Diabetes mellitus and potency in men - is there a relationship between them? Can Endocrinological Disease Cause Malfunctioning Sexual Health? There is definitely a relationship. Every third man with diabetes mellitus of the first and second type has problems with potency (male attraction decreases, erection weakens, problems with ejaculation appear). But why does this occur and how to deal with the problem? The reasons for impotence in diabetes and methods of treating men are the subject of our article.
The roots of the relationship
Why are diabetes and impotence related? The fact is that for a full-fledged erection and high-quality sexual intercourse, it is necessary that at least 100-150 ml of blood be pumped into a man’s genitals. This requires the smooth operation of the circulatory and nervous systems. Alas, with diabetes, a person is predisposed to an increase in blood sugar, and this causes malfunctions in the blood vessels and nervous system:
- The circulatory system in diabetes suffers due to impaired vascular conduction and blood clotting.
- Nerve conduction in diabetes suffers due to the occurrence of diabetic neuropathy (impotence is caused by the toxic effect of too much glucose).
These disorders in men provoke secondary pathologies, which just can be the causes of erectile dysfunction:
- Violated the blood supply to the penis of a man.
- The production of sex hormones is reduced (in 34% of male diabetics, decreased testosterone production is detected).
- Conductivity of the nerves responsible for erection and ejaculation worsens.
Impotence in diabetes can also occur for a psychological reason. It is difficult for a man who is worried about his health and exhausted by the symptoms of diabetes to relax and tune in a sexual way. In addition, the so-called “snowball” effect is not ruled out: single failures in bed can cause fear of subsequent sexual intercourse, and this fear will further interfere with the normal potency of a man.
Diseases such as diabetes cannot be treated on their own. Symptoms like deterioration in potency should also be eliminated only under the supervision of doctors. Why? The fact is that taking stimulants like Viagra will help only at the beginning, but if the disease complicates, even the most powerful drugs will be ineffective.
Diabetes mellitus should be treated only under the supervision of a physician.
To restore the potency impaired by diabetes is possible only after eliminating the cause of malfunctions of the reproductive system. And the exact causes can be identified only after diagnosis in the clinic. Based on the results of the tests, the doctor will select a medicine that normalizes the blood supply to the genital organs, regulates the hormonal background, restores the nervous system, etc.
To find out the condition of the veins and arteries supplying the penis with blood, the patient is given a type of ultrasound scan such as dopplerography of the vessels of the cavernous bodies. An intracavernous diagnostic examination is also recommended to more accurately determine the cause of potency impairment in diabetes. Often during the diagnosis, studies of nervous excitability are carried out (check the quality of the impulses to the genitals). If surgical intervention is required, then before the operation, angiography of the vessels of the penis is mandatory.
In order to cure a man, in addition to undergoing hardware diagnostics, it will be necessary to pass a number of tests. In most cases, it is required:
- Analysis for testosterone, luteinizing and follicle-stimulating hormones.
- Analysis for high cholesterol, triglycerides, lipoprotein A, homocysteine, fibrinogen, C-reactive protein.
- Tests for determining the quality of kidney function.
- Thyroid health check (free T3 test).
- A series of tests to determine the type of diabetes (impaired potency most often provokes type 2 diabetes).
The main thing in recovery
How to increase the quality of life of a man with diabetes and increase its potency? It is useless to find out how to treat potency if there are constant failures with sugar levels. That is why with diabetes, treatment is primarily based on lowering blood sugar and ensuring that the level is always within normal limits and that no hypoglycemia attacks occur. To do this, follow the following rules:
- Switching to a low-carbohydrate diet is the main and absolutely necessary treatment for all patients, regardless of what type of diabetes a person has or how difficult it is.
- In case of deterioration of health and signs of hypoglycemia, you should measure the sugar level in the clinic or with a home glucometer and take insulin-containing drugs in order to restore performance.
- Keep track of weight (do not overeat, do sports). In diabetes, men are prone to obesity, which also adversely affects potency.
The first thing to do when treating diabetes is to switch to a low-carbohydrate diet.
The effect of hormone therapy and action in neuropathy
If it becomes clear that diabetes affects potency due to hormonal disruptions, then a course of androgen replacement therapy may be needed. The drug can be used in the form of intravenous injections, tablets or external agents - the type of drug is chosen by the doctor depending on the severity of the condition of the man. Potency after starting taking hormones should be restored within 30-60 days.
