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Last Updated: Nov 20, 2019
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Relationship Between Hypertension And Erectile Dysfunction

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Dr. Sharmila MajumdarSexologist • 19 Years Exp.MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression, Certificate Course in Sex Therapy and Counselling, National leader, India continent
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Background

Erectile dysfunction (ED) is the most common male sexual disorder that affects all age groups and has a close association with essential hypertension.

Aim

To characterize the relation of blood pressure and ED in detail.

Methods

A cross-sectional population-based study of 45- to 70-year-old men without previously diagnosed hypertension, cardiovascular diseases, renal disease, or diabetes was conducted from 2005 to 2007 in southwestern Finland. A total of 665 men with at least one cardiovascular risk factor were studied. ED was defined by the five-item International Index of Erectile Function.

Outcomes

We found a U-shaped association between diastolic blood pressure (DBP) and prevalence of ED.

Results

The average age of the study subjects was 56 ± 6 years and 52% had ED. After adjustment for age, cohabitation status, education, fasting plasma glucose level, waist circumference, and prevalence of depressive symptoms, the curve relating DBP to the prevalence of ED was U-shaped with a nadir of DBP 90 mm Hg.

Clinical Implications

Our findings emphasize the importance of blood pressure measurement in the physical examination of men with ED.

Strengths and Limitations

This was a cross-sectional study, which prevents the evaluation of causality between ED and hypertension. However, this community-based study population is well defined and the anthropologic measurements were made by trained medical staff.

Conclusion

We found a U-shaped correlation between ED and DBP, which confirms the link between ED and hypertension.

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