Diabetes Drugs And Erectile Dysfunction

Erectile Dysfunction

Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. Many factors – often in combination – can cause it.

It can be caused either by a medical condition such as diabetes, nerve or heart disease, a medication side effect, or a psychological issue like stress or relationship issues. Treatments range from medication to penile implants.

Causes

Erectile Dysfunction is caused by medical, mental or physical factors. It is a common condition that affects a man’s sexual function, which can lead to emotional distress and marital problems. The causes of ED are not fully understood. It is important to address all issues that could be causing sexual dysfunction, regardless of whether they are medical or psychological.

A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. This occurs as a result of impulses from the brain and genital nerves. Anything that blocks these signals or prevents blood flow to the penis can cause ED. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatments can also affect the ability of a man to maintain and get an erection.

Men may feel embarrassed to discuss erectile dysfunction with their doctor. However, a diagnosis will help to treat the problem. A doctor may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.

Symptoms

Erectile dysfunction can disrupt relationships in men, as well as their physical health. Partners of people with ED may feel upset and anxious, or may suspect their partner is being unfaithful. Many people who suffer from ED will stop sexual activity.

Erectile dysfunction symptoms include inability to achieve or maintain an erection, lifelong premature ejaculation, (i.e. ejaculating within one minute before vaginal penetration), and psychological symptoms like performance anxiety. A doctor can confirm a diagnosis by examining the patient’s penis, taking a urine sample, and doing blood tests.

Erectile dysfunction can often be treated by addressing the underlying cause, which may involve managing a health condition such as diabetes or heart disease, stopping smoking or alcohol abuse, and/or treating anxiety or depression. ED is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.

Diagnosis

A health care provider can diagnose ED through questions, a physical examination and ordering lab tests. He may also refer to a Urologist.

The most common cause of ED is problems with blood flow to the penis. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the arteries. This is often caused by ageing, but it can be caused by other things too – including being overweight, smoking, high blood pressure and taking certain medications.

Emotional problems are also a cause of ED or can make it worse. These can include feelings of low sex drive (loss of libido), stress, depression or anxiety from past experiences with ED or from the side effects of some medications. Having good communication with your sexual partner can help address these issues. A therapist may also be able to help. It is sometimes helpful for partners to be involved in treatment sessions. However, some people prefer to see a health care provider alone.

Treatment

The treatment of erectile dysfunction depends on its underlying cause. You can improve it by managing diabetes, heart disease and taking medications (such as nitrates) that increase blood flow to the penis. Sexual function may be affected by treatment for BPH or pelvic cancer. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem will usually improve with time.

Some medications (especially thiazides and antidepressants) can cause ED. Talk to your doctor before changing your medication.

Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Reduced stress and anxiety can also help. Psychotherapy or counseling may be beneficial for those who have psychological causes of ED. Some insurance plans cover these services, but you also can pay to see a counselor privately. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.