Problem related to occasion ed since april 2023. Hi I suffered from hepatitis a onset in december 2022. It took 2 months to bring down liver enzymes like sgpt and sgot from 2100 & 1200 to less than 50. Sex life was okay till march 2023. I started taking telma h which is a diuretic in april. I felt occasional ed and low sex drive april onwards. I had sex many a time during this period but occasional ed happened and so my confidence level went down. My hba1c is 6.3 since april. Before april it was normal. Rbc & heamocrit little low than normal range since april. Before that it was normal. Can you advise, what is happening wrong?

Dr. M S HaqueSexologist38yrs exp

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Taking medication, such as telma h (which contains telmisartan and hydrochlorothiazide), can sometimes lead to side effects. While not everyone experiences the same side effects, some individuals may experience sexual dysfunction, including erectile dysfunction (ed) and a decrease in libido. If you have noticed a correlation between starting telma h in april and the onset of occasional ed and low sex drive, it may be worth discussing these concerns with your healthcare provider. They can evaluate your specific situation, including any underlying health conditions, medication interactions, and potential alternatives to address your blood pressure management while minimizing the impact on sexual function. It's important to remember that ed can have various causes, and it may not be solely attributed to your medication. Psychological factors, stress, anxiety, and lifestyle choices can also contribute to sexual issues. Your healthcare provider will be able to assess your overall health and provide appropriate guidance and recommendations. 

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