Did you know that the root causes of Erectile Dysfunction (ED) can be linked to pre-existing health conditions? There are several prevalent conditions that can increase the likelihood of developing Erectile Dysfunction. One such pre-existing condition that increases the likelihood of developing Erectile Dysfunction includes Diabetes. Research studies suggest that the prevalence of developing Erectile dysfunction for “men with diabetes ranges from 35%–75% versus 26% in general population.” (1) This reveals that men with Diabetes have a significantly higher risk for developing Erectile Dysfunction then the general population due to complications resulting from Diabetes.
Overall men who are Diabetic have approximately a “threefold higher probability to develop Erectile Dysfunction compared with non-diabetics.” (2) This suggests that the chances of developing impotence are much higher if an individual has a pre-existing condition such as Diabetes. According to the American Diabetes Association “the onset of Erectile Dysfunction occurs 10–15 years earlier in men with diabetes than it does in sex-matched counterparts without diabetes.” (1) Research also conducted by the Boston University Medical Centre, has found that “about half of men who are diagnosed with type 2 diabetes will develop ED within five to 10 years of their diagnosis.” (3)
Not only is Erectile Dysfunction more common in men who have been diagnosed with Diabetes, research studies suggest that Erectile Dysfunction in Diabetic men “has been shown to be more severe and associated with a poorer quality of life”. (5, 6) Furthermore, studies have shown that men who have ED are “less responsive to medical treatment compared with ED in non-diabetic men.” (5, 6)
So what’s causing Erectile Dysfunction stemmed from Diabetes?
Erectile Dysfunction can stem from several complications associated with Diabetes. One such complication includes poor long-term blood sugar control which results in damage to “damage small blood vessels and nerves” increasing the likelihood to develop Erectile Dysfunction. (3) Another complication includes “low nitric oxide levels which are commonly found in individuals with Diabetes.” (1) When a man is aroused, a chemical called nitric oxide is released into the bloodstream. This nitric oxide signals the muscles and the arteries in the penis to relax, allowing for more blood to flow into the penis, giving an erection. When a man’s blood sugar levels are too high, there is less nitric oxide produced resulting in less blood flowing into the penis therefore causing the inability to achieve or maintain an erection. Gh levels of nitric oxide act as local neurotransmitters therefore facilitating the maximization of blood flow as well as penile engorgement. “Loss of erection occurs when nitric oxide–induced vasodilation ceases”, or with low nitric oxide synthase levels. (1) Individuals with Diabetes have a higher chance of developing Erectile Dysfunction due to the interference of nitric oxide synthesis as it prevents “intracavernosal blood pressure from rising to a level sufficient to impede emissary vein outflow, leading to an inability to acquire or sustain rigid erection.” (1)
Another complication of Diabetes which can facilitate impotence includes the reduction of Norepinephrine- and acetylcholine-positive fibers two substances which attach to skeletal muscle fibers in the penile tissue region. These two substances are shown “to be reduced in people with diabetes” resulting in the “loss for muscle relaxation that is essential for achieving an erection.” (1) The reduction in these two fiber substances arises from damage to the nerves as well as blood vessels caused by long term imbalances in blood sugar level. Additionally, the use of medications frequently assumed to be administered by diabetic patients, such as “antihypertensive drugs (β-blockers, thiazide diuretics, and spironolactone), psychotropic drugs (antidepressants), and certain fibrates, have all been associated with an additive deleterious effect on diabetic Erectile Dysfunction.” (5) Overall Erectile Dysfunction linked to Diabetes is multi-factorial in nature and there can be several underlying causes attributing to the condition so a global approach in regards to treatment may be required.
Let’s Talk about Prevention, Supplements and Treatment Options
The first step in preventing or resolving Erectile Dysfunction includes addressing the root cause of the problem. Initially, preventive measures or steps towards multi-factorial intervention can help to reduce the risk of developing Erectile Dysfunction. Preventive measure include but are not limited to taking initiatives to managing hypertension, maintaining lipid control, completely omitting cigarette smoking, engaging in adequate physical exercise, as well as reducing alcohol intake.
Treatment and prevention measures can also come in the form of glucose management, and diet changes. Recent clinical studies have shown that better glucose management has “been associated with improvements in sexual function” and reduces the likelihood of developing Erectile Dysfunction. (7) According to ISSM and the American Diabetes Association adopting a Mediterranean diet could cut the risk of a man developing erectile dysfunction by 40 percent. (12,11) Additionally, the American Association of Diabetes states that the benefits of a Mediterranean diet “on erectile function might be related to an improved lipid and glucose metabolism, increased antioxidant defenses, and increased arginine levels which could raise nitric oxide activity and thus improve erectile function .” (11, 10)
Supplements can aid in the improvement of Erectile Dysfunction as well. Recent studies also show that “supplementation with amino acids called l-arginine and l-citrulline may help to improve erectile function as these acids are known to increase the body’s production of nitric oxide, which can increase blood flow to the penis.” (8) Substituting as well as removing medications that may be linked to Erectile Dysfunction is helpful as well. (2, 9)
Below are listed lifestyle change measures to consider when treating or preventing Erectile Dysfunction: (4)
- Managing blood sugar levels
A diabetes-friendly well balanced diet assists in controlling blood sugar levels and decreases potential damage which might occur to both blood vessels and nerves.
