VEDs have been found to be effective in up to 75% of diabetic men. In many patients with diabetic impotence, a significant vascular component exists that renders ICI ineffective. In a male study of ICI failures, when a VED was used in 10 patients, five patients were able to have satisfactory sexual intercourse with this device.
When all other treatments are ineffective or unacceptable to a patient, penile prosthesis remains the final treatment of choice. It is invasive, expensive and produces irreversible damage to the penile architecture, but under optimal conditions, it can be an excellent treatment option. Presently, the risk of infection has been reduced and recent studies show a lower incidence of infection in diabetic patients.
Diabetes and fertility
Lower pregnancy rates have been associated with diabetes and raise the issue of the basic fertility potential in diabetic men. — buy diabetes drugs Variations of semen quality have been reported in diabetic men. Semen analysis may reveal decreased sperm motility and density, abnormal morphology and generally increased seminal plasma abnormalities. In addition, diabetic men may have decreased serum testosterone due to impaired Leydig cell function. Insulin can cross the blood-testis barrier, but its level in seminal plasma has not been shown to correlate significantly with semen parameters. Abnormal sperm morphology in diabetic men is associated with an increased level of certain amino acids in the ejaculate and may contribute to reduced fertilization rates. However, the mechanisms of altered spermatogenesis in diabetic men are poorly understood.
Category: Diabetes and male sexual function
Tags: Diabetes mellitus, Ejaculation, Erectile dysfunction, Sexual function, Sexuality