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Erectile dysfunction with diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   Hi, may I ganswepr your health uquerires right now ? Please type your query here...i am 34yrs old i am 140 suger level i am unmarried my problem is i am not XXXXXXXX to do proper sex becausemy organ not errectwell help me                                                                 
Doctor :   Hi
Doctor :   Iam.Dr....
Doctor :   Please Let me read your post....
Doctor :   since when you have this?
Doctor :   Erectile dysfunction (ED) or male impotence is defined as the inability of a man to achieve and maintain an erection sufficient for mutually satisfactory intercourse with his partner.
Doctor :   Are you on any treatment for any disease?
User :   from last one year
Doctor :   ok
Doctor :   till then you were normal
Doctor :   Did you have any life style changes these days?
Doctor :   Sexual dysfunction is often associated with disorders such as diabetes, high blood pressure, heart disease, nervous system disorders, and depression.
Doctor :   Erectile dysfunction may also be an unwanted side effect from medication.
Doctor :   Premature ejaculation is often confused with erectile dysfunction.
User :   i am taking medicine for diabetes
Doctor :   ok
Doctor :   since when?
User :   fromtwo months
Doctor :   For a man to have an erection, a complex process takes place within the body.
Doctor :   ok
Doctor :   diabetes affects erection after 10 or more years of start
Doctor :   Erection involves the central nervous system, peripheral nervous system, psychological and stress-related factors, local problems with the erection bodies or penis itself as well as hormonal and vascular (blood flow or circulation) factors.
User :   ok
Doctor :   do you smoke?
Doctor :   do you take alcohol?
User :   yes
Doctor :   dod you get good sleep?
User :   yes
Doctor :   Smoking causes poor erection
Doctor :   by decreasing blood flow to penis
User :   no i dont have good sleep
Doctor :   it damages the blood vessels too
Doctor :   ok' so you are stressed
User :   no blood flow
Doctor :   stress causes poor erection too
Doctor :   i mean the blood flow to your peni that makes it erect
Doctor :   penis i mean
Doctor :   Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent erectile function.
User :   my penis erect but not normal
Doctor :   Sex counseling is an important part of erectile dysfunction management.
Doctor :   ok
User :   what is the solution
Doctor :   ok
Doctor :   Options include sex counseling, medications, external vacuum devices, hormonal therapy, penile injections or intraurethral suppositories.
Doctor :   Vacuum devices: Specially designed vacuum devices to produce erections have been used successfully for many years.
Doctor :   They are safe and relatively inexpensive. They work by using a manually generated vacuum to draw blood into the penis to create the erection.
Doctor :   When used successfully, their other significant benefit is a high degree of reliability compared to drug treatments, which tend to be less predictable
User :   i need durgbtreatment
Doctor :   ok
Doctor :   Viagra is a prescription medication for the treatment of erectile dysfunction.
User :   is there any side effect
Doctor :   Medications for erectile dysfunction include
* testosterone,
* oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis),
* intracavernosal injections,* intraurethral suppositories.
Doctor :   yes
Doctor :   . The reported side effects are usually mild and include headache, flushing, nasal congestion, nausea, dyspepsia, (stomach discomfort), diarrhea, and abnormal vision (seeing a bluish hue or brightness).
Doctor :   can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (for heart disease).
Doctor :   Men with low sex drive and ED may be found to have low testosterone levels. Hormone replacement may be of benefit by itself or as a complementary therapy used with other treatments.
User :   for me what u suggest
Doctor :   Injection therapy:when the injection of , an alpha blocker that produces widening of the blood vessels, was shown to produce erections when injected directly into the penis
User :   what injuction
Doctor :   First you need some psychotherapy
User :   what is it
Doctor :   and counseling to gain mental strength
Doctor :   you need to talk to an counsellor
User :   then
Doctor :   WWW.WWWW.WW
Doctor :   use the link
Doctor :   dr anirudha is an great expert on this
Doctor :   he will get back to you via email or phone
Doctor :   as per your request
Doctor :   Sex counseling is an important part of erectile dysfunction management.
Doctor :   Options include sex counseling, medications, external vacuum devices, hormonal therapy, penile injections or intraurethral suppositories
Doctor :   then comes the role of vacuum devices or drugs
Doctor :   Above all you need to get an physical examination done to
User :   what type psychotherapy i have to do
Doctor :   make sure that you have erectile dysfunction
Doctor :   sex counselling
Doctor :   about how erection occurs
Doctor :   and how it can be maintained
Doctor :   so you will understand the process of erection
User :   i am going to marry after two months shell i recover within this period
Doctor :   yes sure
Doctor :   that takes only a week to show results
User :   i will be normalas others
Doctor :   YES SURE,.....
Doctor :   What you have is experienced by atleast 50% males
Doctor :   so dont worry
Doctor :   All of them have come through that
User :   so u r telling to for sex councelling for my problem
Doctor :   yes psychotherapy
Doctor :   eat lots of fresh fruits and vegetables
Doctor :   exercise daily fo minimum 30 min
Doctor :   drink 10-15 glasses of water daily
User :   how to do psychotherapy
Doctor :   Its done by a counsellor
Doctor :   by asking your problem first
Doctor :   and how you are feeling about that
Doctor :   why you say it is abnormal etc
Doctor :   you can even talk via phone or email with dr
User :   i have to go to the doctor or by online
User :   witch is so effective
Doctor :   yes sure
Doctor :   i think you need an examination first from an urologist or surgeon
Doctor :   or sexologist
Doctor :   that will be more reassuring to you
Doctor :   and you will get a lot of mental confidence
Doctor :   which you require very much
User :   my problem from ur side it is miner or major problem
User :   r u there
User :   reply me
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