Question:
Viagra was developed as a hbp drug, and it ability to encourage
erections was discovered accidently. I assume that it does lower blood
pressure. Does that mean that men with lower blood pressure have a better
chance of regaining erectile function after RP than those with a higher
blood pressure? I had an RP on 5/1/02. One nerve was spared. I slowly
regained erectile function, first with the help of Viagra about 5 months
post and then to some extent without 9 months post. Now Viagra improves
things, but if my libido is strong enough I can do without. Those are
obviously good results, and the reason I mention them is as preliminary to
stating that I have always had low pressure. Is there a relationship? (I
am now 66)
Answer:
I don't know any more than you do about it, but I can make some guesses.
I doubt that blood pressure per se has much to do with it. But if
you have high blood pressure, you may also have other cardiovascular
problems which could lead to impotence, even without an RP. Also, some
blood pressure medications can themselves have some sexual performance
side effects, although probably not to any great degree. So if one is
concerned about impotence, one should try to keep one's blood pressure
under control by controlling weight and getting regular exercise, if
possible. If not, one should use a blood pressure reducing medication
but in choosing it, ask your doctor about possible effects on impotence.
I am in that population of those having HBP, and have been on medication for
same as long as I can remember.
There ARE certain BP meds that *DO* cause impotence.....I've been dealing
with that for years (and I'm only 52 right now). I had Robotic LRP in March
of this year, and the nerve-sparing part of this procedure was a monumental
success. However, although I did not suffer the incontinence, E.D.
continues to be a problem.
I'm convinced that the cause is the BP meds.
In answer to your question, and in my humble opinion, YES........those not
suffering from high blood pressure would probably see a faster recovery of
erectile function only from the standpoint that those WITH high blood
pressure would be prescribed medications that more often than not contribute
to "ol' Mr. Softie".
