February 19, 2024

Here are the essential facts you should understand regarding vascular health and intimacy

As Valentine's Day is observed worldwide, many couples, particularly those aged between 30 and 50, are unaware of the correlation between peripheral artery disease (PAD) and its impact on intimacy.
Renowned vascular surgeon in South Africa, Dr. Vinesh Padayachy, offers insights into how this common yet often undiagnosed condition can significantly affect one's sexual health and, consequently, relationships.
Dr. Padayachy, who practices at the Lenmed Ethekwini Hospital and Heart Centre in KwaZulu-Natal, explains that PAD involves the narrowing of arteries due to plaque buildup, which not only restricts blood flow to the limbs but also to the pelvic area, playing a pivotal role in sexual dysfunction for both men and women.
"PAD affects sexual function by reducing vital blood flow necessary for sexual arousal and performance," he emphasizes, underlining the importance of awareness and early intervention.
He points out that early signs of PAD may include leg pain during walking and unhealing sores on the lower extremities. Additionally, sexual dysfunction, particularly erectile dysfunction in men, could indicate reduced blood flow.
"Early signs of PAD should not be overlooked, especially if they suggest an underlying risk," Dr. Padayachy stresses.
Upon diagnosis, he outlines a comprehensive approach involving physical examinations, reviewing medical history, and specific tests such as the ankle-brachial index and ultrasounds to identify blockages.
Treatment options vary from lifestyle changes and medications to procedures like angioplasty, all aimed at restoring blood flow and, consequently, sexual function. Dr. Padayachy strongly advocates for lifestyle modifications as the cornerstone of managing PAD's effects on sexual health.
"Lifestyle changes are fundamental. These measures can significantly enhance vascular health and sexual function. Open communication is key. I encourage couples to seek counseling if they find it challenging to discuss these matters," he advises.
While treatments are tailored for men and women, Dr. Padayachy emphasizes the focus remains on improving vascular health, recommending regular physical activity, a balanced diet, and smoking cessation as essential strategies in preventing PAD.
"PAD-related sexual dysfunction can strain relationships. Addressing the issue together can strengthen the relationship and improve the well-being of both partners," he adds.
Dr. Padayachy urges couples to prioritize health screenings and foster supportive partnerships.
"This Valentine's Day, I stress the importance of vascular health as a critical aspect of a healthy, fulfilling relationship," he concludes.