Erectile dysfunction caused by high blood pressure should be controlled before choosing medication or physical therapy after further examination in the urology department.
Hypertension is defined as 3 measurements of blood pressure higher than normal without the use of antihypertensive medication, i.e. systolic blood pressure higher than 140 mmHg and/or diastolic blood pressure higher than 90 mmHg, and the 3 measurements are not taken on the same day. Hypertension affects small arteries throughout the body, triggering narrowing of the lumen while accelerating atherosclerosis.
When high blood pressure affects the penile arteries, which are narrowed, the arteries become less congested during erection and blood flow slows down, leading to a weak erection. This situation needs to first go to the cardiology department to standardize the diagnosis and treatment of high blood pressure, and control the blood pressure at a reasonable level. Then go to the urology department to check the androgen level, penile arterial vascular and blood flow, and choose the appropriate medication or physical therapy.
Some antihypertensive drugs such as calcium antagonist nifedipine can also cause erectile dysfunction, which can be replaced with other antihypertensive drugs under the guidance of a doctor.