Sexual dysfunction is a health concern for any man, but particularly if you have diabetes. Though it commonly occurs in diabetic men and women, sexual dysfunction often goes under-reported and unacknowledged by both patients and physicians, who are reluctant to discuss such personal wellness issues. However, it has been well established that diabetes plays a major role in your sexual functioning, and the good news is that taking care of your blood sugar – as you do to prevent diabetic complications to your kidneys, eyes, nerves, feet and heart – can also help you to lead a normal sex life.
There is a vast wealth of research to show how diabetes affects your sexual wellbeing. If you’re a man, the most likely problem you’ll experience is erectile dysfunction (ED), meaning you can’t achieve or maintain an erection. The evidence suggests that 35-75% of diabetic men are affected by ED, which is a big leap from the 26% of the general male population who are likewise afflicted. Plus, your diabetes means you’ll likely gradually develop ED 10-15 years earlier than your non-diabetic counterparts. This is because poor diabetes control causes autonomic neuropathy, which is a major cause of ED, as well as blocking up your arteries with plaque, which impedes blood flow to your penis and, as a result, an erection.
If your diabetes is indeed causing sexual problems – which your doctor can confirm – there are preventative measures you can take:
1. Improve your blood sugar control
2. Lower your blood pressure
3. Reduce your stress levels
4. Quit smoking
5. Reduce your alcohol intake
Your doctor can help you with these five measures, and you can also find great resources online. However, while you’re in the doctor’s office, remember to discuss medications. These can include oral agents or testosterone patches and injections, if your low testosterone levels are the primary cause behind the ED. Another viable option is mechanical therapy, which involves vacuum-assisted erection devices and penile prosthesis, but everyone should consider psychotherapy. ED can take its toll on your mental health, as well as your partner’s, so it’s really beneficial to talk it through with a professional.
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