Managing Erectile Dysfunction in Men with Diabetes
Key highlights or summary
- While ED is a common complication of diabetes, it can be effectively managed through medications, lifestyle modifications, and open communication with healthcare professionals.
- Men with diabetes have a significantly higher risk of developing ED, which is one of the initial symptoms of diabetes. A sedentary lifestyle, overweight/obesity, and excessive calorie intake are common contributors to both conditions.
- Diabetes affects nerves, blood vessels, and hormones, all of which can contribute to ED. Nerves important for achieving an erection can be affected by diabetes, as well as substances in the blood specific to diabetes.
- Common risk factors for ED and diabetes include hypertension, dyslipidemia, obesity, and metabolic syndrome. Conditions like hypogonadism, urological issues, and obstructive sleep apnea can also contribute to ED in individuals with diabetes.
- Treatment options for ED and diabetes include medications to increase blood flow, testosterone therapy, vacuum devices, injections, and implants.
- Lifestyle changes are essential, such as maintaining blood sugar levels within the target range and adopting healthy habits like regular physical activity, a healthy diet, blood pressure and cholesterol management, and regular medical check-ups.
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- Defeudis G, Mazzilli R, Tenuta M, Rossini G, Zamponi V, Olana S, Faggiano A, Pozzilli P, Isidori AM, Gianfrilli D. Erectile dysfunction and diabetes: A melting pot of circumstances and treatments. Diabetes/Metabolism Research and Reviews. 2022 Feb;38(2):e3494.
- Shindel AW, Lue TF. Sexual Dysfunction in Diabetes. [Updated 2021 Jun 8]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-.
- Cannarella R, Barbagallo F, Condorelli RA, Gusmano C, Crafa A, La Vignera S, Calogero AE. Erectile dysfunction in diabetic patients: from etiology to management. Diabetology. 2021 Sep 4;2(3):157-64.
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