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hypertension | Zikoko!
  • “I Lost My Rock-Hard Erection” — Navigating Sex as a Man Living With Hypertension

    “I Lost My Rock-Hard Erection” — Navigating Sex as a Man Living With Hypertension

    Debowale*, a 28-year-old Nigerian entrepreneur, was diagnosed with hypertension (AKA high blood pressure) in late 2022. He witnessed a sharp decline in his erection after he was placed on anti-hypertensive medication and isn’t as enthusiastic about sex anymore.

    “I always had this mad anxiety whenever I had to check my blood pressure. The doctors would wave it off as white-coat syndrome. But after I turned 28, I knew I had to take my health seriously because I started hearing about young people slumping and dying. On a routine hospital visit, I insisted on seeing a senior doctor. He noticed a spike in my blood pressure reading. I made like three more appointments within two weeks, and that was when I was diagnosed. The week I started taking an anti-hypertensive drug, I noticed I couldn’t always get a strong erection anymore. I got worried and mentioned it to my doctor. He said it’s one of the side effects of anti-hypertensive drugs. We’re trying to find one with less side effects, but I don’t look forward to sex like I used to; I’m finding more pleasure in foreplay these days.”

    Zikoko caught up with Dr Solomon Ofeimun, a medical professional, and he had some answers for men like Debowale who are fighting silent battles.

    “I Lost My Rock-Hard Erection” — Navigating Sex as a Man Living With Hypertension

    Are men at a higher risk of hypertension?

    Medical statistics show there’s a balance between men and women now. Back in the day, more men were involved in physical activities and providing for their families. Now, all genders go through the same level of stress, but men still tend to get diagnosed later. Pregnancy, menstruation, and other factors that only affect women often drive them to the hospital where doctors can detect irregularities quickly. Many men don’t make hospital trips until sickness takes some form of physical manifestation.

    Hypertension wasn’t common among younger folks before 2021. What’s happening?

    A rise in pre-employment medical screening is helping us diagnose the condition in a lot of young folks. The trend of diagnoses is most common among youths in urban areas. Those in rural areas aren’t subjected to tests like these, and therefore, don’t get early diagnoses.

    As a guy, what happens to your sexual life after diagnosis?

    It depends on the stage. There’s the pre-hypertensive stage, hypertensive stage and hypertensive crisis. If anyone has a blood pressure reading of 140/100 or 140/90, with medication, you can still have a pretty regular sexual life. Sex is just like any cardiovascular activity — jogging, walking, etc. It’s good for the heart.

    Some people take sexual activities too far, while others don’t get enough of it. I think having daily sex puts too much stress on yourself. But will you say exercising daily is stressing yourself? Moderation is key. If you have sex at an average of ten minutes daily, there should be no worry, compared to someone going for more than one hour.

    So how can men who’ve been diagnosed enjoy sex?

    Just make sure you take your medications as prescribed and report to your doctor if you notice any side effects. It’s also important for such men to see a licensed cardiologist and not just general practitioners. You can still have orgasms every day if that’s what you want. Just make sure you don’t push your limits. Whatever you need to do to orgasm with your partner within five to ten minutes is fine. When you start aiming for multiple orgasms or trying to impress by going at it for long, then you’ll be stressing your heart.

    Anti-hypertensive drugs affect erection in some men. Is it advisable to take sexual enhancement drugs too?

    Diagnosed with high blood pressure or not, you shouldn’t take sexual boosters anyhow. As a man, you should consult your urologist first. It’s important to also discuss your sexual worries with a sex therapist. Sometimes, mental or emotional stress can affect your sexual life, in which case, you need to see a psychologist. Sexual boosters should only be taken when prescribed.

    But are there anti-hypertensive drugs that don’t interfere with a man’s erection?

    Yes, we have some with less side effects. Just discuss your concerns with your cardiologist, and they’ll know what suits your situation best. They know how to modify medications, and sometimes, prescribe a singular tablet that combines everything you need.

    Are the rumours about watermelon, tiger nuts and bitter kola true? Do they really help your sex life?

