What should be done about sexual dysfunction after the treatment of cardiac hypertrophy?

Patient's question:

I am 50 years old and have hypertrophic cardiomyopathy. Currently, it is well-controlled. Due to long-term medication, I have again experienced sexual dysfunction. How should it be treated? What should I do if sexual dysfunction occurs after treatment for myocardial hypertrophy?

Doctor's answer:

Hypertrophic cardiomyopathy is long believed to be related to autosomal dominant inheritance. Hypertrophic cardiomyopathy increases myocardial wall compliance and restricts ventricular filling. In the treatment of hypertrophic cardiomyopathy, oral beta-blockers weaken myocardial contraction force, reduce left ventricular outflow tract obstruction, stabilize left ventricular compliance, and improve left ventricular filling. However, beta-blockers have reversible side effects on cardiac function. The drug is best taken orally long-term, which helps prevent the relief of heart disease. Because this medication is reversible for sexual dysfunction, the treatment can only be gradually increased and then discontinued. You need to weigh the pros and cons.

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