青砖多少钱一平方:高血压和性：克服双重挑战 【Mayo健康指南】[知识]

高血压是“性”趣的杀手，但是其实也与一种契机改良它们的关系。

高血压的治疗和性满足可以一并实现 — 前提只是你对这个问题要持有开放的态度，同时保证与你的医生密切配合

作者： Mayo Clinic staff

通常来说，高血压并没有明显的征兆或症状。但是却可能对你的性生活造成严重的干扰。尽管性生活不大可能立即危及你的健康（例如，引发心脏病），但是高血压却可以影响到您性生活的总体满意度。

在男子身上，已证明了高血压和性问题上存在着联系。而对于性欲减退的女子，尚未证明高血压会对性欲会造成影响。

男人面临的挑战 

随着时间的推移，高血压会损害血管内壁，导致动脉变硬和变得狭窄（动脉硬化），从而对血液流动造成影响。这也意味着，流到阴茎的血量会减少。对于一些男子而言，血流量的减少造成阴茎难以勃起和保持勃起状态——这也就是通常说的勃起功能障碍。这个问题非常普遍，尤其对那些没有采取治疗措施的高血压男患者更是如此。

即使是单单的勃起功能障碍也会使人产生焦虑的情绪。为此所带来的担忧可能会使男人抗拒性——直接影响到他们与其性伴侣间的关系。另外，高血压还会影响射精，使性欲减退。而有时候，用于治疗高血压的药物也会造成类似影响。

女人面临的挑战

目前，高血压对女子性问题方面的影响尚不是很明确。但是，从现实的角度而言，高血压是有可能影响女人性生活的。 

高血压会降低流经阴道的血流量。对一些女人来说，这会导致性欲或性兴奋下降、阴道干燥或难以到达高潮。加强对阴道的刺激和润滑阴道可能对性生活有所帮助。与男人一样，性功能上的障碍会使女人感觉焦虑并影响到与男友间的关系。如果女子面临这些困境，她们应该与她们的医生进行交流。

治疗高血压的药物对男人的副作用：造成性方面的问题

治疗高血压药物会对机体造成一些负面的影响，其中之一就是性功能障碍：

水丸（利尿药)。 利尿药会降低流经阴茎的血流强度，造成阴茎勃起困难。另外，利尿药还会造成人体内锌的流失，而锌是形成性荷尔蒙睾丸激素的重要元素。β-受体阻断剂。该药物会影响促使阴茎勃起的神经系统的生理反应。另外，β-受体阻断剂也会造成阴茎中的动脉拓宽（膨胀）困难，导致流经该处动脉的血量不足，影响阴茎勃起。

为减少服用这些药物所带来性问题和其他诸多方面的副作用，一定要遵照医嘱正确地服用该类药物。如果副作用仍然存在，询问医生是否有其他副作用较少的药物。

对性方面可能不会有太大影响的药物 

如果药物持续对性方面造成影响，询问医生，看是否可以选择使用其他药物。某些高血压药物对性方面副作用相对可能较小，例如 

血管紧张素转化酶 (ACE) 抑制剂

钙通道阻滞剂
血管紧张素ⅱ受体拮抗剂

α阻滞剂

为有助于医生为你选择最合适的药物，你应该将目前尚在服用的所有其他药物告诉医生，这包括中草药保健品和非处方药物。有时候，同时服用某些药物或补品也会带导致性方面的问题。

如果医生同意，你可以暂时停止服用控制血压的药物，看性生活质量是否改善。在此期间，为确保你的血压保持在安全的范围内，你可能需要经常关注血压读数。许多时候，家庭用的血压监测设备就可以解决这个问题。

勃起功能障碍药物与高血压

男子在考虑使用治疗勃起功能障碍的药物时，应首先与医生进行沟通。通常上，同期服用以下治疗勃起功能障碍的药物和高血压药物是安全的：昔多芬（伟哥）、伐地那非（血管扩张药）和他达拉非（西力士）。

如果在服用这些药物的同时，你还定期服用硝酸盐药物用于治疗胸痛或在紧急情况下服用硝酸盐药物，则有可能导致血压急剧下降，使你处于危险的状态。

一定要向医生如实奉告个人情况

如果你患有高血压，通常并不意味着你必须生活在不“性”的阴影下。先与你的医生谈谈病情。医生对你的情况了解的越多，越有助于治疗你的高血压——并帮助你维持性生活的美满。你需要做好回答诸如以下问题的准备：

目前，你正在服用哪些药物？最近，你和性伴侣的关系是否有所改善？你是否有过沮丧的感觉？现在，你是否面临着比以往更多的压力？

全面提升健康水平 选择健康的生活方式，有助于降低你的血压，有效地提高你的性生活质量。健康的生活方式有：  不吸烟或戒烟  食用有益于身体健康的食物减少饮食中的盐分摄入量

