According to Italian researchers, more than a third of men with type 1 diabetes between the ages of 18 and 35 suffer from erectile dysfunction.
Given the high prevalence of erectile dysfunction in young diabetic men, assessment of sexual function in the context of diabetes should not be overlooked by physicians, even for young type 1 diabetic patients.
When erectile dysfunction is present, patients should be also screened for depression.
In diabetics, erectile dysfunction occurs a decade or earlier, and is more severe, and less responsive to oral medications than in those without the disease.
There are not many studies in this regard, but in recent decades we have begun to investigate, for young people
aged between 18 and 35 years, with type 1 diabetes and to evaluate whether the continuous infusion of subcutaneous insulin is associated with an improvement in sexual performance and compared to multiple daily injections.
In these studies, the overall prevalence of erectile dysfunction was 37% among diabetic men versus only 6% among non-diabetic control men. Understanding how diabetes affects erections
Contents

  • Understanding how diabetes affects erections
  • The link between diabetes and erectile dysfunction
    • Other problems related to erection and diabetes
  • The reasons for these sexual problems
  • How can it be prevented
  • Diabetes and erections: solutions to regain your sexual abilities
  • Treatments for erectile dysfunction

Sexual problems due to diabetes can affect both men and women. While these sexual health problems can be quite common among people with diabetes, they are often not talked about much. The good news is that there are specific treatments for diabetes-related sexual problems.
There are a few reasons why men with diabetes can suffer from sexual problems. Some of these problems are no different than what the general male population may have. The link between diabetes and erectile dysfunction
The most common sexual problem in men with diabetes is erectile dysfunction, sometimes called impotence, which is the inability to get an erection solid enough to end sexual intercourse. This includes the difficulty in achieving and maintaining an erection.
Erectile dysfunction in men with diabetes can be caused by:

  • Damage to the nerves or blood vessels that supply the penis
  • Poor blood sugar control
  • Stress or fear of not being able to get an erection
  • Damage to nerves and blood vessels.

Nerve damage, or neuropathy, can occur because high blood sugar levels damage the blood vessels that carry oxygen and nutrients to the nerves. When nerves are damaged they are unable to transmit signals correctly.
If the nerves that feed the penis are damaged, even though you may have mental stimulation to have sex, the message from the brain fails to reach the penis and it does not respond to the stimulus properly. Other problems related to erection and diabetes
In addition to blood vessels that damage nerves, nerve damage can damage blood vessels and narrow them. If the blood vessels supplying the penis become narrow, blood cannot flow fast enough to achieve and maintain an erection.
Another problem that can occur with blood vessels is atherosclerosis. This is the name doctors give to hardening and narrowing of the arteries. People with diabetes are susceptible to atherosclerosis because they are at greater risk for high blood pressure and / or high cholesterol. If atherosclerosis occurs in the arteries that supply blood to the penis, the blood supply may not be sufficient to achieve an erection. The reasons for these sexual problems
Poor blood sugar control causes a lot of problems in the economy of an organism.
In addition to causing neuropathy, another mechanism by which poor blood sugar control can affect an erection is to curb the production of nitric oxide. Nitric oxide is a chemical in the body necessary for an erection, which is released in the penis.
High blood sugar can also cause decreased libido, or sexual desire. Getting blood glucose back under control can sometimes restore a man’s sexual desire.
A couple of episodes in which an inability to end sexual intercourse has manifested itself may be enough to make a man anxious; anxiety that is also added to physical factors, in an endless vortex. For this reason it is important to talk to your doctor and get advice from specialists.
Likewise, stress in a man’s life and other psychological factors, such as depression, can add to physical ailments and aggravate erectile dysfunction. Hence, it is often a combination of physical and psychological causes. Erectile dysfunction that begins with a physical cause can often acquire a psychological component when the man is concerned about his performance. How you can prevent it
Check yourself often and do some checkups, especially if genetics do not help you, it means taking care of yourself and reducing the risks. Blood glucose monitoring and control are very important. You can do this through a combination of good habits: exercise, eat healthier, sleep more, reduce stress, cut back on alcohol, and refrain from smoking.
Making these lifestyle changes and maintaining them can help reduce the risk of erectile dysfunction and many other diabetes-related complications.
There are also drugs to control insulin, including metformin, sulphonylureas, meglitinides and others, but they should be prescribed by a doctor, if he deems it necessary, also based on your medical history. These are designed to help your body produce more insulin to better process blood glucose. Effective diabetes management can prevent damage to the bloodstream and nerves that lead to erectile dysfunction. Diabetes and erections: solutions to regain your sexual abilities
First of all, diabetes-related problems must first be treated, so it would be advisable to contact your general practitioner, who will then be able to advise how to proceed. Usually, therapy sessions are also recommended, even in pairs; this can greatly help the person affected by the disorder.
You may be advised to try changing your diabetes medications to see if this helps the situation. Erectile Dysfunction Treatments
Fortunately, there are many options today to help men with erectile dysfunction: treatments that can soothe physical problems, and psychological training and counseling to help resolve the psychological issues.
Medicines taken by mouth, such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil), have been shown to be effective in treating erectile dysfunction in men with diabetes. Devices with pumps are one of the physical ways to produce an erection. Other treatments include injection into the penis with the drug Caverject (alprostadil).
Implants are a type of surgical treatment that may be suitable for some men when other treatments have not been successful.
Hence, there are several successful treatments available to help men with diabetes who have problems with their erections. Your doctor is the best person to advise you which treatment would be most suitable for you. Remember that erectile dysfunction occurs more often and on average 10-15 years earlier in men with diabetes than in men without diabetes.
Lifestyle changes are also important, especially quitting smoking and drinking alcohol.

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