Recently, a netizen said that he had high blood pressure and the cardiovascular doctor prescribed him some antihypertensive drugs. But after taking the antihypertensive drugs, the penis could not be erected for more than two months …… In fact, in male clinics, doctors encountered many cases of sexual dysfunction caused by drugs. Therefore, experts remind that when using drugs, read the instructions in detail, and if sexual dysfunction such as inactivity, delayed ejaculation, or non-ejaculation occurs after using the drugs, seek medical attention in a timely manner, and doctors can help patients change these conditions by adjusting the drugs and other measures.
Antihypertensive drugs affect sexual function in the most common clinical.
In male clinics, doctors often encounter patients with erectile dysfunction or premature ejaculation, some of which are due to medications.
Among all the drugs that cause sexual dysfunction, the most common is the antihypertensive drugs. According to statistics, 25 percent of patients taking antihypertensive drugs have erectile dysfunction and 25 percent have ejaculatory disorders (such as non-ejaculation, etc.). Zhang Yadong said that the reason why antihypertensive drugs can affect sexual function is because the drug makes the vasoconstriction and diastolic function inhibited. For example, after long-term use of the heart can be due to block the beta-adrenergic nerve activity and make the penile cavernous vasoconstriction, blood flow is reduced, and eventually lead to ED; and lisinopril, etc. will destroy the nerve axons in a certain type of substance, so that the patient depressed state, and then affect the patient’s sexual needs or erection difficulties; guanethidine directly against the role of sympathetic nerves, so often lead to ED or ejaculation difficulties; coleslaw On the one hand, it has an anti-sympathetic effect, and on the other hand, it can cause a depressive state, so it can easily lead to sexual dysfunction.
Drug-induced dyspareunia, can adjust the medication.
Usually drug-induced sexual dysfunction occurs one after the other in time. However, because the clinical diagnosis of ED is complex, it is necessary to assess the patient’s nocturnal erection status, to do color ultrasound of the penis and to draw blood to check the level of sex hormones, etc., to exclude other factors caused by sexual dysfunction.
Once it is determined that the sexual dysfunction is due to medication, the patient can change or stop the medication as prescribed by the doctor to improve the situation. And if the medication has not been used for a long time, sexual function will mostly be restored after stopping the medication. For example, if ED symptoms occur in hypertensive patients after taking antihypertensive drugs, you can follow medical advice to take some antihypertensive drugs that do not affect sexual function, and add some drugs that enhance sexual function. Through these methods, the ED symptoms of some hypertensive patients can generally be corrected.
It is worth reminding that some people are not satisfied with the recovery of sexual function after changing or stopping medication, and they do not feel firm enough by themselves. They can go to the male clinic and use some drugs to improve blood vessel function and neurotransmitter secretion and improve blood supply to the penis to increase sexual function.
Common drugs that affect sexual function.
1, diuretic drugs.
Diuretics cause loss of potassium in the body, decrease in blood potassium concentration, decrease in neuromuscular sensitivity and relaxation of vascular smooth muscle, which can lead to weakened penile erection.
2, sedative drugs.
Large doses of Valium directly on the limbic system of the brain has a specific effect, directly reduce or enhance libido and sexual function. Valium and other muscle relaxation, through the spinal cord efferent nerve can cause hypersexuality and impotence. This kind of drugs and Librium, barbiturates and Ambien, etc.
3, hormonal drugs.
Large doses of glucocorticoids, androgens, and anti-androgen drugs can interfere with the hypothalamic-pituitary-testicular axis, resulting in reduced gonadotropin release and testicular atrophy. These injuries are usually reversible.
4, antidepressants.
Antidepressants such as amitriptyline, chlorpromazine and doxepin can inhibit the action of alpha-adrenergic nerves, delaying and postponing the decongestion of the penile corpus cavernosum, so some people use this to treat premature ejaculation. However, the general constriction of blood vessels due to long-term mass consumption can also make the penis erectile weakness, which may eventually lead to impotence.
5, schizophrenia drugs.
Anti-psychotic drugs for schizophrenia and other diseases such as chlorpromazine, endorphin and methiodarazine have an anti-alpha-adrenergic nerve effect and can inhibit the process of penile cavernosal engorgement and ejaculation, causing impotence and ejaculation difficulties to occur in patients.
Long-term and large amounts of these drugs can lead to symptoms of sexual dysfunction such as decreased libido, erectile dysfunction and delayed ejaculation. In the process of medication, pay attention to the side effects of the drugs. If sexual dysfunction occurs, you can seek medical consultation and stop, change or carry out related treatment under the guidance of physicians. Avoid aggravating sexual dysfunction to the point where it is difficult to treat.