Essential hypertension is increasingly being considered one of the risk factors for erectile dysfunction.
With impaired nitric oxide release, the arteries of penis are not able to generate necessary dilation in response to sexual arousal.
Researchers are of the opinion that the reduced levels of nitric oxide in those with essential hypertension may result in erectile dysfunction.
With hypertension being a strong risk factor for erectile dysfunction as well as heart attack and stroke, it is imperative to control your blood pressure and take medication therapy accordingly to deal with the problem.
Since erectile dysfunction and essential hypertension are related, it is best to monitor and manage your blood pressure and make lifestyle changes that can help alleviate the problem.
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Sign up to stay informed with the latest men's health updates on MedicineNet delivered to your inbox FREE! The possible connection between bicycle riding and erectile dysfunction (ED) has been hotly debated.  Like all things in life, it seems that moderation is the most important consideration. The good news is that nearly every cyclist who experiences erectile dysfunction or impotence will have symptoms before the problem becomes serious.
Proper fit of the bike to your own physiology, especially the saddle, goes a long way to preventing any damage to your “plumbing.”  So if you have no symptoms, then enjoy your riding, but listen to your body for signs of trouble.
In fact, sexual dysfunction in both men and women is more prevalent in hypertensive individuals. Also known as arteriosclerosis, essential hypertension causes low production of nitric oxide in the body. To make matters worse, there is a reduction in blood flow due to fatty buildup in artery walls as a result of hypertension. Since high blood pressure is known to increase the progression of atherosclerosis, it can affect the supply of blood to the penis to expand and contract properly, thus contributing to erectile dysfunction. However, some people develop contradiction to some hypertension medicines and thus need to make some lifestyle changes to keep their blood pressure in check and simultaneously address erectile dysfunction. Causes of low testosterone in males include undescended testicles and injury to the scrotum.
Symptoms include fever, chills, painful urination, lower back pain, pain in the genital area, and frequent urination.

Prolonged pressure on the tissues of the perineum (the area of the groin between the penis and anus) can damage blood vessels and nerves responsible for an erection, and spending excessive amounts of time in the same position on the saddle may cause temporary erectile dysfunction. Reduced blood flow to the perineum causes pain, numbness, or tingling in the perineum long before men develop ED.
According to a research report published in the October 2000 issue of The Journal of Urology, about erectile dysfunction is highly common in hypertensive men. This means arteries throughout the body, including those in the penis, are not able to produce sufficient nitric oxide, which is believed to be the primary neurotransmitter and chemical mediator of erection. Erectile dysfunction is an on-going problem and often leads to a decrease in sexual desire; the condition can cause emotional stress and anxiety and can deeply affect a relationship. This damage may become permanent if the tissues are continually damaged and not allowed to recover.
The study notes that about 70 percent of men with hypertension symptoms suffer from some degree of erectile dysfunction.

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