Understanding peripheral artery disease and it’s impact on South African couples

Dr Vinesh Padayachy is a leading vascular surgeon at the Lenmed Ethekwini Hospital and Heart Centre in KwaZulu-Natal. February is widely celebrated as the month of love. However, for many couples—particularly those in the 30 to 50 age bracket—there is a hidden health barrier impacting their relationships: Peripheral Artery Disease (PAD).

Dr Vinesh Padayachy, a leading vascular surgeon at the Lenmed Ethekwini Hospital and Heart Centre in KwaZulu-Natal, warns that this often undiagnosed condition is a major, yet frequently overlooked, contributor to sexual dysfunction. PAD occurs when plaque builds up in the arteries, narrowing them and restricting vital blood flow. While many associate this only with leg health, Dr Padayachy explains that this restriction also extends to the pelvic area, directly impacting sexual arousal and function in both men and women.

In the South African clinical landscape, PAD is a significant concern. Research indicates a high prevalence of the disease in certain local populations, often linked to common regional risk factors like diabetes and smoking. Early intervention is critical for both vascular and relational health. Dr Padayachy advises South Africans to look out for these early signs: For those diagnosed, Dr Padayachy utilises a comprehensive diagnostic approach, including ankle-brachial index tests and ultrasounds to pinpoint blockages.