I'm 46 years and suffer high blood pressure for 06 yrs, im now taking safetelmi 80, nebilong h and amlodipine 10 mg, but my pressure is fluctuating btn systolic 90 and 110, shd I continue? I have lost sex drive ever since I started on this treatment, advise on which medication shd I take. Thanks mulamu.

Dr. Sajeev KumarGeneral Physician34yrs exp

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There is no rationale for erectile dysfunction by these medicines. You need to continue them and need to make sure that you have no diabetes. Erectile dysfunction (ed) is a condition in which man has trouble keeping or getting an erection. It is a common male sexual dysfunction. It becomes more common as you get older but it is not a part of ageing. Mechanism of erection an erection starts in the brain. Physical and mental stimulation is required for an erection to begin. This stimulation causes nerves in the brain to send chemical messages to nerves which are present in the penis which results in the free flow of blood into the penis. This leads to high pressure in the penis which in turn traps the blood within both corpora cavernosa and then the penis expand. This causes the penis to sustain an erection. When the inflow of blood is stopped, then it opens outflow channels and then penis becomes soft. Then an erection is said to be reversed. Causes of erectile dysfunction erection is a complex process which involves hormones, brain, emotions, muscles, nerves and blood vessels. Problem with any one of these can lead to erectile dysfunction. Sometimes stress and mental health can also lead to erectile dysfunction. Combination of physical and psychological issues can lead to erectile dysfunction. Some medicines like antidepressants can also cause this and if you are taking any medication you have to discuss with your treating doctor to change or stop medicine if possible physical causes of ed ?heart disease, high blood pressure, high cholesterol. ?parkinson's disease, obesity, alcoholism, atherosclerosis. ?use of tobacco, surgeries that affect the pelvic area or spinal cord. ?treatments for prostate cancer. Psychological issues of ed: depression, anxiety, stress and other mental health conditions are some of the psychological issues which causes erectile dysfunction.  

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