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Diabetes and Erectile Dysfunction: The Connection You Need to Know!

If you're struggling with erectile dysfunction, it may be time to talk to your doctor about diabetes. Diabetes can cause erectile dysfunction, so getting your blood sugar under control may help.


Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys, and nerves. The most common is type 2 diabetes, usually in adults, which occurs when the body becomes resistant to insulin or doesn’t make enough insulin. In the past three decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, usually begins in childhood, but can occur in adults (30-40% of all type 1 diabetes is diagnosed in adults).

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image.

The link between diabetes and erectile dysfunction

The link between diabetes and erectile dysfunction is caused by a combination of factors, including nerve damage, blood vessel damage, and poor blood flow. Nerve damage from diabetes is called diabetic neuropathy and affects nerves throughout the body. Diabetic neuropathy most often damages nerves in the legs and feet.

Blood vessel damage from diabetes is called diabetic neuropathy and affects blood vessels throughout the body. Diabetic neuropathy most often damages nerves in the legs and feet.

Poor blood flow can be caused by atherosclerosis, or hardening of the arteries. Atherosclerosis causes a narrowing of the arteries, which can lead to decreased blood flow to the penis.

All of these factors can lead to erectile dysfunction.


There are a number of treatments for erectile dysfunction, including lifestyle changes, oral medications, injectable medications, and surgery.

Lifestyle changes. These can include quitting smoking, losing weight, and exercising regularly.

Oral medications. These can include drugs called phosphodiesterase type-5 inhibitors. These include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).

Injectable medications. These can include alprostadil (Caverject, Edex), papaverine (Pavabid), and phentolamine (Regitine).

Surgery. This can include a penile implant, or a penile prosthesis.

Vacuum devices. These can include a vacuum device that uses negative pressure to pull blood into the penis.

Psychotherapy. This can include counseling to help with relationship issues.

If you have diabetes and erectile dysfunction, talk to your doctor. He or she can help you manage your diabetes and erectile dysfunction.

Diabetes and erectile dysfunction

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Video transcription:

Hi everyone- this is dr ahmed ergin, I’m an endocrinologist and I’m a diabetes expert. Now today, I’m going to talk to you about erectile dysfunction, super common in men. In my clinic I deal with that pretty much every day, and today I will talk to you about why erectile dysfunction happens in men and I will talk to you about your treatment options. Let’s get started so erectile dysfunction is very common. It can happen in men even before the diagnosis of diabetes, so erectile dysfunction happens as a result of damage to your arteries and your nerves. Now, as you can imagine, diabetes does the same thing to pretty much every other artery and nerve in your body. So actually, if you have erectile dysfunction, there is a good chance that you may have other arterial problems. So basically, the blood flow is not enough to give you a firm enough penis to have a satisfactory sexual intercourse. So what do you really do? So if it is already at that stage, where you’re experiencing erectile dysfunction, you may have to look into a few things number one. You have to control your diabetes and get your diabetes under control, but not only that you have to also control your cholesterol and you also have to control your blood pressure. So I sometimes watch some doctors saying that oh eat salt salt is good for you or just eat all the grease and eat steak every day. That’s not gonna help your erectile dysfunction. Okay, so your sugars may be okay eating steak every day, but you will still have erectile dysfunction. So let’s get this straightened up, so you have to control your blood pressure, control, your cholesterol and control your blood sugar. At the same time, it’s like a a little tripod. If you do not fix one leg, you still fall, so you have to make sure that you fix all the legs and control all three conditions at the same time. Now, what are your options? Number one talk to someone don’t be shy. Just talk to your doctor say: hey, I’m not happy! My wife is not happy somebody’s unhappy. Let’s do something about this. What can you offer to me? Also make sure you check your medications. Make sure you ask your doctor: is there any medication, that’s affecting me? There are some antidepressants that actually a lot of people are on can cause erectile dysfunction. There are a lot of blood pressure medications that can cause erectile dysfunction as well. So you have to kind of make sure that your doctor is paying attention to your medication list to make sure these medications are eliminated if possible, and of course, you may want to see counseling. If you have a lot of anxiety stress in your life, sex may not be your priority anymore. Yeah yeah, you will say yeah, I’m not a 20 year old anymore, but you still have a life like you have to make sure that you are not ignoring yourself and you’re. Not ignoring your anxiety and your stress and asking for help is not always a bad option. Now, let’s talk about the options, what you need to do to get that fixed, get this going buddy now so number one. Of course everybody knows this, but I’m going to give you a couple tricks here: Viagra Cialis, the most common drugs that can help the erectile dysfunction. Of course, you can use over-the-counter stuff if you, if you like, but typically we use, Viagra or or or Cialis now some people take Viagra, for example, anywhere from 20 milligram up to 100 milligrams, depending on how much they need some people just need 20 milligrams, some people will need 100 milligrams and they take it a couple hours before the expected sexual intercourse. Now, sometimes it works like that and sometimes it doesn’t and interestingly sometimes people take the medication every day it could be 20 milligram, 40, milligram, 60 milligram, 50 milligram, whatever it comes with, you can use it every day, and sometimes that works better, and some of my patients actually will take the drug every day and will take a few extra before the expected time as well, which also increases the chances of working. So if you started taking Viagra one way or the other or Cialis and it didn’t work for you just don’t trust the medication. There are other ways you can try to make it work and, of course, always make sure that you’re informing your doctor. What you’re doing with your medication do not do anything based on my video only make sure you get your doctor’s consent, because your condition may be different than somebody else. If the pills are not a good option or they’re not working. Sometimes people who are on nitrates, for example, should not be taking together. Viagra and nitrates do not raise or certain chest pain medications that may be used, and if you have that condition together, you may be very. You may have to be very careful with these drugs now. If these are not an option for you, if they’re not working, then you can use suppositories or even needles. There are some suppositories you can insert through the penis or you can actually use a injection that can give you a locally immediate effect and can give you a firm penis. Yes, a needle into the penis is not the most sexy idea or the most fancy idea, but it is an option it works. Your third option is vacu. We call this a penis pump if you wish- and it basically sucks the blood into your penis, to give you this firm penis. It is an option: yes, it’s again, not the most sexy option, but it is something to consider it’s better than nothing right. Well, the last option is penile implants and I think it is. It sounds like a drastic option and yeah. It is a drastic option, but it is an option. I even had some patients who came to me without diabetes, asking for implants, I’m like you’re, not in the right place, buddy. I don’t do that kind of stuff, I’m an anonymous, I’m a hormone doctor, so that guy was just looking for some other purposes, but in any case, penile implants can be an option if you are having problems and everything has failed or other options may not be good for you. So I hope you guys enjoyed this video and if you did give a thumbs up and share this video if you are comfortable with it. Talk to you later.

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