Bystolic - Erectile Dysfunction

I had an episode of angina and went to the ER. Assessment found blockage in coronary arteries, but no apparent damage to heart muscle. I underwent a double bypass. Meds upon discharge were Metoprolol 12.5 b.i.d., Lipitor 40 mg/day, andaspirin 81 mg/day. I'm 62 y.o and have no other health conditions or medications.

While Metoprolol reduced my BP to an average of about 115/75, a side-effect of it was complete erectile dysfunction, little feeling in my penis. and decrease in libido. No other side effects. About 1 1/2 months later I went to the cardiologist, and he switched me to Bystolic 2.5 mg/day, which is equivalent to about 1/2 the dose of Metoprolol that I was taking. It also kept my BP at about 114/75. Within about 2 weeks, I was able to achieve about 3/4 erection, and somewhat increased libido. With a fair amount of stimulation, I can have an orgasm, but it is not as completely satisfying as prior to taking meds. I've never had any previous problems with ED.

Supposedly, Bystolic shouldn't result in Erectile Dysfunction, especially with a low dose, but that's not the case with me. Do you think maybe the Lipitor-induced reduction of cholesterol resulted in a decrease of testosterone, and that this caused the ED? Although ED is only listed as a rare side effect for Lipitor, I've seen many anecdotal reports that it can cause ED. Anyone else have similar experiences on Bystolic or a combination of Bystolic and a statin?

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