Sexual function is a complex blend of Anatomic, Neurological, Metabolic, Endocrine & Psychic factors. On an average around 50% male diabetics develop sexual dysfunction
What is essential for normal sexual function?
.Adequate desire & arousal
.Adequate testosterone levels
.Anatomically Normal Penis
.Adequate Arterial blood flow
.Effective Venous Occlusion ( To sustain Erection)
.Intact Nerve Supply
What leads to Sexual Dysfunction in Diabetics?
.Uncontrolled or fluctuating blood sugars
.Diabetic Neuropathy ( As a result of uncontrolled DM or long duration of DM)
.Atherosclerosis
.Endothelial Dysfunction
.Testosterone deficiency
.Smoking
.Alcoholism
.Uncontrolled Hypertension
.Iatrogenic ( Drug induced )
TYPES OF SEXUAL DYSFUNCTION
1)Transient or temporary dysfunction ( Due to blood sugar fluctuation)
2)Progressive Dysfunction ( Diabetic Erectile Failure)
TREATMENT
1)Psychological counseling
2)Pharmacological Agents ( NEEDS STRICT MEDICAL SUPERVISION)
-Sildenafil
-Tadalafil
-Vardenafil
3)Vasoactive agents
-Papaverin injection
-Phentolamine
-Alprostadil
4)Vaccum Constriction Devices ( VCD )
5)Surgical
Vascular bypass ( Iliac-Pudendal, Pudendal-Cavernous, Pudendal-Penile grafts)
Semi rigid or Inflatable penile prosthesis implantation
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ReplyDeletethank you
ReplyDeleteSIR, ineed ur appointment iam diabetic using VICTOJA 1.2 daily MIX START 30 units two times and tablets METFORMI 1gram GLIMIPRIDE 4MG .TWO TIMES BEFORE food .After food ECOSPIRIN GOLD 20 Mg BECOMPLEX AND multi VITAMIN CAPSULES.pl suggest latest medicines and ican use udezire my age is 47.pl help me sir. my mail id is nbalaji678@gmail.com
ReplyDeleteNo problem Sir! The reason for ED needs to be evaluated and sugars need to be controlled before trying newer drugs.
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