Why do hypertensive patients suffer from impotence

Patient's question:

I have had high blood pressure for over ten years. In the past two years, my sexual life with my wife has been very poor. I have already experienced premature ejaculation, and I feel it is caused by my high blood pressure. I want to ask why high blood pressure patients suffer from premature ejaculation?

Doctor's answer:

Patients with diabetes, smoking, drug abuse, obesity, and hypertension are prone to premature ejaculation, which is primarily caused by vascular diseases. Many medications can be effective for premature ejaculation, such as many antihypertensive drugs, central nervous system inhibitors, and endocrine-related medications, which may lead to premature ejaculation. Therefore, patients must take medication under the guidance of a doctor. Maintaining normal sexual desire and erectile function requires sufficient testosterone. A deficiency in testosterone can also lead to premature ejaculation. Physical weakness and aging are significant factors contributing to premature ejaculation. There are many factors that can cause premature ejaculation, and only by identifying the cause and implementing targeted treatment can effective results be achieved.

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