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Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: Impotence due to Hypertension MedicationForum: The Urology Forum
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Do drugs used to treat high blood pressure cause impotence by reducing the testosterone level. Will the use of these drugs combat the effectiveness of pills, patches, and shots used to raise the level of testosterone.
= Dear Fred; Thanks for your question . Most blood pressure medications do not compete for testosterone binding sites in the body. The only exception is spirolactone, a diuretic, that is sometime use to control blood pressure. It is believed that blood pressure medications cause impotence by their effect on the blood vessels of the penis. The exact mechanism of this effect is unknown at present. The Alpha Blocker family of antihypertensives are probably the least likely to cause impotence problems. If one experiences impotence with one antihypertensive medication, this does not mean that all blood pressure meds. will have the same side effect. There is not a direct effect between high blood pressure meds. , in general, and testosterone levels in the body, wheather the testosterone is natural or replacement. If you would like to see one of our urologist to be evaluated in person, please call 1 800 653 6568. We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. Hope this information has explained Sincerely Yours; HFHS-M.D. MS *Keyword: antihypertensive medications side effects, testosterone levels
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