Higher diastolic BP is linked to better erectile function in ED

  • Foy CG & al.
  • J Sex Med
  • 14 Jan 2019

  • curated by Craig Hicks
  • Clinical Essentials
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Takeaway

  • Lower systolic BP (SBP) and higher diastolic BP (DBP) are associated with better erectile function in middle-aged and older men with erectile dysfunction (ED).

Why this matters

  • Clinicians should consider BP in assessing ED in men who have hypertension, researchers say.

Study design

  • Researchers studied men with hypertension (N=1255; mean [standard deviation] age, 66.9 [9.7] years; 59.6% non-Hispanic white).
  • Main outcome measures: self-reported sexual activity during previous 4 weeks, 5-item International Index of Erectile Function (IIEF-5) score.
  • Funding: None.

Key results

  • 68.3% of patients were sexually active.
  • 59.9% of patients reported an IIEF-5 score
  • Among sexually active participants, multivariable linear regression analysis showed lower SBP (β=−0.04; P=.025) and higher DBP (β=0.05; P=.029) were associated with better erectile function.

Limitations

  • The study was cross-sectional and did not assess androgen or testosterone levels.

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