I'm 36, and my blood pressure is pretty high at 142 over 94. I'm worried that if I start taking blood pressure meds, it might lead to erectile dysfunction or affect my sex life somehow. I'm getting married in four months, so this is really on my mind, especially since I haven't had morning erections for the past five months. I already walk about 2 km every day, but can I manage this with lifestyle changes alone? What's the best way forward?

Starting blood pressure medication is important to manage your blood pressure and reduce the risk of complications. Some blood pressure medications, such as beta-blockers and diuretics, may have side effects like erectile dysfunction. However, there are other options like calcium channel blockers or ACE inhibitors that are less likely to cause this issue. Lifestyle changes such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and managing stress can also help control blood pressure and improve erectile function. I recommend discussing with your doctor about starting a blood pressure medication that is less likely to cause erectile dysfunction, such as a calcium channel blocker like Amlodipine 5mg once daily. Additionally, continue with your daily walks and consider incorporating other healthy habits to improve your overall health and sexual function.