Key result
Hypertension was associated with a higher frequency of erectile dysfunction compared with normotensive men (61.3% vs 37.3%).
Why the study?
Hypertension is a well-established risk factor for erectile dysfunction and an independent cardiovascular disease risk factor, prompting evaluation of the frequency and severity of erectile dysfunction in hypertensive compared with normotensive married men.
Does hypertension increase the frequency and severity of erectile dysfunction in young and middle-aged married men compared to normotensive men?
Cross-Sectional (n=150)
No
Does hypertension increase the frequency and severity of erectile dysfunction in young and middle-aged married men compared to normotensive men?
Absolute Event Rate: 61.3% vs 37.3%
Hypertension is associated with a significantly higher frequency and severity of erectile dysfunction in married men, highlighting the importance of blood pressure control for sexual health.
Hypertension-ED link in cross-sectional data; leaves open whether BP control improves sexual function in young men.
Background: Erectile dysfunction (ED) exerts a major burden on the quality of life of the patients and their sexual partners. It has been identified as an independent risk factor for cardiovascular disease. Hypertension is a well-established risk factor for ED. Both hypertension and erectile dysfunction has age dependent relationship. Objective: To evaluate the frequency and severity of erectile dysfunction in hypertensive married men compared with normotensive married men of similar demographic characteristics attending a tertiary care hospital of Bangladesh during the period from June 2017 to March, 2018. Methodology: This cross-sectional comparative study includes 75 hypertensive and 75 normotensive young and middle-aged married men (31–59 years) those visited our outpatient clinic. From them, 75 patients had hypertension and 75 were normotensive. Erectile dysfunction was evaluated with pre validated Bengali version of the International Index of Erectile Function (IIEF-5) questionnaire. Results: Erectile dysfunction (ED) was found in 61.3% of patients with hypertension compared with 37.3% of normotensive subjects. ED is more common and more severe among hypertensive patients than normotensive counterparts. Hypertension duration, hypertension severity and age were found positively correlated with erectile dysfunction. Taking regular medication and control of BP gave positive influence upon erectile status. No association was found between ED and smoking but a weak negative correlation of increased body mass index (BMI) and decreased ED was found in both hypertensive and normotensive group. Conclusion: Hypertensive patients present with erectile dysfunction more frequently than age matched normotensive individuals. As erectile dysfunction is a matter of embarrassment, doctors should be motivated to discuss such issue. Control of blood pressure seems to confer good influence upon the prevalence of erectile status. We need further studies to authenticate such observation and to unveil other risk factors of ED in our country and to go for appropriate management.
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Rakib et al. (2020) conducted a cross-sectional in Hypertension and Erectile Dysfunction (n=150). Hypertension vs. Normotension was evaluated on Frequency of erectile dysfunction evaluated with IIEF-5. Hypertension was associated with a higher frequency of erectile dysfunction compared with normotensive men (61.3% vs 37.3%).
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