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No one of them has been proven to work better than the others. ED is a common problem associated with high blood pressure, but there are many proven treatments you can try. But the time they take to start working and the duration of their effects vary. A doctor's firstchoice for treating erection problems is usually one of the pills called PDE5 inhibitors. That's something you may want to consider based on your sexual habits. They make it physically possible to get an erection when you are aroused. For example, does spontaneity matter to you, or do you usually plan sex ahead of time? Viagra starts working in about 15 to 30 minutes and its effects last about two to four hours. Levitra starts working in about 30 to 60 minutes and lasts four to five hours If erectile dysfunction pills are out of the question, or if pills haven't worked for you, don't worry. Alprostadil is another drug for erectile dysfunction. 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Here's the good news: According to the American Heart Association, most people with heart trouble can enjoy sex safely -- and that includes those with high blood pressure. Sex -- like any other form of exercise -- does get the heart pumping. And, in rare cases, the extra exertion could trigger a heart attack. According to a report by the American Journal of Cardiology, fewer than 1 percent of all heart attacks occur during sexual activity. As reported in the journal, sex really can be dangerous for people with severe hypertension that isn't under control. If you have high blood pressure but aren't receiving treatment -- or if your blood pressure is soaring despite treatment -- your doctor may ask you to abstain from sex or other strenuous activity until your pressure is under control. If there's any doubt about your safety, your doctor will order a stress test to measure the effects of exercise on your heart. Whether you're a man or a woman, high blood pressure can definitely put a damper on your sex life. Among men, high blood pressure can cause erection problems by slowing the supply of blood to the penis. High blood pressure often has no signs or symptoms. 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. 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. High blood pressure can also interfere with ejaculation and reduce sexual desire. Sometimes the medications used to treat high blood pressure have similar effects. Even a single episode of erectile dysfunction can cause anxiety. 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