    One of the things that helps with a strong erection is sustained blood circulation to the muscles of the penis. That’s what makes it turgid. The fruits you mentioned are good anti-oxidants; they cleanse your body system for proper blood circulation. It’s not just about having stronger erections; it’s about cleansing the system. And of course, once your system is better, your penis will benefit from it.

    Can the sexual side effects of these drugs be reversed once you stop the medication?

    Reducing the dosage or frequency of usage will not automatically take you to where you’re coming from. As long as your blood pressure is within the normal range, you should be fine. Remember, a lot of factors affect sexual motivation and pleasure, other than blood circulation or hypertension.

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  • High Blood Pressure in Young People? 3 Nigerians Share their Story

    High Blood Pressure in Young People? 3 Nigerians Share their Story

    Hypertension in young people is more common than you think. It’s also more disturbing because the majority go unchecked and can result in further health complications.

    We were able to speak with some Nigerians on how they manage hypertension. You can share with your circle to create awareness and save a life.

    Jessica, 18, F

    “There was a period when I was very sick. I self-treated for malaria, but I wasn’t getting any better. Then my dad asked me to go to the hospital. As is the custom, before the doctor attended to me, a nurse checked my temperature and blood pressure level. She looked at me and back at the figure on the machine, then sent my file to the doctor. On getting to see the doctor, the first thing he asked was if I was hypertensive. I didn’t exactly know what that meant, so I responded in the negative. He then explained and informed me that I might have teenage hypertension because my blood pressure was 150/100 then. The scary thing is that it got higher than that over time. Then I was referred to a specialist and asked a series of questions, like if I was doing drugs. They ran a drug test to confirm, and it came out negative. Other tests were carried out to ascertain the cause of my hypertension including a renal scan (had something to do with my kidney). Finally, I was permanently placed on drugs, and it was hell; I was always urinating and tired. The drug was just one tablet every day with checkups, but I wasn’t getting any better. My blood pressure was still rising and falling. To make things worse, COVID happened, my dad got retrenched and I automatically got cut off from the HMO plan his company provided. Then I started paying for the drugs myself and saw that it was very expensive. Thankfully, I got better this year; my blood pressure was 120/80 for the first time in three years.”

    Biola, 25, F

    Before now, I had limited information about what being hypertensive entails or how to prevent it. Maybe because we’re not properly sensitized about these things in this part of the world. Anyway, in 2018, I noticed I was always experiencing a certain level of fatigue and shortness of breath. I ignored this for a while due to my busy schedule until one day when I almost fainted on the road. On proper examination at the hospital, I was diagnosed with hypertension. It came as a shocker, because how old was I? Lol. In a nutshell, my fast-paced work lifestyle largely contributed to this. As a Digital Marketing Manager, there are days when I barely get time to catch a break, but I don’t complain, because I love what I do. But after that diagnosis, I had to make conscious lifestyle changes and periodic checks a priority. It’s not easy living with it, especially with the drugs and watching my diet, but I’m glad it’s manageable.

    Rotimi, 29, M

    “I’d been in the NYSC camp in Ogun state for a week and had only slept for like 8 hours of that because the beds were wildly uncomfortable. I’m talking about paper-thin mattresses on bunk beds. I started having headaches that wouldn’t go away no matter what I tried so I went to the camp clinic to get checked out. As is routine at hospitals, the doctor checked my blood pressure first and gasped. She took a second reading as if to confirm what she just saw, and then called her colleagues to come to see. When she found out how old I was at the time (23), she had a long talk with me about how abnormal it is for a 23-year-old blood pressure reading to be 160/110. She put me on a drug named Moduretic and told me to make lifestyle changes to ensure I wasn’t on the drug for the rest of my life. I get regular checkups now and thanks to her, I know what to do to keep my blood pressure where it should be.”

    Keeping track of your blood pressure and overall health doesn’t have to empty your pockets…

    Hygeia HMO has a wide variety of health insurance plans for individuals, families, and even employees at businesses. You can get check-ups, medical advice, and treatment from health professionals at a fraction of the usual cost. Visit https://www.hygeiahmo.com/our-plans/personal-family-plans/ to find a plan that best fits your needs.

