###Human: My regular medicines affect my erection. How to improve this? ###Assistant: Hello. Decrease or loss of ability to erect or maintain erection hard is impotence. 20% to 25% of men usually suffer this by the age 65. As females have menopause, men have andropause and it may lead to loss of libido, decreased erection and so on. This usually happens due to heart disease, hypertension, diabetes and drugs like anti-hypertensives and anti-diabetics. Particularly in heart disease due to atherosclerosis or thickening of blood vessels in the penis will lead to decreased blood flow and thus less effective erection. Ejaculation prior to complete erection is what is known as premature ejaculation. On the whole, as I have told, treating sexual problems needs detailed understanding of the mechanism and the cause. The reason can be any of the following. You should continue your medication as these agents are cardioprotective and prevent further attacks. Blood thinners are very important to maintain good blood supply to your heart and Concor (Bisoprolol) to maintain your blood pressure. I would advise you to get your cardiac testing done like ECG (electrocardiogram), echocardiogram, Stress echo or TMT (treadmill test) and restart your medication. Also, get Doppler of the penis and testosterone level check. As I have already told, your heart disease and hypertension itself may cause impotence. Talk to your cardiologist about your cardiac health as well as the use of Tablet Cialis or Tadalafil or Sildenafil. Good to hear that you are physically fit. Physical fitness is very important for heart as well as for sexual fitness. I would advise you to practice yoga. You may also try vacuum devices. Please do not be anxious. Take care of your health. Do not ever stop medication without your doctor's advise. If your problem would have been due to medicines it would have been gone after stopping drug consumption. Revert back with the answers to the above questions to an internal medicine physician online -->