Diabetes and Erectile Dysfunction

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It is not uncommon that men who suffer from diabetes also suffer from erectile dysfunction as well.

Troublesome bladder symptoms and changes in sexual function are common health problems as people age. Having diabetes can mean early onset and increased severity of these problems.

Sexual and urologic complications of diabetes and erectile dysfunction are related to the nerve damage it can cause. Men may have difficulty with erections or ejaculation. Women may have problems with sexual response and vaginal lubrication.

Urinary tract infections and bladder problems occur more often in people with diabetes. By keeping it under control, you can lower your risk of sexual and urologic problems.

DIABETES AND ERECTILE DYSFUNCTION

When you want to lift your arm or take a step, your brain sends nerve signals to the appropriate muscles. Internal organs like the heart and bladder are also controlled by nerve signals, but you do not have the same kind of conscious control over them as you do over your arms and legs.

The nerves that control your internal organs are called autonomic nerves, and they signal your body to digest food, and circulate blood without you having to think about it.

Your body's response to sexual stimuli is also involuntary, governed by autonomic nerve signals that increase blood flow to the genitals and cause smooth muscle tissue to relax. Damage to these autonomic nerves is what can hinder normal function.

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DIABETES AND ERECTILE DYSFUNCTION

Estimates of the prevalence of ED in men with diabetes range from 20 to 85%. Erectile dysfunction is a consistent inability to have an erection firm enough for sexual intercourse.

The condition includes the total inability to have an erection, the inability to sustain an erection, or the occasional inability to have or sustain an erection. A recent study of a clinic population revealed that 5 percent of the men with erectile dysfunction also had undiagnosed diabetes.

Men who have diabetes are three times more likely to have ED as men who do not have diabetes. Among men with ED, those with diabetes are likely to have experienced the problem as much as 10 to 15 years earlier than men without diabetes.

In addition to diabetes, other major causes of erectile dysfunction include high blood pressure, kidney disease, alcoholism, and blood vessel disease. Erectile dysfunction may also occur because of the side effects of medications, psychological factors, smoking, and hormonal deficiencies.

If you experience ED, talking to your doctor about it is the first step in getting help. Your doctor may ask you about your medical history, the type and frequency of your sexual problems, your medications, your smoking and drinking habits, and other health conditions.

A physical exam and laboratory tests may help pinpoint causes. Your blood glucose control and hormone levels will be checked. The doctor may ask you whether you are depressed or have recently experienced upsetting changes in your life.

In addition, you may be asked to do a test at home that checks for erections while you sleep.

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Treatments for ED caused by nerve damage, also called neuropathy, vary widely and range from oral pills, a vacuum pump, pellets placed in the urethra, and shots directly into the penis, to syrgery. All these methods have strengths and drawbacks.

Psychotherapy to reduce anxiety or address other issues may be necessary. Surgery to implant a device to aid or to repair arteries is another option.

WILL I EXPERIENCE SEXUAL AND UROLOGIC PROBLEMS SOONER OR LATER?

Risk factors are conditions that increase your chances of getting a particular disease. The more risk factors you have, the greater your chances of developing that disease or condition.

Diabetic neuropathy, including diabetes and erectile dysfunction, as well as related sexual and urologic problems, appears to be more common in people who:

* have poor blood glucose control

* have high levels of blood cholesterol

* have high blood pressure

* are overweight

* are over the age of 40

* smoke

WHAT CAN I DO TO PREVENT DIABETES AND ERECTILE DYSFUNCTION AND ADDITIONAL UROLOGIC PROBLEMS?

You can lower your risk of sexual and urologic problems by keeping your blood glucose, blood pressure, and cholesterol close to the target numbers your doctor recommends.

Being physically active and maintaining a healthy weight can also prevent the long term complications of diabete. Controlling diabetes through diet and exercise can help prevent sexual and urologic problems.

Smoking is a particular problem, and quitting will improve your health in many ways.

For example, if you quit smoking, you can lower your risk not only for nerve damage but also for heart attack, stroke, and kidney disease.

P.S.

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