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

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.

What is PAD and how does it affect South Africans?

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.

Recognising the red flags

Early intervention is critical for both vascular and relational health. Dr Padayachy advises South Africans to look out for these early signs:

• Leg pain while walking (claudication).
• Unhealed sores on the feet or lower limbs.
• Sexual dysfunction, particularly erectile dysfunction in men, which can be an early indicator of wider vascular issues.

Pathways to recovery

For those diagnosed, Dr Padayachy utilises a comprehensive diagnostic approach, including ankle-brachial index tests and ultrasounds to pinpoint blockages. 

As a pioneer in his field, he recently performed Africa’s first orbital atherectomy, a minimally invasive procedure that clears arterial plaque without the need for permanent stents.

However, the "cornerstone" of treatment remains lifestyle modification. In a country with high rates of lifestyle-related diseases, Dr Padayachy emphasises:

• Quitting smoking.
• Maintaining a balanced diet.
• Engaging in regular physical activity.

"PAD-related sexual dysfunction can strain relationships," says Dr Padayachy. 

He encourages South African couples to prioritise open communication and seek professional counseling if needed. 

By addressing vascular health together, couples can not only improve their physical well-being but also strengthen the very foundation of their partnership.

Dr Padayachy's rooms may be reached on 031 581 2493 at the Lenmed eThekwini Hospital and Heart Centre and he specialises in Vascular Access; Varicose Veins; Venous Disorders; Diabetic Foot among other issues affecting the arteries, veins, and lymphatic system.