[42M] Experiencing urinary difficulties and erectile dysfunction

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Benign Prostatic Hyperplasia (BPH): This is a common condition as men age, where the prostate gland enlarges and can press against the urethra, causing difficulty urinating, increased urgency, and a weak stream. It can also lead to urinary leakage. BPH can sometimes be associated with erectile dysfunction.

2. Erectile Dysfunction (ED): This can be related to various factors, including high blood pressure, which you have a history of, and the medication used to treat it. Lisinopril, while not commonly associated with ED, can contribute to it in some cases. Stress, fatigue, and other health conditions can also play a role.

3. Vision Changes: Blurred vision can be related to high blood pressure, especially if it's not well-controlled. It can also be a side effect of certain medications or related to other health issues like diabetes, which should be ruled out.

4. Fatigue and Shortness of Breath: These symptoms could be related to cardiovascular issues, especially given your history of high blood pressure. They could also be due to other systemic conditions that might need further evaluation.

What you can do

Difficulty Urinating and Erectile Dysfunction:

• It's important to consult with a healthcare provider to evaluate your prostate health. They may recommend a prostate exam or a PSA test to check for BPH or other prostate issues.
• Discuss your symptoms with your doctor, as they may consider adjusting your blood pressure medication or exploring other treatments for ED.
• Stay hydrated, but try to limit fluids in the evening to reduce nighttime urination.

Blurred Vision:

• Ensure your blood pressure is well-controlled. Regular monitoring and follow-up with your healthcare provider are essential.
• Consider seeing an eye specialist to rule out any vision problems that might need specific treatment.

Fatigue and Shortness of Breath:

• Engage in regular, moderate exercise as tolerated, which can help improve cardiovascular health and reduce fatigue.
• Ensure a balanced diet rich in fruits, vegetables, and whole grains to support overall health.
• Keep track of your symptoms using MDandMe to monitor any changes and share this information with your healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Sudden inability to urinate or severe pain during urination.
• Significant changes in vision or sudden vision loss.
• Severe shortness of breath, chest pain, or fainting.
• Any new or worsening symptoms.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.