  • 8 Young Nigerians Talk About Living With Hypertension

    8 Young Nigerians Talk About Living With Hypertension

    When someone is said to suffer from hypertension, more often than not, you’d assume that the said person was at least middle-aged. On the contrary, hypertension and high blood pressure do not discriminate. It plagues the young and old alike. Of people in the 19-39 age group, 20% of men and 15% of women suffer from hypertension, and this number is only expected to climb.

    Someone reached out to me to tell me their story about hypertension. I put out a call on Twitter, looking to talk to more people dealing with the condition. I didn’t expect more than a few replies. I was wrong. My DMs were flooded by a deluge of young adults who are dealing with the condition. Here are some of their stories.

    Joseph, 24

    I was first diagnosed during a medical clearance for admission into a university when I was 15. The doctor remarked that my BP was high. I wasn’t admitted into that school, and I didn’t pay attention to the diagnosis. Less than a year later, I suffered a bout of malaria and my BP was mentioned again. I started to worry. It was a few months later, at another university clearance where it was brought up again that I started taking it seriously. When the palpitations got worse, my mom had to take me to the hospital. I was given some drugs that always made me feel faint, so I stopped using them.

    After a series of crises, I started taking it very seriously. I got better drugs and made some lifestyle changes – I work out, eat fruits and reduced my soda intake. I’ve used the drugs every day since then, although I’ve taken short breaks from them a couple of times.

    It’s been eight years since I found out. There were lonely trips to the hospital for drugs, insane  headaches, intense palpitations and scary nights I thought were my last. It was quite hard to make the mental shift at first, but I’m used to it now. I also pray and talk to God about it. I’m just waiting for the manifestation of complete healing.

    Afolabi, 28

    There was this strike period. I was just playing around in school, but I noticed I was always tired. I decided to go to the medical center and they found out my BP was 151. I insisted I was fine but the nurse kept saying this isn’t normal for this your age (I was 19). I told my folks and we went to see our personal doctor. He said it was high but didn’t want to place me on hypertensive drugs because I was young. He told me to make diet and lifestyle changes. I did that for a few years. Fast forward to my fourth year in uni. I had been drinking a lot of coffee that period, thinking I had moved past the whole HBP thing. All of a sudden, late one night, I started gasping for breath, despite windows being open. My mum lay me on my back and tried to calm me, before taking me to the hospital. That was when I was finally placed on the medication Amlodipine. I was supposed to go back for checkups, but I never did. I had a couple of crisis moments in-between that forced me to go back on my meds.

    At various times, I stopped using the medication because I hated the idea that I was going to be using it everyday for the rest of my life. Someone advised me to use hibiscus flower (zobo), which is actually backed by a study.  I used to be able to take some wine, but I stopped when I started seeing scary signs. There’s a lot of stigma around it as well, because people tend to jump to say “Ah, does it run in your family?” Some other people are sympathetic, like my boss who gives me the day off when I have panic attacks.

    Desmond, 21

    Last year, I was at the airport waiting for my flight – I was almost two hours early because Nigerian. One of those diagnostics people gave me a flyer while I was waiting, asking me to check my blood pressure for free so I said, sure, why not. The guy checked it and asked my age several times. I kept insisting that I was 21. It was really bad. I can’t say I don’t know why it was high — I overwork myself, barely sleep and I work all night because my father is not Dangote. I’m also quite inactive because my work requires me just sitting down. 

    I ended up going for a proper checkup at a hospital and it came out the same. The doctor advised me to sleep more and be more physically active. Now, I try to get eight hours of sleep and go to the gym six days a week.

    A.B, 26

    Until I started dialysis for my kidney problems, I had never had a BP issue. To undergo dialysis, the doctors have to set up an access site for my arteries and veins. The process is quite excruciating and that period was tough for me. I suspect that triggered the blood pressure. I started taking medication which helped manage it. 

    Nearly one-third of non-Hispanic Black young adults in the U.S. have  hypertension - News | UAB

    I’m an anxious person, and that didn’t help my blood pressure. Eating edibles helped me relax. So far, it’s been good except for one time where my BP spiked to 212/140 and I was admitted to the hospital. On the whole, I monitor my BP and use my drugs consistently, because that makes a huge difference.

