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Diabetic, with ED - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   Can i Have chat with sexoligist or Ayurvedic
Doctor :   ok
Doctor :  
what is your query
Doctor :  
what problems you are facing?
Doctor :  
this is a website where allopathic medicine practicing doctors
User :   Erection problem
Doctor :  
hence queries related to Ayurveda will be out of scope here
Doctor :  
ok
Doctor :  
what symptoms are you facing?
Doctor :   i will help you with the symptom
User :   Actually i am a diabetic, and i am married person
Doctor :  
please describe your symptom in detail
Doctor :  
ok
Doctor :  
please provide your age, location and occupation
Doctor :  
are you on medications for diabetes?
User :   so can i use Viagra pills
User :   my age is 28 yrs from tanuku,AP
Doctor :  
Viagra pill shave their own side effects
User :   and my recent sugar levels are Fasting 110 and PP 148
Doctor :  
first your erection problem needs to be evaluated to see if y actually do need to use them
Doctor :   ok
Doctor :  
are you on medications for diabetes?
User :   can i use viagra pills once in a month
User :   yaa iam insulin dependent
Doctor :  
please give your medication details
Doctor :  
ok
Doctor :  
how many units of insulin you are taking per day and per dose?
User :   morning 28 units and night 30 units
Doctor :  
Men suffering from diabetes with uncontrolled sugars, or fluctuating sugars suffer from erectile dysfunction
Doctor :  
since when you are having this problem?
User :   may i know your name and specialist in?
User :   since from 14 yrs
Doctor :  
I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   Erectile dysfunction (ED) is a common complication of diabetes.
Doctor :   Erectile dysfunction may not always be the result of diabetes, but the condition has distinctive features among those with diabetes .
User :   what is the solution for this?
Doctor :   As many as 80 percent of men with diabetes develop erectile dysfunction, compared to about 22 percent to 25 percent of men without diabetes.
Doctor :   i will explain
Doctor :  
and then come to solution
User :   ok
Doctor :  
such that you can understand better what is best suited for your problem
Doctor :  
In men with diabetes, normal sexual function may be disrupted for a number of reasons related to nerve and blood vessel damage.
Doctor :   Diabetes can cause neuropathy or damage to nerves throughout your body, including the penis. Damaged nerves can't communicate properly
User :   ok
Doctor :   So even though you might be emotionally stimulated to have intercourse, nerve damage means that information isn't relayed to the penis, and it doesn't respond.
User :   ok
Doctor :   In addition, poor blood sugar control can inhibit nitric oxide production. Lack of nitric oxide can result in erection.
Doctor :   Blood vessels can also become narrowed or hardened (atherosclerosis) by conditions that often accompany diabetes, such as cardiovascular disease. When atherosclerosis occurs in arteries that supply the penis or pelvic area, sexual function may be disrupted.
Doctor :   Good control of diabetes lessens the chance of such complications occurring but it is impossible to eliminate the chances of developing erectile dysfunction in diabetes.
User :   ok
Doctor :   When psychological factors or relationship problems are considered to be the cause of your impotence, a course of sex therapy or couples therapy might be recommended. Therapy's very useful in helping you to re-establish a sexual relationship with your partner when there's been a long period without sex.
Doctor :   other than therapies
Doctor :  
there are other treatments available like vacumm pumps, injections, oral tablets (viagra), hormone treatment
User :   ok
Doctor :   vacumm pumps are devices that help in achieving and maintaining erection

Doctor :  
without side effects associated with drugs
User :   ok
Doctor :  
Viagra has been tested and found effective in men with diabetes. Viagra works by helping to relax the smooth muscles in the penis during sexual stimulation, allowing increased blood flow. And thus helps in maintaining erection
Doctor :  
but it has lots of side effects
Doctor :  
and the use of this has to recommended by your doctor after proper evaluation of your need
User :   ok
Doctor :  
and a physical examination
User :   is there any other option which you would prefer
User :   i heard that some viagra pills in ayurvedic doesn't give any side effects
Doctor :  
ayuvedic pills do have side effects, they do not have extensive research done on them hence the side effects are not known
User :   And where can i found Vaccum pumps and how it can be use
User :   Can i use viagra for once in a month?
Doctor :  
i will provide you with links where you can read up more on them and their availability
Doctor :  
just give me a moment
User :   ok
User :   doctor please hurry session is going to expire
Doctor :  
WWW.WWWW.WW Doctor :   WWW.WWWW.WW Doctor :   here you will get an idea bout the use, price and side effects
Doctor :  
Is there any thing else I can help you with?
Doctor :   Please fill the feedback form say done when done.
User :   finally give me an advice that can i use viagra for once in a month?
Doctor :   the use of Viagra will depend on the examination and other evaluation findings
User :   ok thank you doctor
Doctor :   as i am not examining you personally i cannot say for sure whether it will be fine for you to use
Doctor :   and it will also be against medical ethics to prescribe without seeing you/examining you
Doctor :  
Is there any thing else I can help you with?
User :   No doctor thanks for your advice
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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