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18/12/14

Why does diabetes cause erectile dysfunction again?
Penile erections are maintained by the blood filling in the gaps in the corpus cavernosum of the arteries.
The stimulation of the nerve and gender in place will increase the status of a chemical secretion of nitric oxide from the nerves of the corpus cavernosum and intravascular cells.
This substance inhibits the sympathetic nervous system and stimulates the parasympathetic system to increase blood flow to the corpus cavernosum, and impedes the flow of blood back intravenously.
When it will increase the volume of the penis create hard erections and intercourse.
Patients with type 2 diabetes will greatly affect the status of penile erection patients for many reasons. Of these the most important is injury to the dorsal nerve of the penis, disorders of the nervous system of plants, vascular lesions of the large and small blood vessels in the patient's body.
Especially the blood vessels of the corpus cavernosum. Status diabetes reduces the response of the blood vessels in the corpus cavernosum and the elasticity of the smooth muscle of the penis friends with nitric oxide.
In addition, the mental disorder is more common in diabetic patients such as excitement, excessive anxiety, depression ... also very much influenced by penile erections.
There are many diabetic erectile dysfunction was not?
According to the statistics, the situation overseas erectile dysfunction accounts for about 20 - 71% of men with diabetes.
More hazardous when the experts found that people with diabetes or erectile dysfunction 3 times and this disorder worse than those without diabetes.
Erectile dysfunction in patients with diabetes occurs at a younger age, and even in the early stages of the disease.
Up to 56% of patients with diabetes, erectile dysfunction within the first 5 years of disease and there are many cases of erectile dysfunction are the first symptoms of diabetes.
When patients seek medical care at a clinic male faculty were tested on blood and urinary knows his diabetes.
One of the important risk factors of erectile dysfunction in diabetic patients is age. The older the more serious condition.
In younger patients with diabetes could be erectile dysfunction when using certain medications such as anti-hypertensive drugs, psychotropic drugs, anticonvulsants, hormonal drugs ...
In addition, there are other risk factors commonly found are: duration of diabetes as long as you are prone to erectile dysfunction, blood sugar control is not possible due to patients not treated or treated improperly specifications, patients smoking, alcoholism, depression or other illnesses associated.
Diagnosis is not easy?
Absolutely not easy at all, because the patients examined at the clinic and the hospital, due to environmental exposure too crowded so patients are afraid to say what they regarded as "strength and pride pride of man ".
Meanwhile, the Health staff did not really care about this, even so far as to it is irrelevant bullshit.
When suspected patients of erectile dysfunction, the physician and patient must have a frank conversation, which plays a very important role of the wife. They have been participating in the conversation as an important factor for the diagnosis.

Patients should be carefully examined, in addition to the testing of blood and urinary tract, the patient must be exploited history clearly. Because this disorder occurs in patients with diabetes slowly over time.

While erectile dysfunction can cause neuropsychiatric happen suddenly, sometimes just happen for a certain number of subjects.
Doctor diseases they treat are not?
For a long time, the status of erectile dysfunction in diabetic patients are considered incapable of cure.
However, the number of patients with diabetes is increasing at present, the requirements of patients before improving the quality of life laid the medicine before the new challenges and the search for ways treatment was started and condition of erectile dysfunction in patients increasingly improved, we just need attention and timely treatment.
To achieve good results for treatment, patients must be treated to remove additional factor causing this condition as: quit smoking, limiting alcohol, depression treatment, control Good blood sugar, use of hormone testosterone replacement in patients with declining testosterone levels in the blood.
Viagra is a medication condition improved erections in 56% of patients with diabetes, it is effective even small doses.
The dose is usually 50mg beginning, then may increase to 100 mg or decreased to 25 mg depending on the patient's response. However, with the elderly, patients with diabetes have severe complications, renal failure, hepatic impairment, the starting dose should be 25 mg.
Drugs used a single dose, approximately 1 hour before practice and not the second dose in the same day.
Sublingual apomorphine drug: it works pretty fast and lasts for about 20 minutes for 50% of patients with erectile dysfunction in diabetes.
About 3 mg starting dose, but patients with hepatic impairment and renal function should use lower doses, about 2 mg is enough.
The other treatments less effective: the drug Yohimbine is a drug that has been used for years, but the effect is not stable.
Injection of vasodilators such as papaverine, prostaglandin E1 drugs into the corpus cavernosum. Use a vacuum suction apparatus, psychological therapy for patients with associated psychological causes, using penis substitute and finally reperfusion penis by surgery on blood vessels of the corpus cavernosum, the most is on the veins, surgery is quite difficult and erratic effectiveness.

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