Impotence generally refers to erectile dysfunction. The common causes of erectile dysfunction in hypertensive patients are taking anti-hypertensive drugs, long-term high blood pressure resulting in damage to the walls of blood vessels, and the treatment of impotence caused by different reasons is different. 1. Drug-induced erectile dysfunction: some anti-hypertensive drugs such as hydrochlorothiazide and metoprolol can lead to erectile dysfunction in patients. For this kind of patients, you can consult with a professional doctor and change to other types of antihypertensive drugs such as calcium channel blockers such as amlodipine, felodipine and so on, renin angiotensin inhibitors such as captopril and so on. 2. Impotence due to damage to blood vessel walls: hypertensive patients can suffer from vascular impotence due to damage to blood vessel walls. Medication is the most important treatment, commonly used drugs are 5 phosphodiesterase inhibitors, such as sildenafil, vardenafil and so on. Patients should also actively control their blood pressure. For patients with erectile dysfunction, they should go to the relevant departments of regular hospitals as soon as possible, and be treated under the guidance of professional physicians, so as not to delay the condition and lead to adverse consequences.