Managing Sensual Health with Potential and Long-term Issues - ED

 

Sensual dysfunction is common in individuals with diabetes, and over half diabetic men have erectile dysfunction known as ED. This is often defined as failure to get and maintain an erection sufficient for sensual intercourse or decreased erectile turgidity on more than half of sensual occasions, and lasting for a minimum of months.

ED is three times more common and occurs some years earlier in men with diabetes than in those without. Importantly, some of men with ED have undiagnosed diabetes and many individuals with ED might have an abnormally raised fasting blood sugar. ED is therefore a future cardiovascular event, occurring three to five years before an event. A consultation about ED provides a golden opportunity to proactively educate, empower and enthuse the individuals and his partner to fine-tune lifestyle changes and to optimize management of existing or potential co morbidities.

Factors involved ED in diabetics are:

·        Although ED in diabetic men is related to alterations within the vascular and neurological system, these might even have a psychogenic component caused by fear, guilt, anger, stress, anxiety or fatigue.

·        An example of this might be the young year old diabetic who is struggling to urge his partner pregnant.

·        Local factors affecting the penile are often related to diabetes and positively can cause sensual problems for both the individual and his partner.

·        Peyronie’s disease features a prevalence of some individuals in diabetics compared with general population and similarly it can occur if the corpora cavernosa is starved of oxygenated blood, which happens if early morning erections cease.

Treatment

Modifying risk factors is the long-term foundation for any treatment programme but various combinations of therapy are often used counting on the individual. PDE5 is available and is effective, safe and well tolerated. These are cheap and may be used either on demand or daily at a coffee dose.

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