There are certain medical conditions that might appear to be unrelated to erectile dysfunction that could actually have a very real bearing on it. One of those conditions is high blood pressure.
Blood flow to the penis is a necessary component of achieving an erection, and so it follows that any restriction on that is going to have an effect on erections, and the sexual performance that is associated with it.
High blood pressure is just what is implied from the name; it exerts a lot more pressure on the blood vessels, which makes blood flow a lot more problematic. As a result, the blood will have a much more difficult time flowing to the penis, and that is one of the things that directly causes ED.
To compound things, you could be taking medications for the purposes of dealing with high blood pressure that could contribute to the problem as well.
Don’t take any chances; there have been studies indicating such a connection that 65% (or more) of adult men with high blood pressure also develop erectile dysfunction. A recent study published by the International Society for Sexual Medicine (ISSM) indicates “Among adults diagnosed with hypertension, tighter blood pressure control, as measured by average systolic blood pressure and deviation from the average, is associated with a lower incidence and a longer time to the development of ED.”*
Alleviating high blood pressure thru lifestyle changes or medications can certainly help men with overall blood flow and thus many ED issues, but often more specialized treatment options are required.
*Source: International Society for Sexual Medicine. Tighter Blood Pressure Control Is Associated with Lower Incidence of Erectile Dysfunction in Hypertensive Men. Mar. 2019.