HOW TO TREAT ERECTILE DYSFUNCTION
Erectile dysfunction is the difficulty in having or maintaining an erection that allows for satisfactory sexual intercourse. This condition can occur in men of any age and is often related to diabetes, use of medication for high blood pressure, low testosterone levels and anxiety.
In order for a man to obtain a
satisfactory erection, the penis needs to fill with a certain amount of blood.
In healthy patients, blood flows normally to the penis during the erection.
However, in diabetic patients, this filling is compromised, which can result in
sexual impotence. Diabetes causes the arteries to narrow, leaving less space
for blood circulation. As a result, the blood vessels are unable to transport
the amount of blood needed to the penis for an erection. In addition,
sensitivity in the genital region is also affected by the high concentration of
glucose in the blood, reducing the sensation of pleasure and impairing orgasm.
Diabetes also contributes to the increase in bad cholesterol (LDL) and other
fats in the blood, which can clog some vessels. Atherosclerosis – a condition characterized
by the accumulation of fat in the artery walls – is one of the consequences of
diabetes and also increases the risk of the patient developing sexual impotence.
Approximately 90% of cases fall into the T2DM group, a broad category
characterized by insulin resistance occasionally combined with abnormal insulin
secretion. PPARG was the first candidate gene identified and reproducibly
associated with DM2. Knowing the important contribution of lifestyle factors
such as nutrition and physical activity to the risk of DM2, it is essential
that we continue to study the interaction between genetic and environmental
factors to understand how this type of interaction influences the development
of DM2.
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