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Management of Erectile Dysfunction: An Under-Recognition of Hypertension
Gokhan Koroglu1, Ecem Kaya-Sezginer1, Didem Yilmaz-Oral1,2
1Department of Biochemistry and Pharmacology, Faculty of Pharmacy, Ankara University, Ankara, Turkey.
Insights
Hypertension can cause erectile dysfunction (ED) through high blood pressure or medication side effects. Understanding these links may lead to new treatments for improving men's quality of life.
Area of Science:
- Cardiovascular Medicine
- Urology
- Pharmacology
Background:
- Erectile dysfunction (ED) impacts 30 million US men, reducing quality of life.
- Thirty percent of men with hypertension experience ED.
Purpose of the Study:
- To review the relationship between hypertension and ED.
- To explore hypertension-induced ED mechanisms.
- To examine the effects of antihypertensive medications on ED.
Main Methods:
- Literature search of PubMed records from January 2000 to June 2018.
Main Results:
- Hypertension can directly cause ED or result from antihypertensive treatments.
- Endothelial dysfunction is a shared mechanism in both hypertension and ED.
- Phosphodiesterase (PDE)-5 inhibitors for ED may improve blood pressure.
Conclusions:
- Understanding shared mechanisms is crucial for novel therapeutic strategies.
- Research into antihypertensive drugs impacting ED can improve patient quality of life.
Background:
Erectile dysfunction (ED) affects 30 million men in the US with a decrease in quality of life. Thirty percent of hypertensive men suffer from ED.
Objective:
This review will debate the interplay between hypertension and ED, discovering novel insights concerning hypertension-linked ED, as well as the influence of antihypertensive medications on patients with ED.
Method:
Total number of records screened from PubMed yielded by the search which performed from January 2000 - June 2018.
Results:
Hypertension can cause ED as a consequence of high blood pressure or antihypertensive treatment. Both hypertension and ED have endothelial dysfunction as a common base mechanism, which can lead to an increase in vascular smooth muscle contraction. Also, some phosphodiesterase (PDE)-5 inhibitors used to treat ED can recover blood pressure.
Conclusion:
Understanding of common mechanisms involved in ED accompanied with hypertension and the research on antihypertensive drugs that impact ED will bring important approaches for identifying novel therapeutic strategies that will improve quality of life in patients with these conditions.
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