
• Level of activity
• Weight
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