Diabetic with Erectile Dysfunction? – You are not alone
It is a known fact that for many men erectile dysfunction is one of the most unpleasant complications of being diabetic.
How many men are we talking about?
Well, let’s take a look at the statistics on type II Diabetes Mellitus:
Based on the most recent data from the World Health Organization, the number of people with diabetes rose from 108 million in 1980 to 422 million in 2014 and its prevalence is continuously rising globally. It is estimated that by 2030 the number of diabetic population to reach 552 million.
Statistics show that men are more prone to develop diabetes than women – with a prevalence of 14.6% vs. 9.1% when BMI was the measured factor. These numbers may vary depending on the region and type of the risk factors/comorbidities taken into consideration.
Diabetes mellitus is one of the most common chronic diseases in nearly all countries. It has been associated with sexual dysfunction, both in males and in females.
It has been documented that diabetic men are at higher risk of developing sexual dysfunction than non-diabetic men.
Now, let’s take a look at the sufferers of Erectile Dysfunction:
Prevalence of ED in diabetic men ranges from 35 to 90%. Erectile dysfunction is two to threefold higher in men with DM compared to men without DM. ED might present in the early stages of diabetes mellitus or sometimes as a chief complaint of diabetic patients.
ED prevalence increases with age: 6% in men aged 40–49 years, 16% in men aged 50–59 years, 32% in men aged 60–69 years, and 44% in men aged 70–79 years. In diabetic men, these percentages are higher at much earlier ages.
ED, a multifactorial affection, is associated with several endocrine and metabolic disorders including insulin resistance, hyperlipidemia, testosterone deficiency, type 2 diabetes mellitus and metabolic syndrome.
Sexual function is one of the important indices of quality of life. The development of ED is negatively associated with men’s relationship, social interactions, emotional and particularly psychological well-being.
There is a very complex pathophysiology (how diabetic patients develop sexual dysfunction complications) which is not well understood and explained by the scientists and probably not of much interest to you.
If you are diabetic and are dealing with ED issue, you are not alone and it is very important to know that:
- Erectile dysfunction is a preventable diabetic complication.
- Around 95% of patients with erectile dysfunction related to DM can be treated successfully.
Major therapeutic steps including but not limited to, are:
- Lifestyle changes – control of diabetes, weight reduction smoking cessation, physical exercise
- PDES inhibitor medications – Sildenafil (Viagra), Tadalafil (Cialis), Verdenafil (Levitra), etc.
- Intracavernosal (in the penis) injections, etc.
Causes of vision loss worldwide, 1990-2010: a systematic analysis.
Bourne RR, Stevens GA, White RA, Smith JL, Flaxman SR, Price H et al. Lancet Global Health 2013;1:e339-e349
2016 Oct;101(10):3740-3746. doi: 10.1210/jc.2016-1915. Epub 2016 Aug 4.
Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract 2011; 94: 311-21 http://dx.doi.org/10.1016/j.diabres.2011.10.029 pmid: 22079683.
Nathan DM, Davidson MB, DeFronzo RA, Heine RJ, Henry RR, Pratley R, et al., American Diabetes Association, et al. Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care 2007; 30: 753-9 http://dx.doi.org/10.2337/dc07-9920 pmid: 17327355.
Unwin N, Shaw J, Zimmet P, Alberti KGMM. Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention. Diabet Med 2002; 19: 708-23 http://dx.doi.org/10.1046/j.1464-5491.2002.00835.x pmid: 12207806.
PMCID: PMC6451292 PMID: 30953562 Erectile dysfunction and associated factors among men with diabetes mellitus from a tertiary diabetic center in Northern Sri Lanka Balasingam Nisahan, Thirunavukarasu Kumanan,2 Nadarajah Rajeshkannan,3 Thampipillai Peranantharajah,1 and Mahalingam Aravinthan1
Giugliano F, Maiorino M, Bellastella G, Gicchino M, Giugliano D, Esposito K. Determinants of erectile dysfunction in type 2 diabetes. Int J Impot Res. 2010;22(3):204–209. doi: 10.1038/ijir.2010.1. [PubMed] [CrossRef] [Google Scholar]
Al-Hunayan A, Al-Mutar M, Kehinde EO, Thalib L, Al-Ghorory M. The prevalence and predictors of erectile dysfunction in men with newly diagnosed type 2 diabetes mellitus. BIU Int. 2007;99:130–134. [PubMed] [Google Scholar]