I'm a 28 yr old Caucasian male - 5'9'' and 186 lbs (BMI 28.3) - diagnosed of high BP (avg. ~150/95). I eat a healthy diet rich in fiber, low in cholesterol and salt with conscious doses of potassium. My cholesterol, thyroid levels, iron etc. are perfect. However, my BP hasn't decreased with that. About 10 days ago, I started taking 100mg CoQ and 1g garlic/day and doing Isometric Hand Training and am still waiting for the effects to kick in. However, I'd like to know my different medication options, just in case I have to resort to them.
I read that some medications - diuretics and beta blockers - cause erectile dysfunction and am very concerned about that since I still have to start a family (I'm married). I also read that thiazide diuretics, which are the first line of drugs, can cause diabetes. Some medications (Clonidine and Propranolol) spike the BP even higher if you stop taking them.
So I wonder what should I expect going into the doctor's room? What medications would be generally recommended? Is there a specific beginner's treatment regime or some additional tests that I should enquire about? How would medications affect my future life? I'm primarily concerned about the ED part and diabetes, and any suggestions regarding those would help.
Also, a naive question. Instead of diuretics, would it work if I simply drank more water and peed more?