The Erectile Dysfunction is the inability to obtain or maintain an erection sufficient for penile penetration. The Erectile Dysfunction (ED) is different from not having sexual desire or have a premature ejaculation. Men with ED have sexual desire, but are unable to obtain or maintain an erection.

Men with diabetes have a much greater ease in developing ED than men without the disease. They develop ED 5-10 years earlier and 25-75% more than a human without diabetes. According to the American Diabetes Association, at least half of men over 50 who have diabetes develop. The risk increases depending on how many years is the man with diabetes and its severity. Nevertheless, DE men with diabetes can be well controlled in almost all men with the disease.

What causes normal erection?

Erections occur as a result of physical stimulation and / or psychological changes that cause blood to flow and fill the tissue like sponge (called corpora cavernosa) of the penis. There is an artery through the center of each corpus cavernosum. When there is the excitement, the body sends chemical messages (neurotransmitters) to the brain that tell the smooth muscle cells of the spongy body to relax. When that occurs, the blood is trapped there by the outer layer of the corpora cavernosa (albugíneas tunics) that causes it can not get out and be filled with blood during erection. When the excitement ends, or the man has an orgasm, the cells of the corpora cavernosa contract sending blood away and this is again flaccid.

Why are men with diabetes risk of erectile dysfunction

Men with diabetes are three major risk factors for having ED. First, diabetes can cause nerve damage (neuropathy) throughout the body, including the nerves in your penis. Changes in penile nerves can interfere with your body's ability to send messages and receive them in the penis, which can develop a DE.Em Secondly, diabetes can worsen the condition known as atherosclerosis, in which the blood flows with difficulty by blood vessels. The narrowing of these vessels of the penis, which are much thinner than those around the heart, causes a difficulty occurs in and out of the blood in your penis, causing ED.

Finally, men with diabetes should monitor their blood glucose. When not controlled, your body does not produce enough nitric oxide and vascular tissues do not respond well. Nitric oxide (NO) is a neurotransmitter produced by the body responsible for helping to communicate from one cell to another. The ON is a vaso-dilator - which among other things, is the primary neurotransmitter of erection. If the body does not produce enough ON, the veins of the penis are not compressed and the blood pressure with no quickly leaves a strong erection. Besides these causes, men with diabetes often have other conditions associated with ED that - including hypertension, obesity and increased triglyceride and cholesterol. In general, diabetic patients have more than one cause adjuvant that does develop ED.

How to treat erectile dysfunction who have diabetes?

The first rule of treatment of ED is to be with your blood sugar controlled. Your doctor probably will recommend some changes in your lifestyle such as changing your diet and increase your physical activity.

TREATMENT:
1 - Changes in lifestyle, diet change, increased physical activity, weight loss, stop smoking.
2 - Drugs: diabetes, other diseases, pro-erection medication (Levitra, Levitra, Cialis, Viagra).
3 - Other treatment options: penile injection therapy, use of vacuum therapy with androgens.

In brief

The erectile dysfunction does not necessarily occur in all men who have diabetes mellitus. Keep your blood glucose (blood sugar) well controlled and have a healthy lifestyle, can help reduce the risk of ED. Control other diseases such as, heart disease and hypertension, will help the patient with diabetes to maintain erectile function. But it is very important that men see their doctor regularly, even if it does not have signs of ED.

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