    Anita, 26

    I work in a foreign tech company and when I tell you the work there is fast-paced, multiply it by 1000. Commuting from the island to the mainland, working long hours and getting home at odd hours for more than a year didn’t help matters. I was expecting a promotion in the company and when that didn’t come, I worked harder and longer hours and even took on a certification course, working every day of the week and going to classes on the weekend. All of thatfinally tipped me over the edge. In 2019, I was diagnosed with hypertension.

    Keeping a lid on blood pressure during the coronavirus crisis | American  Heart Association

    To be fair, I was pushing my body rather hard. I was working on multiple projects and assignments while still meeting my work KPI. I was eating a lot of processed food and not getting a lot of exercise. When I started getting horrid headaches, I went to the hospital and was diagnosed with HBP. Man, it was the ghetto. I called my mom and friends and cried and cried. I could not believe I was 25 and hypertensive. I felt like I failed my body.

    The first step was to start making healthy choices. I try to be kinder to my body, take medications religiously, exercise, fast intermittently, reduce processed foods and check my BP everyday, which makes it interesting when you’re sleeping over somewhere [laughs]. Most importantly, I now maintain a healthy work-life balance. We tend to think that if work is not killing you, you’re not working hard enough. My mother said “If anything happens to you, they’ll be fine but we would have lost you.”

    Daniel, 22

    It all started when I was at university. I started having some intense migraines coupled with frequent dizziness and chest pain. Immediately, I went to the school clinic to see a doctor, only to be told I had high blood pressure. It was triggered by stress, lack of rest and unhealthy eating patterns, like the average Nigerian student. I immediately called my mum, who’s also hypertensive and she entered panic mode. Fortunately, I caught it early and with some dietary and lifestyle changes, it dropped.

    I had finished school and moved to Lagos when I started feeling symptoms again. I didn’t need anybody to tell me what it was. I took leave from work and travelled home to Ibadan ASAP when I found out my BP was 150/90. My doctor adviced I avoid certain foods, take exercising more seriously, eat a lot of fruit and vegetables and rest, which is almost impossible in a city like Lagos.

    High blood pressure common among Black young adults | Health |  phillytrib.com

    I recently found out that my older brother is also hypertensive. Seeing as my mom is also hypertensive and my grandfather died from hypertensions, it’s safe to say it’s hereditary in my family.

    The pandemic helped get me back on exercising and I’ve curbed most of my food indulgences. Today, I’m stable but I’m not quite there yet. My BP rises and falls between 125 – 130 over 90 these days. Considering the fact that I’m managing it without medication, this isn’t so bad. Las las, we go survive this thing.

    Abiodun, 31

    I found out I had HBP in the most random way. My mom was undergoing a surgical procedure at the hospital. I was chatting with a doctor and casually complained of dizziness and headaches. He was suspicious and told a nurse to some tests and check my BP. To my schock, it 160 over 91. I’ve been  on medication ever since.

    At first, it was hard to use the drugs religiously but when I realised it was a matter of life and death, I’ve set a daily reminder to use my drugs and to check my BP with a blood pressure monitor.

    Kate, 28

    In 2017, during medicals in school, the doctor told me I had an elevated blood pressure. He asked if I was going through anything. I was – a partner did something really shitty to me. When I visited a hospital, I was given medications, which I used for only a month before I stopped. I ignored it until one day when I went to the clinic for a headache. They found out my BP was stageringly high. I was immediately sedated and my mom was contacted. I began using medications again.

    American Heart Association says High Blood Pressure reasons differ by  gender in teens; young adults - Clarksville, TN Online

    It’s hard taking a pill every blessed day. During the lockdown, I relapsed again until had angina (a type of chest pain caused by reduced blood flow to the heart). It was a very scary experience. I go for checkups sometimes, but frankly, I’m tired. Tired of it all; being unable to eat certain foods, cutting off habits like drinking. Sometimes, I get hot flushes in my feet and my heart races very fast. Other times, it’s headaches and dizziness.

    We bet you’ve not taken this quiz yet: Younger Nigerians, This One Will Definitely Stress You

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