[ Diabetes Solutions ]

Erectile Dysfunction | University of Michigan Health System

To understand the connection between ED and diabetes, you need to know a few things about each individual condition. It said that a study has found that those with erectile dysfunction are twice as likely as other men with diabetes to develop heart disease. From a clinical point of view, the inability of some men to perform sexually can also be linked to a range of other health problems, many of which can be debilitating or potentially fatal,” says Professor Gary Wittert, Head of the Discipline of Medicine at the University of Adelaide and Director of the University’s Freemasons Foundation Centre for Men’s Health. The MatchingDonors.com website can get over 1.5 million hits in a month. Often when men come in with ED, it turns out they have other issues such as high blood pressure, heart disease, pulmonary disease, or gastrointestinal or memory problems that also must be addressed. There are several underlying causes that contribute to ED: arteriogenic, venogenic, endocrinologic, neurologic, psychological, and medicinal. As ED develops about 10 to 15 years earlier in diabetic men than in nondiabetic men, diabetes is one of the most significant causes of ED in men.

(People Magazine)This is a great article about our patients and donors; Rahwa Daniel and her donor Jacob Halupka and Gail Fink and her donor Juan Uribe – with a surprise story about them that will make your day. Sildenafil is a well-tolerated and potentially efficacious oral treatment for ED in men with diabetes mellitus. Cavernosal (abnormal arterial inflow) – Possible causes include vascular disease, diabetes mellitus, Peyronie’s disease and age. Further research on the basic mechanisms of ED and additional studies using better animal models of ED associated with type 1 and 2 diabetes are needed. Medications – Possible medications that can contribute to ED include antihypertensives, antidepressants, antipsychotics, alcohol abuse, smoking, antiandrogens, alpha adrenergic blockers, beta blockers, thiazide diuretics, cimetidine and marijuana use. *Endocrinological (or Hormonal)* This case occurs when there is an imbalance or insufficiency of sex hormones in the blood stream. Psychological (mental and emotional issues) – Possible causes include anxiety, depression, stress and relationship issues among others.

Overall, 80% of the participants suffered from type 2 diabetes mellitus. It may be more difficult to find a harder erection while you aging, but that does not fundamentally you entail you certainly will acquire ED. In these cases ED may provide a clue to the subtle onset of numerous systemic diseases. The involvement of an NO mechanism in the NMDA mediated behavioral response was also explored. The evaluations for erectile dysfunction include those specific to sexual function: the precise nature of the dysfunction (i.e., whether the problem is attaining or sustaining an erection, insufficient rigidity, penetration, or ejaculation); whether ED occurs with all sexual partners or only specific partners; psychosocial factors; the presence or absence of nocturnal and morning erections; and any treatments (pharmacologic and non-pharmacologic) that the patient has tried. The Sexual Health Inventory for Men (SHIM) assesses the degree to which ED impacts the quality of the patient’s life. If there are no other known medical conditions, a full physical examination is necessary.

In patients with recognized chronic conditions, the focus will be on a genital exam, and will include cardiovascular examination for cardiovascular risk assessment. death from acute heart attack or other coronary cause, or non-fatal cardiac events) with the participants’ original data from the study. Laboratory evaluations will assess total and bioavailable testosterone, luteinizing hormone (LH) and follicle stimulating hormone (FSH). David Wade Reports. Additional laboratory evaluation commonly includes a urinalysis, PSA, thyroid studies, fasting lipid profile, liver function studies, screening for diabetes and a complete blood count (CBC). A vacuum erection device can create an erection that is satisfactory for sexual activity without any pharmacologic intervention. Several oral medications are available for treatment of erectile dysfunction.

(Discovery Channel) Alex Pratt resides in Los Angeles, Calif., with his wife, and two children. Each option for treatment of erectile dysfunction has individualized education points that are addressed in the clinic, in order to assure that each patient understands the correct method of administration and has appropriate expectations for outcomes. The medical treatment option that is appropriate for an individual will be determined by physical examination, laboratory evaluation, medical history and patient preference. Patients will have a follow-up appointment with their provider 3 to 6 months after trying one of these options. While it may seem that revascularization of the penis would be a reasonable treatment, this is an option in a very small subset of men with erectile dysfunction, who meet very precise criteria. Surgery is not routinely indicated for the first-line treatment of erectile dysfunction. However, it is an option for the patient who cannot tolerate oral or injectable or intra-urethral treatments for erectile dysfunction.

A penile prosthesis may be an appropriate option, and requires surgery under general anesthetic for implantation.

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