Hypertension can affect erections either by the changes it causes in the blood vessels, or by the medications used for treatment. Hypertension causes the arteries to lose their elasticity, and they therefore cannot accommodate the onrush of blood needed for erection. Hypertension may affect the veins, allowing the blood that does rush into the penis to exit just as quickly. The effects of hypertension on erectile function are cumulative over time and may occur even before a man knows he has hypertension. So it can be a combination of both. It sure is something you can discuss with your doctor. You may want to see a Urologist as well to see what your options are. They can work with you and the doctor that is controlling your BP as well.
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