What men should prevent erectile dysfunction? These men should prevent erectile dysfunction

Clinical investigation shows that about 52% of hypertension patients and 68% of diabetes patients have ED, and even many men and urologists say frankly that hypertension and diabetes patients are high-risk groups of ED; Many patients with poor disease control have ED sooner or later.

Experts and professors said that hypertension leads to hypertensive ED, mainly due to arteriosclerosis caused by hypertension, which reduces blood flow in the lower body, affects blood supply to the penis, and leads to or aggravates ED. In addition, because sex requires a certain amount of physical strength, some patients with severe or poorly controlled hypertension will feel uncomfortable during sexual life, which also aggravates the patients' anxiety about the deterioration of sexual life and the psychological barriers of occasional sexual failure, and ED will inevitably occur. Diabetes patients can not erect, and most of them also gradually appear. "Diabetes is one of the most closely related diseases of vascular and neuropathy ED," said the expert.

At the same time, some drugs for treating hypertension and diabetes may also lead to ED, and in recent years, there is an obvious growth trend. For example, methyldopa acts on central antihypertensive drugs, and its inhibitory function is proportional to the dose. If the daily dose is greater than or equal to 2 grams, 50% of male patients will have obvious sexual dysfunction

Fortunately, diabetes and hypertension complicated with ED can be treated. Experts pointed out that when male hypertensive patients appear, ED phosphodiesterase (pDE5) inhibitors are used. "At the same time of treating ED, we should first adhere to the treatment of the primary disease, control blood pressure, and control the risk factors leading to hypertension, such as weight loss, reasonable diet, and avoiding excessive emotion. If patients have ED after using antihypertensive drugs, we can consult a doctor to adjust or replace other drugs." At present, there are some drugs for treating hypertension, such as angiotensin II receptor antagonist itself can expand blood vessels, Increase the blood supply of the penis in the treatment of hypertension. The patient can consult the doctor whether he can choose this drug and treat hypertensive ED in the treatment of hypertension.

Diabetes ED also needs to first "manage" the primary lesions, including improving lifestyle, oral hypoglycemic drugs and insulin application. PDE5 inhibitor is the first-line drug for the treatment of ED in diabetes. It can significantly improve symptoms, achieve and maintain satisfactory erections. This drug has good effects on patients with poor blood sugar control and serious complications. In addition, some patients with diabetes ED can also obtain good results by using pDE5 inhibitor and oral testosterone at the same time. Experts emphasized: "Doctors have the responsibility to tell patients that the current medication for hypertension or diabetes may lead to ED. Patients should strictly control the time and dose of medication to avoid the impact of drugs on sexual function. Once the erection is not firm or cannot be erected, they should stop taking medication and consult doctors in a timely manner. Generally speaking, most of the ED caused by drugs can gradually recover after 3-6 months of drug withdrawal."