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impotence problems

my partner takes medication for high blood pressure is it possible for him to get viagra from the doctor and is it safe for him to take
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Need to know yes or no. Someone taking Viagra, etc., that is given heart meds continue to take Viagra?
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523042 tn?1212177895
MEDICAL PROFESSIONAL
Hi Linda.

A substantial number of men who take medications for high blood pressure (hypertension) report changes in their erections. Certain physical conditions (including hypertension), medications (including some of those for blood pressure), psychological/emotional/learning factors can also contribute to erection concerns.
Viagra dilates vessels to increase the blood flow to the penis, while the blood pressure medications dilate certain vessels to lower the blood pressure. Thus, the question arises as to whether it is safe to combine these two different medications. Since they both independently dilate the blood vessels, it is conceivable that together they could lower the blood pressure too much. So Viagra is usually not recommended for men with high blood pressure. However, if he has vascular damage which is affecting erections, he should see consult his cardiologist to determine whether Viagra, Cialis, etc. are safe for him.

Unless your partner has physiological factors which inhibit erection, there are other many other avenues to explore. First of all, why does he feel he needs Viagra? Is he uninterested in sex? Viagra doesn’t create sexual interest. Is he worried about erections, or is he not having orgasms? Without knowing his situation, it's difficult for me to comment except in a general way.

Realize that men can have a multitude of sexual concerns with many possible causes. If your partner has lost interest in sex, when did this happen? Is it recent, or has it been building for awhile. Is he tired? Does he work hard? Is he stressed? All these can affect our desire and/or physical ability to be sexual. Certainly a man in his 40’s may, indeed, be tired and stressed. It’s not unusual at all for sexual frequency to drop off in our 40’s or 50’s, since our stamina isn’t the same as when we’re younger. Maybe when you’re young, you can run a marathon, but once you get a bit older, you might be satisfied with running a mile or so. It doesn’t mean you can’t enjoy what you do—you just need to make adjustments.

If he’s interested in sex, but feels no desire to actually be sexual with you—then perhaps he’s not being aroused by what the two of you are doing. Sometimes we go through periods where our desires may take a break. Another possibility is that because of relationship conflicts, anger and resentment, he’s not currently turned on to you.

Or there may be something else going on, and he’s looking for an opening to tell you. It might be helpful for him to realize that erections come and go, and that sexual enjoyment isn’t dependent merely on an erection. Some men feel they’re responsible for “sexual performance” as though it were a job, rather than pleasure. If you share this information with him, it may alleviate much of his anxiety. Good luck! Dr. J
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