Sexual Health and Erectile Dysfunction In Men With Diabetes
Sexual Health and Erectile Dysfunction In Men With Diabetes
Impotence is defined slightly differently among occupational groups and in general. A common definition – which we will use here – is to equate male impotence and inability to obtain adequate erection for long enough to complete a satisfactory sexual intercourse (erectile dysfunction). This definition thus includes not another and not uncommon problem that is premature ejaculation.
Before it is reasonable to use the term impotence, the problem should have been present for a long time (weeks or months). The reason for this is that all men are experiencing periods in their lives when there is reduced or possibly. Completely abolished sexual performance. The reasons for this are many. Therefore, it is important that one cannot be put off by a single or possibly. Several failed attempts at intercourse, given that this can get into a vicious circle of performance anxiety and psychological problems.
How common is impotence in diabetic patients?
If the problem occurs in a matter may be comforting to know that one is not alone in having this problem. Major foreign studies show that 25-40% of non-diabetic 50-year-old men have varying degrees of impotence. 
In both diabetics and non-diabetics, the incidence of impotence is age-related, and is therefore seen more frequently with increasing age. In diabetic patients, there is also a relation with the duration of diabetes. Larger studies seem to show that 50-60% of all men over the age of 50 with diabetes have varying degrees of erectile dysfunction. Generally it can be said that men with diabetes experience erectile dysfunction on average about 10 years earlier than non-diabetic men.
The most important thing is to realize that with himself and his doctor should carefully consider whether these more ‘mechanical’ approach can be usefully addressed by, or supplemented with an actual sexological treatment that targets any relationship problems. This treatment is done by the GP or by a specialist who own doctor can refer to.
There are new types of tablets. The intake of the tablets does not result in a spontaneous erection, but promotes normal erection in response to sexual stimulation. Many diabetics with erectile dysfunction were able to get good help with oral tablets.
The tablets will not have effect in those patients where the impotence is due to isolated circuit problems in and around the penis or severed nerve pathways after surgery in the pelvic area. It has no effect on sexual desire, and thus will not be able to solve real sexological problems like marital problems, lack of desire or stress. In patients where the impotence due to psychological problems, the tablets will be used as part of treatment. Here it would be more appropriate to seek sexology, psychiatric or psychological treatment.
Side effects:
There is no medicine without some degree of side effects. This also applies to the tablets. Signs are usually quite mild and passers-by if medication is taken as prescribed. The most common side effects seen in up to 15% of users are headache, flushing and hot flashes. 
In some cases tablets can cause dizziness and visual disturbances in the form of altered color vision. Fortunately, this is also a passing reaction.
Risks:
The tablets should not be used in people with diabetes who have severe heart / vascular disease, or who take heart medicines containing nitroglycerin.
Injection Treatment:
This method has been used for almost 20 years. By using a thin needle is injected directly into the penis one or more substances that affect the blood vessels, wherein a usable erection often much can be achieved. They first used drugs were associated with side effects – especially during long-term use. 
Vacuum therapy:
By vacuum treatment, a clear Plexiglas, which is set around the penis, after which by means of an air pump creates a negative pressure in the cylinder. This will be gradually increased engorgement of the penis and an erection occurs. Plexiglas cylinder is removed and put a heavy rubber band around the base of the penis to maintain the erection long as possible.
Changing medications:
If you get drugs that can cause sexual problems, for example, beta blockers, can you talk with her doctor about changing the medication to other drugs that may have fewer sexual side effects, or contact Canadian Health Care Mall for a free hotline where our experts will answer all your questions.
Implantation of penile prosthesis:
This operation is quite extensive and offered primarily patients with very pronounced erectile dysfunction. Most often, surgery due to severe damage to vessels or nerves to the penis. Today only used inflatable prostheses, which is operated by means of a valve implanted in the scrotum. 
Researchers in the US have now notched an important mechanism behind impotence in diabetic patients. But effective drugs considered yet to lie far in the future. The risk of impotence increases with age. One in four men between 65 and 74 are estimated to have impotence problems. Already known is that diabetes is a common factor in impotence. But more precisely on what ways Diabetes causes impotence have been clearer.
Now researchers at the American Johns Hopkins University tracked what appears to be a central mechanism of the disease.
It’s a very interesting discovery is now led in evidence. Now we understand better why ordinary erection drug is not as effective for diabetics, says Stefan Arver, Associate Professor and Consultant at the Andrology Centre. An erection is the result of a complex series of processes in the body. Simply put, it is necessary that the blood vessels in the penis can develop nitric oxide a substance that promotes relaxation of the body and sends a strong blood supply in the penis possible.
By testing in rats, the research team at Johns Hopkins now shown that a specific type of sugar with the designation O-GlcNAc interferes with the production of nitric oxide. This by tying up an enzyme functioning as a catalyst in the process. Sugar formed in turn when blood sugar is elevated as in the case of diabetics. The discovery is a step towards more effective drugs against impotence in diabetic patients, but there is still many steps, according to Stefan Arver. For example, there remains to find out how sugar species adverse effect on erection process can be stopped.
