Is Diabetes Linked With Erectile Dysfunction
The impact of diabetes on sexual health is often overlooked, but sufferers frequently have symptoms of sexual dysfunction. For men, diabetes can often lead to erectile dysfunction that can be difficult to overcome without specialist treatment.
This video explains more about the link between erectile dysfunction and diabetes. Having diabetes for a long time and having poor blood sugar control increase the risk of ED. While oral therapies for ED are often ineffective in men with diabetes, a urologist can offer alternative treatments to reverse impotence.
Dont let issues with your sexual health in Nashville go untreated. At Urology Associates, P.C., our experts have solutions that work. Make an appointment with a urologist today by calling .
Treatments For Erectile Dysfunction
If you have erectile dysfunction, you should talk to your doctor about treatment options. They will help you make sure your diabetes is under control to prevent future damage to blood vessels. While there is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.
Oral Medication
There are a variety of oral medications that improve your ability to get erections. The medicines work by increasing blood flow to your penis so you can get erect from sexual stimulus. All the medications require a doctor’s prescription. Your doctor will help you choose which one will work best for you.
Injections or Suppositories
If oral erectile dysfunction medications aren’t the best option for you, your doctor might suggest an injectable medication. To use it, you will need to use a needle and syringe to inject the medicine into the base of your penis right before sex. There are also suppositories that might help. With these, you insert a tiny pellet into the tip of your penis to cause an erection.
Surgery
Penile implants have a good track record of success for people who can’t get an erection from medication. You will need to have surgery to place an implant into your penis. Inflatable implants have a small pump placed in your scrotum that you use to fill the implant when you want to have sex. Malleable implants are made of a bendable material. You can use your hands to manipulate your penis into the desired position.
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Does Low Testosterone Matter
Low sexual libido can be sign of low testosterone in men, which is more common in men with diabetes than men without, according to a study published in April 2007 in the journal Diabetes Care. Sisson says your healthcare provider can test you for low testosterone, and it can be treated with testosterone replacement medication, such as patches.
Nangia says that low testosterone is also linked to metabolic syndrome a cluster of risk factors, such as high blood pressure and excess fat around your waistline, that increase your risk for heart disease diabetes, and other health problems. You can treat metabolic syndrome by getting these risk factors under control. Exercise, lose weight, eat healthy foods, and quit smoking if you smoke.
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Libido is multifactorial, says Nangia. Besides the physical issues of, say, ED or ejaculatory dysfunction, he says libido is tied to depression, marital status, hormones, emotions, gender, and sexuality.
Sisson also points to the complexity of sexual desire, including your partners interest in sex. When a man complains about trouble having sex, Sisson says he always asks: Well, do you want to? And does your spouse want to? Your partners interest in sex cant be discounted, says Sisson. If youre having marital strife, youre having a fight, thats not conducive to a healthy sexual relationship, he adds. Talking about relationship problems with your spouse or a family counselor could help.
Effects Of Tadalafil On Erectile Dysfunction In Men With Diabetes
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Data suggest that this could be because of several factors: Primarily, the ongoing impact of hypoxia and nerve dysfunction secondarily, owing to the accumulation of advanced glycation endproducts . AGEs are adducts formed on proteins and lipids following non-enzymatic glycation and oxidisation after exposure to aldose sugars and their metabolites. Similar adducts may be formed by lipid-oxidation products. AGEs are formed naturally in human body, and they are also ingested in food as a result of cooking processes. They accumulate with age on long-lived proteins such as collagen. Diabetes is considered an accelerated form of aging because of this elevated AGE accumulation. In addition, it is becoming increasingly apparent that relatively rapid intracellular AGE formation, primarily as a result of increased methylglyoxal levels resulting from triose metabolism, has marked effects in the pathophysiology of diabetic complications, including endothelial dysfunction., , , ,
A Need For Temporal Analysis
The tone of penile vascular and cavernosal smooth muscle is regulated by vasodilators such as NO and vasoactive intestinal peptide, and by vasoconstrictors such as noradrenaline and endothelins. An imbalance in favour of the vasoconstrictors has been demonstrated in both type 1 and 2 diabetes., Such an imbalance seems to be caused by several factors, all playing equal roles, such as decreased NO production from either nitrergic nerves or endothelium, low responsiveness of the smooth muscle to vasodilators, upregulation of the receptors for vasoconstrictor mediators such as endothelin and increased vasoconstrictor production and/or release and hyper-responsiveness to vasoconstrictors.
It is important to study the progression of ED in a temporal fashion in order to gain a better understanding of the pathophysiology of the condition. Although such longitudinal studies investigating the mechanisms at different time points of the disease are few, they provide invaluable information into our understanding of diabetic ED. Similar longitudinal studies from other fields within or outside the diabetes field also have been extremely useful in broadening our comprehension of pathophysiological events.
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Are There Treatments For Men With Diabetes And Erectile Dysfunction
Men who have diabetes and are having trouble achieving or maintaining an erection can take oral medicine The NHS can provide the following medications on prescription for men with diabetes:
Brand names include:
- Cialis
- Levitra
However, these medicines can all affect the heart rate, and detailed consultation with your doctor is necessary to determine the best course of action.
Additional treatments include intracavernous injection therapy, vacuum constriction devices, intraurethral therapy and sex therapy.
Psychotherapy can have an enormous influence on erectile dysfunction. Further treatment such as surgery and vacuum devices may also have a role to play in some specific cases.
Other Causes Of Erectile Dysfunction
Listed below are some other reasons for ED:
- psychological problems including stress, anxiety, and depression
- nervous system problems including damage to spinal cord or brain
- smoking, drinking too much alcohol, and using some illegal drugs
- some medications such as those taken for high blood pressure and depression
Pelvic injury or surgery on the prostate, bowel or bladder may cause damage to nerves connected to the penis. This nerve damage can also lead to ED.
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Why Diabetes Can Lead To Erectile Dysfunction
One of the lesser-known side effects of diabetes is an increased risk of erectile dysfunction. Experts think that circulatory problems from diabetes affect blood flow to the penis and make it difficult to get an erection. People with diabetes are three times more likely to have trouble maintaining an erection than people who don’t have diabetes.
Learn more about how to manage erectile dysfunction caused by diabetes.
Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. It’s hard to admit that it’s a problem, but it’s more common than you might think. Nearly 30 million people in the United States have erectile dysfunction. Certain medications and some health conditions, including diabetes, significantly increase the risk of erectile dysfunction.
Erections are caused by an increase in blood flow to the penis. As the blood fills the erectile tissue, the tissue swells and gets larger and firmer. The swelling compresses the veins that let blood flow out of the penis, so your penis stays erect.
Diabetes can cause problems with blood flow in your extremities, including your penis. High blood sugar associated with diabetes may cause damage to blood vessels which affects blood circulation. If there is damage to the blood vessels in your genital area, you may have trouble becoming erect.
Does Diabetes Cause Ed
In order to get an erection, men need healthy blood vessels and nerves. High blood sugar levels, a symptom of diabetes, can damage blood vessels as well as the nerves that control sexual stimulation. Because diabetes can cause the inner lining of blood vessels to function abnormally, it can affect blood flow to the penis, which is how you get and maintain an erection.
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