减肥

经常锻炼

当然，精壮的身体可以增强你的自信，让你感觉更富魅力，另外，对你的性生活也会大有裨益。

为性满足营造良好的舞台

对性伴侣的感觉和性爱的环境都潜移默化地影响着你的性行为。为营造美满的性生活，在你和伴侣都感觉放松的情况下是开始性爱的最好契机。在这个过程中，不断探寻有助于增加性趣的各种身体亲密方法，例如按摩或洗鸳鸯浴。彼此要把最喜欢的性爱方式告诉对方。你会发现，双方对性的坦诚是实现彼此性满足的最佳方式。

High blood pressure and sex: Overcome the challenges#两性健康【Mayo健康指南】
High blood pressure and sex: Overcome the challenges
Treatment for high blood pressure and satisfaction with sex can go hand in hand — if you're open about the problem and work closely with your doctor. By Mayo Clinic staff
High blood pressure often has no signs or symptoms. But the impact on your sex life may be obvious. Although sexual activity is unlikely to pose an immediate threat to your health — such as a heart attack — high blood pressure can affect your overall satisfaction with sex. A link between high blood pressure and sexual problems is proven in men. For women who have decreased sexual satisfaction, it's not yet proven that high blood pressure is to blame. Challenges for men  Over time, high blood pressure damages the lining of blood vessels and causes arteries to harden and narrow (atherosclerosis), limiting blood flow. This means less blood is able to flow to the penis. For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. The problem is fairly common, especially among men who are not treating their high blood pressure.  Even a single episode of erectile dysfunction can cause anxiety. Fears that it will happen again might lead men to avoid sex — and affect relationship with their sexual partner.

High blood pressure can also interfere with ejaculation and reduce sexual desire. Sometimes the medications used to treat high blood pressure have similar effects.

Challenges for women

High blood pressure's effect on sexual problems in women isn't well understood. But it's possible that high blood pressure could affect a woman's sex life.

High blood pressure can reduce blood flow to the vagina. For some women, this leads to a decrease in sexual desire or arousal, vaginal dryness, or difficulty achieving orgasm. Improving arousal and lubrication can help. Like men, women can experience anxiety and relationship issues due to sexual dysfunction. Women should talk to their doctor if they experience these difficulties.

High blood pressure medication side effects in men: Sexual problems

High blood pressure medications that can cause sexual dysfunction as a side effect include: 

Water pills (diuretics). Diuretics can decrease forceful blood flow to the penis, making it difficult to achieve an erection. They can also deplete the body of zinc, which is necessary to make the sex hormone testosterone.
Beta blockers. These medications can affect the nervous system reaction that causes an erection. Beta blockers can also make it difficult for the arteries in the penis to widen (dilate) to let in enough blood flow to cause an erection.
To reduce the risk of side effects from these medications, including sexual problems, take medication exactly as prescribed. If you still have side effects, talk to your doctor about other possible medications that may have fewer side effects.

Medications less likely to cause sexual side effects.

If sexual side effects persist, ask your doctor about other medication options. Some high blood pressure medications are less likely to cause sexual side effects, such as: www.6park.com

Angiotensin-converting enzyme (ACE) inhibitors
Calcium channel blockers
Angiotensin II receptor blockers
Alpha blockers
To help your doctor select the most appropriate medication for you, tell him or her all the other medications you're taking now — including herbal supplements and over-the-counter drugs. Sometimes a particular combination of medications or supplements contributes to sexual problems.

If your doctor says it's OK, you may be able to stop taking blood pressure medication temporarily to see if your sex life improves. To make sure your blood pressure remains within a safe range, you may need frequent blood pressure readings while you're not taking the blood pressure lowering medication that may be causing your sexual difficulties. Sometimes this can be done with a home blood pressure monitoring device.

Erectile dysfunction drugs and high blood pressure

Men considering medication for erectile dysfunction, should check with their doctor first. It's usually safe to combine the erectile dysfunction drugs sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) with high blood pressure medications.

Taking these drugs with nitrates, taken either regularly for chest pain or in an emergency setting, can cause a dangerous drop in blood pressure.

Be honest with your doctor

If you have high blood pressure, you usually don't have to live with a loss of sexual satisfaction. Start by talking with your doctor. The more your doctor knows about you, the better he or she can treat your high blood pressure — and help you maintain a satisfying sex life. Be prepared to answer questions such as:

What medications are you taking?
Has your relationship with your sexual partner changed recently?
Have you been feeling depressed?
Are you facing more stress than usual?
Promote overall health

By making healthy lifestyle choices, you can lower your blood pressure and potentially improve your sex life. Healthy lifestyle choices include:

Not smoking or using tobacco
Eating healthy foods
Reducing the amount of salt in your diet
Losing extra pounds
Exercising regularly
Of course, a leaner body can boost your confidence and help you feel more attractive, which could also improve your sex life.

Set the stage for satisfying sex

Your sexual response may vary with feelings about your partner and the setting in which sex occurs. To encourage satisfying sex, initiate sex when you and your partner are feeling relaxed. Explore various ways to be physically intimate, such as massage or warm soaks in the tub. Share with each other the types of sexual activity you enjoy most. You may find that open communication is the best way to achieve sexual satisfaction.