- Limiting the consumption of alcohol
Drinking can often times damage blood vessels which can contribute to erectile dysfunction.
- Adopting an active lifestyle
Incorporating regular exercise can assist in controlling the blood sugar levels as well as improve circulation and lower stress.
- Quit smoking
Smoking constricts blood vessels and reduces levels of nitric oxide in the blood, which in turn reduces the blood flow towards the penis, therefore contributing to the worsening the condition of erectile dysfunction.
For Diabetic men who have onset Erectile Dysfunction there are several effective therapy options available. Clinic for Him offers first line pharmacologic therapy options effective for treating Erectile Dysfunction for men who have pre-existing conditions such as Diabetes. The initial steps of Clinic for Hims consultation includes going over a patient’s background history through a thorough evaluation of their medical conditions, and current health statues in order to distinguish between psychogenic and primary causes. The second step Clinic for Him initiates includes administering quick, simple non-invasive tests in order to determine severity as well as prognosis. The third step of Clinic for Him’s comprehensive consultation includes prescribing the best recommended line of therapy for Erectile Dysfunction. Such pharmacologic therapies include oral medications and vasoactive agents in order to thoroughly address the issue at hand.
Diabetes and Erectile Dysfunction (ED) are two separate conditions however they tend to go hand in hand. According to the National Institute of Diabetes and Digestive and Kidney Diseases, men with diabetes are two or three times more likely to develop ED which means, they will have problems with achieving and maintaining an erection.
The poorly controlled blood sugar levels that are associated with diabetes can damage small blood vessels and nerves. Since the blood vessels in the penis are tiny, the muscles start to atrophy and are replaced by scar tissue or collagen rather than smooth muscle. Damage to the nerves that control sexual stimulation and response can impede a man’s ability to achieve and maintain a firm erection. Reduced blood flow from these damaged blood vessels also contribute to ED.
There are several risk factors that contribute to diabetes and erectile dysfunction:
- Uncontrolled blood sugar
- Poor diet
- Excessive alcohol consumption
- Uncontrolled hypertension
To reduce the risk of diabetes and erectile dysfunction, it’s important to make a few lifestyle changes.
Control your blood sugar: If you’ve already been diagnosed with diabetes, this should be your first priority. Lessening the amount of sugar in your diet will help control the damage level on your blood vessels and nerves. A proper diet geared at keeping your glucose levels in check will improve your energy levels and mood which also control ED.
Cut back on alcohol: Having more than two drinks a day can damage your blood vessels and worsen your ED symptoms. Being even mildly intoxicated can also make it harder to achieve an erection and may interfere with sexual function.
Stop smoking: Along with several health issues related to smoking, it also narrows your blood vessels and decreases the level of nitric oxide which decreases blood flow to the penis, which in turn worsens your ED.
Get going: And by that we mean, get active and get some exercise. Adding regular exercise to your routine can help you control your blood glucose levels, improve circulation, lower stress levels and improve your energy levels – all of which help combat ED.
Get some zzz’s: Fatigue is often to blame for sexual problems. Get some sleep and ensure you get about 6-8 hours each night to help lower your risk of ED.
Keep the stress level down: Stress interferes with sexual arousal and your ability to get an erection. Set aside time to exercise, meditate, and do the things you love to maintain your stress levels and keep it at bay.
The connection between ED and diabetes is undeniable, but that doesn’t mean you have to accept this outcome. Taking steps to control your diabetes and reduce erectile dysfunction will improve your quality of life.
Clinic for Him Treatment Options: Diabetes & ED
Clinic for Him prides itself on providing treatment options for men unable to tolerate pill-based ED treatments.
Men living with diabetes often encounter problems with sexual dysfunction as well as problems tolerating standard oral medication. These men are not without treatment options, however, as this page from the http://www.guttmacher.org/pubs/journals/reprints/Contraception79-407-410.pdf website indicates.
A variety of non-pharmaceutical treatment options are available to men suffering from diabetes-induced ED. Clinic for Him is a leader in the field.
There are now a variety of treatments available for those with previous health conditions. Clinic for Him has helped men around the world overcome ED with overwhelming success. Clinic for Him physicians are well-trained and certified to help treat erectile dysfunction in men with diabetes