Selective adherence to antihypertensive medications as a patient-driven means to preserving sexual potency.
OBJECTIVE
To describe hypertensive patients' experiences with sexual side effects and their consequences for antihypertensive medication adherence.


METHODS
Data were from a study conducted to identify facilitators of and barriers to adherence to blood pressure-lowering regimens. Participants were 38 married and unmarried veterans with a diagnosis of hypertension and 13 female spouses. Eight patient and four spouse focus groups were conducted. A directed approach to content analysis was used to determine the facilitators of and barriers to adherence. For this report, all discussion concerning the topic of sexual relations was extracted.


RESULTS
Male patients viewed sexual intercourse as a high priority and felt that a lack of sexual intercourse was unnatural. They pursued strategies to preserve their potency, including discontinuing or selectively adhering to their medications and obtaining treatments for impotence. In contrast, spouses felt that sexual intercourse was a low priority and that a lack of sexual intercourse was natural. They discouraged their husbands from seeking treatments for impotence.


CONCLUSIONS
Although the primary study was not designed to explore issues of sexual function, the issue emerged spontaneously in the majority of discussions, indicating that sexuality is important in this context for both male patients and their spouses. Physicians should address sexual side effects of antihypertensive medications with patients, ideally involving spouses.
Voils
Corrine I
CI
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA;
Sandelowski
Margarete
M
Dahm
Philipp
P
Blouin
Rachel
R
Bosworth
Hayden B
HB
Oddone
Eugene Z
EZ
Steinhauser
Karen E
KE