During hormonal treatment, potency disorders should constantly monitor the level of testosterone in the blood (the restored level must be maintained, but “overdose” must not be allowed). In addition, it is worth remembering that replacement therapy can provoke severe adverse reactions, so every six months a man will need to have a blood test for cholesterol and “liver tests” (ALT, AST).
With a course of treatment, to increase potency, they are allowed to take erection stimulants.
To improve potency worsened by diabetic neuropathy, doctors prescribe alpha-lipoic (thioctic) acid. The usual dosage for all who need to increase the potency of diabetes is 600-1700 milligrams per day. In 92%, improvement occurs within a month. It is only important to undergo a complete diabetes treatment - if you do not monitor the blood sugar level, then taking medications for neuropathy will be completely useless.
The use of stimulants
And how to increase potency while a man is treating? The question is relevant, because replacement therapy and treatment of neuropathy (and the treatment of other ailments that affect potency) require patience - a minimum course of 1-2 months. At this time, it is allowed to take erection stimulants - Viagra, Levitra, Cialis:
- The usual dose of Viagra is 50 mg, but with diabetes, the dosage is allowed to be increased to 100 mg.
- The usual dosage of Levitra is 10 mg, if a man has diabetes and potency suffers because of it, then the dosage is increased to 20 mg.
- The usual dosage of Cialis is 20 mg, with diabetes, you can increase the dose of this stimulant to 40 mg.
Take potency-stimulating drugs about an hour before the planned sexual intercourse. After completing the main course of treatment, the use of potency stimulants should be stopped.
To summarize: men with diabetes almost always face problems with attraction, erection and duration of sexual intercourse. To improve potency, you must first normalize sugar levels, eliminate problems with the blood supply to the genitals, nervous system and hormonal disruptions. It should also be remembered that a cured man must constantly monitor blood sugar levels - problems with potency may return when hypoglycemia returns.
How type 1 diabetes affects potency
Diabetes mellitus cannot be called a disease, “picky” in the choice of the victim. And yet, they mostly suffer from men after the age of 35. It is understandable that each of them cares about the question: are diabetes and potency related, and how.
In order to fully understand this problem, you need to start with the understanding that there are two types of diabetes. Each of them has its own reasons for development and exerts its own, different from the other, influence on the sexual function of men.
The development of type 1 diabetes is due to disorders in the pancreas. It begins to produce less insulin, and therefore a series of processes occur in the body, leading to a significant decrease in the quality of life. Increasing sugar levels is just one of the manifestations of this disease.
In type 1 diabetes, the circulatory system is primarily affected. Diabetic angiopathy develops, with its further manifestation - capillaryopathy. The trophic (nutrition of cells) vessels is disrupted, their structures are partially destroyed.
All this cannot but affect the state of erectile function. At the initial stage of the disease, libido may be normal.
The relationship of vascular status and erectile function
Even a perfectly healthy male body is not able to provide an instant erection. It is not provided by nature. An erection is a chain of successive reactions that result in the release of sperm.
When excited, the nerve endings begin to react, then the vessels of the penis are filled with blood. In order for sexual intercourse to take place, at least 50 ml is necessary. Elastic fibers of the fibrous capsule, capable of stretching more than 1.5 times their length, play a significant role in increasing the size of the penis.
In diabetes, fiber elasticity gradually decreases, which directly affects erectile function. The affected vessels are not able to supply and take the amount of blood necessary for a full sexual intercourse.
Elevated sugar levels cause pathological changes in the spinal nerve nodes that are directly responsible for the stability of erectile function. There is a decrease in the sensitivity of erogenous zones.
Potency and type 2 diabetes
In non-insulin-dependent diabetes, potency disorders are caused by completely different reasons. But they lead to the same sad consequences. Type 2 diabetes is often called lifestyle diabetes.
It develops against the background of several main reasons:
- Metabolic (metabolic) disorder,
- Hypodynamia (sedentary lifestyle),
- An unhealthy diet, including an excess of fatty, salty, spicy foods.
