In the previous blog I discussed the relationship between medications and sexual performance. This blog will make suggestions on how to approach your doctor and what are some of the options when drugs\medications impact your sexual performance. If you are at all worried that your medicine may be affecting your ability to have sex, consult with your physician who prescribed the medication.
Do not stop taking your medicine without first talking to your doctor.
Do not be put off seeking help. Your quality of life is important, particularly if you are being treated for something like high blood pressure, which often has no symptoms and can require lifelong treatment.
Treatment of high blood pressure
- Impotence seems to be less of a problem with ACE inhibitors such as enalapril.
- Calcium channel blockers and alpha-blockers cause fewer sexual problems than diuretics (water tablets) or beta-blockers.
- Loop diuretics such as furosemide have a lower risk of impotence than thiazide diuretics.
Treatment of depression
- SSRIs cause the highest frequency of sexual dysfunction, followed by MAOIs (monoamine oxidase inhibitors) and then tricyclic antidepressants.
Treatment of high cholesterol levels
- Not all statins are associated with sexual problems. Even in those that are, the risk of developing such problems is very low.
- Statins may be less likely to cause impotence than fibrates.
Bottom Line: Your doctor may switch you to another medicine in the same class, i.e., that acts in a similar way, in the hope that the new one will not cause the same side effects.
Alternatively, your doctor may try a different type (class) of medicine altogether, providing it is suitable for you to take.
Your doctor may also adjust the dosage and prescribe a lower dose which may have the desired effect on your blood pressure or your depression and not have the unwanted side effects of ED or lowering the testosterone level. The real bottom line is to speak to your physician to help with your medications and preserve your sexual performance.