Erectile Dysfunction and Diabetes
Erectile dysfunction is one of the most common complications of diabetes mellitus. However, patients often hesitate to seek medical help and suffer in silence, torturing themselves and their partners.
Meanwhile, Express Pharmacy points out that erectile dysfunction (ED) is fraught not only with problems with sex. In particular, ED is often the first manifestation of atherosclerosis. 57% of men who underwent aortocoronary bypass surgery, and 64% of those hospitalized for myocardial infarction, had erectile dysfunction before.
The proportion of patients with diabetes accounts for 40% of all cases of ED. And speaking problems with erection usually begin after 40 years, then diabetics are already with 25. And at this age, erectile dysfunction can lead to serious psychological problems. And without deciding them, it is hardly possible to effectively combat diabetes.
Until recently, there were no effective means for erectile dysfunction treatment. Physicians could offer patients only mechanical devices and intra-cavernous injections. And only in 1998, with the advent of Viagra, a new era began in andrology. In 2002, a second drug appeared is Cialis, and in 2003 – Levitra. On the effectiveness of the fight against erectile dysfunction, they are approximately the same, except that Cialis half-life is 17 hours.
However, the use of these drugs (Viagra, Cialis, and Levitra) in patients with diabetes is less effective than in other men – 68%. The fact is that these drugs modulate the natural erection, for their action, the presence of sexual desire is necessary. And in people suffering from obesity or type 2 diabetes, it can be reduced. Therefore, for them, Cialis is not enough: combination therapy with male sex hormones (androgens) is required. In this case, the probability of erection recovery reaches 80%.
Diabetes Treatment For Avoiding Erectile Dysfunction
Patients with diabetes are prescribed a rather complex set of procedures for controlling:
- sugar levels;
- blood fats;
- blood pressure.
Unfortunately, no more than 20% of diabetics manage to keep all these parameters in the norm. After 9-10 years in most patients, the disease progresses.
Not the last role in these failures is played by the attitude of doctors and patients. Doctors, endocrinologists who have a good theoretical background, are much less knowledgeable about practical issues – when to start insulin therapy, how to teach patients methods of self-control, etc. Patients, in turn, do not consider health to be the top priority (62%) or simply do not know the target values of those parameters that they need to control (80%). And the very organization of communication between patients and doctors in the current health care system only aggravates mutual hostility. Irritated doctors intimidate patients with insulin therapy, and irritated patients stop following doctor’s recommendations.
Elimination of these barriers is possible due to the establishment of more friendly, partnership relations between doctors and patients. It is known in fact that the doctor’s benevolent attitude allows almost a 20% increase in the number of patients attaining compensation.