As a result, violations of the endocrine system develop. Gradually, the cells lose their susceptibility to sugar even with normal amounts of insulin. Excess sugar provokes the beginning of a complex process of converting it into fat deposits. Body weight is steadily increasing.
Against the background of these processes, the production of male sex hormones decreases. This, in turn, leads to a decrease in sexual activity. It also contributes to the growth of adipose tissue. It turns out a vicious circle, from which it is not easy to get out.
There is another aspect of the effects of type 2 diabetes on male potency. This is abdominal obesity (excess adipose tissue in the abdomen). This diagnosis is made for most men with diabetes.
Its consequences are as follows:
- Impaired lipid metabolism,
- High cholesterol
- Not enough vitamins
- Violation of the production of steroids, which leads to a decrease in libido.
Despite the fact that the causes of potency disorders in men are different for type 1 and type 2 diabetes, the consequences are always the same:
- Decreased sex drive,
- Erectile dysfunction.
But it can not be said that sugar control is guaranteed to ensure the preservation of sexual function. An individual approach is needed for the treatment of each patient. This is due to the characteristics of the body.
For some men, it is enough to determine the exact dose of insulin. Others need to prescribe a diet and taking medications that are necessary to combat concomitant diseases.
One thing is for sure: careful attention to your health will always give a positive result. This applies to any other disease, including type 2 diabetes. This is an insidious disease, as it develops for a long time without symptoms.
At risk are all who have increased body weight. As a rule, these men do not pay attention to a slight decrease in libido and periodically occurring problems with an erection. Relate them to age-related disorders or find another excuse. Over time, men get used to their condition and consider it the norm.
The first symptoms of potency disorders in diabetes
Today there are statistics that allow us to draw conclusions about the first messengers of impending potency disorders.
Increased waist in men. If it is more than 94 cm, it can be stated developing obesity.
Waist volume 94-102 cm - the risk of type 2 diabetes. Already at this stage there is a shortage of steroids, which will only increase in the future.
With a waist volume of more than 102 cm, type 2 diabetes mellitus is usually clinically manifested. With the help of laboratory tests, a decrease in the production of sex hormones and an increase in sugar levels are confirmed.
It should be understood that the averaged data are found based on the results of studies of men seeking medical help. Actual indicators may have deviations in one direction or another.
The first symptoms of type 2 diabetes:
- Chronic fatigue syndrome
- More frequent urination,
- Decreased libido
- Night trips to the toilet.
What to do when detecting the first signs of decreased potency in diabetes
Most often, men begin to restore their health when it is no longer possible to ignore persistent signals about its violation. Increasing sugar levels affects all body functions, not just the genital area. First of all, it affects the state of blood vessels: blood pressure rises, heart problems occur, and vision decreases.
These symptoms indicate that the destructive process has already gained speed and stopping it will not be easy. But there are such opportunities.
At the doctor’s appointment, the patient receives a list of recommendations he has long known:
- The need to change the regime of the day and pace of life,
- Normalization of diet
- Refusal of excessive physical exertion,
- Full sleep
- Intake of sufficient fluid
- Rejection of bad habits.
An important condition is regular monitoring of the level of sex hormones. To do this, you do not have to make an appointment with a doctor. You can take tests yourself in a paid laboratory and go to the doctor with ready-made research results.
On average, the level of steroid hormones in men is reduced by 1% per year. With their deficiency, problems with glucose utilization begin, which leads to the development of diabetes mellitus.
How to change the diet
Proper nutrition will help get rid of chronic fatigue, normalize urination, stabilize sugar levels. Among the concomitant positive effects are a decrease in the intensity of thinning and hair loss, and normalization of body weight.
It is enough to follow a few recommendations and exclude the following products from the diet:
- Products from premium flour,
- Greasy pork
- Smoked and semi-smoked sausages,
- Sweet juices and sodas
- Sweet wines and tinctures based on any fruit and berries,
- Any kind of rice
- Wheat cereal
Without restrictions, but within reasonable limits, you can use:
- Fresh tomatoes and cucumbers,
- Onions and green onions,
You can make a healthy menu yourself or go to a nutritionist for help.
Those men who are attentive to their well-being, find time to visit a doctor and get advice. With this approach, timely detection of a developing disease is possible and there are means for correcting pathological processes. If you listen to the advice of doctors, you can maintain men's health for many years.