Diabetes can cause erectile dysfunction (ED), in turn, diabetes, ED is often a "warning signal." Abroad data show that diabetes is the most common organic cause of ED, compared with the general population, diabetic patients more susceptible to early-onset ED. According to statistics, 18% of men with diabetes suffer from varying degrees of ED, 10 years or more of people with diabetes more than 50% of the people took place ED. ED can be the first symptom of diabetes Diabetes can cause damage to the body capillaries and nerve endings, the same could result in penile blood vessels, nerve damage, leading to ED. The occurrence of diabetic ED is progressive in nature, usually to a certain stages of the disease, but sometimes may also be diagnosed with diabetes before the first symptoms appear. Clinical 12% of patients are discovered because of ED treatment of diabetes, mainly for erectile dysfunction, will not be strong, loss of libido, Chen Bo, reduced sexual responsiveness decreased significantly. Therefore, the clinical examination is often recommended in patients with ED blood glucose to diabetes screening. ED patients with diabetes is often organic in Diabetic sexual dysfunction caused by the relevant risk factors are: early age at onset, longer duration, insulin-dependent diabetes, poor blood sugar control, severe alcoholism, smoking and so on. Currently considered sexual dysfunction caused by diabetes, the main mechanism for the penile artery stenosis, occlusion of small arteries and corpus cavernosum albuginea defect. At the same time, ischemic damage can be so dominant peripheral nerve damage penile erection. In addition, studies have reported that patients with diabetes gonadotropin luteinizing hormone (LH) increased serum total testosterone and free testosterone decrease, suggesting late-onset hypogonadism. Help to reduce testosterone levels may affect penile erection nitric oxide synthase activity, also affect the penile erectile function. At the same time, a lower level of testosterone can also cause insulin resistance, resulting in blood glucose control difficult. Many diabetic patients of long-term difficulties because of illness, can occur depression, anxiety symptoms, caused by excessive sympathetic tone and increased sexual dysfunction. Over time, in the extreme state of corticotropin-releasing excessive, and subsequently to suppress pituitary function, resulting in hypogonadism. Active treatment of diabetes contribute to ED Rehabilitation Male diabetic patients with ED, it should be in the formal treatment of diabetes on the basis of aggressive treatment of ED. Many patients with diabetes due to loss of libido, sexual dysfunction treatment is not a strong desire. However, sexual dysfunction in patients with diabetes treatment is very necessary. Moderate sex life can improve the marital relationship, building a harmonious family, which also help ease the patient due to chronic disease caused by depression and anxiety symptoms. Moderate sex life can delay caused due to diabetes, gonadal and the occurrence of neurovascular disease. Gonadal also help to correct the level of blood sugar control. Overseas studies have reported that in obese men with diabetes for 3 months of testosterone treatment, the results of this group of patients with fasting blood glucose, postprandial blood glucose and glycated hemoglobin decreased significantly. Commonly used treatment for ED which ED treatment of diabetes There are many ways. First, starting from the prevention and treatment of diabetes, such as diet, smoking cessation, drugs control blood sugar, regular exercise and decreased alcohol intake and so on. The severity of diabetic ED and diabetes duration and glycemic control has a strong correlation. Now widely used in clinical preparations of testosterone and phosphodiesterase type 5 inhibitors (PDE5 inhibitors) is an internationally recognized effective treatment for ED drugs, under the guidance of a doctor to use, can significantly improve the patient's sexual function, improve patient quality of life. Testosterone preparation: At present, the market is the introduction of more extensive oral preparation Andriol testosterone undecanoate. Through the male hormone replacement therapy for men testosterone deficiency symptoms, physical and mental health and sexual desire, bone density, fat, fat generation and distribution, the incidence of cardiovascular disease could be improved. Phosphodiesterase type 5 inhibitors (PDE5 inhibitor): the process of sexual stimulation through the penis to maintain and supply of vascular smooth muscle cells CGMP levels sufficient to increase the expansion of the cavernous sinus, thereby enhancing erectile function. Now listed three PDE5 inhibitors, including sildenafil (Viagra), tadalafil, and vardenafil. For the serious organic disease has occurred in patients with ED, it may require testosterone supplementation PDE5 inhibitor, if necessary, feasible, penile prosthesis implantation.
