Do blood pressure medications affect vaginal lubrication?
Certain blood pressure medications, especially beta-blockers and diuretics, may rarely reduce vaginal lubrication by altering blood flow or causing dryness as a side effect.
Detailed Medical Explanation
While most antihypertensives do not directly cause vaginal dryness, some (such as beta-blockers and thiazide diuretics) can decrease blood flow to vaginal tissues or contribute to overall dryness. ACE inhibitors and calcium channel blockers are less likely to cause this problem. If you suspect your blood pressure medication is causing dryness, discuss options with your doctor before making changes. NHS: Blood Pressure Medication Side Effects.
Clinical Context
We assess all medication side effects in patients reporting vaginal dryness, including those on long-term antihypertensives. Adjustments or symptom management can help.
Evidence-Based Approaches
Current guidelines suggest reviewing medication and considering alternatives or adjunct therapies if vaginal dryness is troublesome. BNF: Medication Side Effects.