Erectile Dysfunction in Diabetic Patients

Why Do Men With Diabetes Have Erectile Dysfunction?

The causes of erectile dysfunction in men together with diabetes are complicated and involve impairments in nerve, blood vessel, and muscle function.

To get an erection, men required healthy blood vessels, nerves, male hormones, and a desire to be sexually stimulated. Diabetes can damage the blood vessels and nerves that direction erection. Therefore, even if you have normal amounts of male hormones and you have the anxiety to have sex, you still may not be agile to achieve a firm erection.

What causes ED in men with diabetes?

The connection between diabetes and ED is related to your  permeation and nervous system. Poorly controlled blood sugar levels can damage small blood vessels and nerves. Damage to the nerves that  restrict sexual stimulation and reflection can impede a man’s ability to attain an erection firm enough to have sexual intercourse. Epitomic blood flow from damaged blood vessels can also contribute to ED.

Risk factors for erectile dysfunction

There are several risk factors that can increase your chance of diabetes complications, including ED. You may be more at risk if you:

•          have poorly managed blood sugar
•          are stressed
•          have anxiety
•          have depression
•          eat a poor diet
•          aren’t active
•          are obese
•          smoke
•          drink excessive amounts of alcohol
•          have uncontrolled hypertension
•          have an abnormal blood lipid profile
•          take medications that list ED as a side effect

How Diabetes Causes ED

Human sexual response requires several another body functions to work properly and simultaneously: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these action.

Nerves: One of the most common confusion of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are limited by the sympathetic system. Neuropathy to either system can cause ED.

Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and another circulatory problems. Proper blood flow is absorbing crucial to achieving erection. “Erection is a hydraulic incident that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can  Intermeddle with the ability to acquire an erection, no matter how strong one’s sexual desire.

Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual reflection.

Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED!

Pathophysiology of ED in diabetes

Hypogonadism, autonomic neuropathy, and arterial imperfection are all associated with a higher likelihood of ED in cross-sectional and longitudinal studies of men with diabetes.15–17 Experimental investigation of these observations has been accomplished with both in vitro and in vivo models using animals or human tissue.

Low testosterone levels have been observed irrelevantly in STZ-induced diabetic and BB rats.18 Androgen deficiency in rats is associated with downregulation of the neuronal isoforms of nitric oxide synthase, suggesting a trophic effect of testosterone on peripheral erectile tissues. In humans, androgens play a larger role in sexual interest and motivation (libido) than in erectile capacity itself; penile erection is more resistant to androgen withdrawal than is sexual desire

Consider your treatment options

A number of erectile dysfunction treatments are available. Ask your doctor if one of these may be a good choice for you:

Oral medications. Erectile dysfunction medications incorporate sildenafil (Viagra), tadalafil (Cialis, Adcirca), vardenafil (Levitra, Staxyn) or avanafil (Stendra). These pills can help comfort blood flow to your penis, making it easier to get and keep an erection. Check with your physician to see whether one of these medications is a safe preference for you.

Other medications. If pills aren't a good option for you, your physician might recommend a tiny suppository you insert into the tip of your penis afore sex. Another possibility is medication you inject into the base or side of your penis. Like oral medications, these medicines increase blood flow that helps you get and preserve an erection.

Vacuum-constriction device. This device, also called a penis pump or a vacuum pump, is a hollow tube you put over your penis. It uses a pump to draw blood into your penis to create an erection.

A band placed at the base of the penis maintains the erection after the tube is removed. This hand- or battery-powered device is simple to operate and has a low risk of problems.

If a vacuum-constriction device is a good treatment choice for you, your physician might recommend or prescribe a specific model. That way, you can be sure it suits your required and that it's made by a reputable manufacturer.

Penile implants. In cases where medications or a penis pump won't work, a surgical penis implant might be an option. Semirigid or inflatable penile implants are a safe and impressive option for many men with erectile dysfunction.

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