Better BP control is tied to reduced or delayed ED

  • Hsiao W & al.
  • J Sex Med
  • 1 Mar 2019

  • International Clinical Digest
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Takeaway

  • Better BP control is linked to both lower incidence and longer time to the development of erectile dysfunction (ED).

Why this matters

  • This finding suggests that better adherence to hypertension treatments not only reduces risk for myocardial infarction and stroke but also lowers risk of developing ED.

Study design

  • Researchers analyzed the health records of newly diagnosed hypertensive men without major medical comorbidities or previously diagnosed ED (N=39,320; age range, 26-60 years; mean follow-up, 55.1±28.7 months).
  • Funding: Kaiser Permanente Northern California Community Benefit Program.

Key results

  • Overall ED incidence was 13.9%.
  • Higher ED risk was linked to higher average systolic BP in a dose-dependent manner (trend test, P<.0001>
  • Higher ED incidence was associated with wide variations in BP (aHR, 1.359; 95% CI, 1.258-1.469), as was shorter time to development of ED (log rank, P<.0001>

Limitations

  • The study was retrospective and did not establish causality.