Tuesday, February 7, 2023

Do you have diabetes? Know how it affects sexual health in men

Although sexual problems are common as men age, diabetes can make them worse, causing erectile dysfunction, difficulty ejaculating, or low testosterone, says Dr. Elizabeth Salsavielka told.

According to experts, nerve damage caused by poorly controlled diabetes, also known as diabetic neuropathy, can lead to damage to the genital organs or urinary tract due to high blood glucose concentrations.

“Sexual problems in diabetic patients are largely dependent on late complications of the disease. In this case, the individual presents peripheral neuropathy and peripheral circulatory failure, in addition to persistent hyperglycemia,” he explained. Andean Agency,

For this reason, they noted that poor glycemic control may negatively affect the sex life of diabetics, especially men, who are more likely than the rest of the population to develop erectile dysfunction or ejaculation problems. .

“The formation of the male organ is a reflex arc circuit, where desire begins as a command in the brain, which travels to the spinal cord and then to the nerve plexus in the cranial region,” he explained.

The endocrinologist noted that, being a circuit of veins with a very fine circulation, it turns on when diabetes gets out of control and hyperglycemia appears, causing the arteries to narrow.

As a result, the nerve is not well nourished by the blood and tends to become irritated, inflamed and lose myelin, a substance responsible for nerve conduction, causing the male member to be unable to remain erect despite having sexual desire.

retrograde ejaculation

One of the sexual complications caused by diabetes is retrograde ejaculation, a rare and rare consequence that causes semen to enter the bladder instead of exiting through the penis.

“This occurs when the patient, due to the same neuropathy, at the moment of ejaculation, does not come out with the ejaculate, but returns to the bladder. Although this change does not harm the health, it affects the relationship of the couple. affects and causes discomfort during sexual activity”, Dr. Salsawilka said.

curvature of the penis

The health expert said that men with diabetes are more likely to develop Peyronie’s disease, also known as penile curvature, than men without diabetes.

“This dysfunction occurs when the erect penis is not straight, but has a significant curve that can make intercourse painful or difficult for him and his partner,” he said.

low testosterone levels

Although testosterone, the male hormone responsible for the development of sexual characteristics, naturally declines with age, diabetes can exacerbate this decline.

In some men, low testosterone levels may cause erectile dysfunction or explain why they feel tired, depressed, or have a low sex drive.

neurogenic bladder

In addition to problems in the genital organ, nerve damage caused by diabetes also affects the urinary tract, such as frequent urination, urinary tract infection, or urine leakage.

“Hyperglycemia can cause bladder dysfunction, becoming neurogenic and losing the ability to expel all urine normally except for a residue at the time of urination. When the bladder doesn’t have that power, it may also leak during intercourse.” can leak urine,” he said.


Dr. Salsavielka noted that more than 50% of patients with hyperglycemia suffer from sexual and bladder problems at some point in their lives. Therefore, he recommended blood tests for type 2 diabetes and prediabetes.

“Patients should maintain a good glycosylated hemoglobin, which is a parameter that measures the average level of glucose in the blood during the previous three months,” he said.

He also emphasized that if a diabetic patient’s glycosylated hemoglobin is higher than 7%, it means that the diabetes is not well controlled and is at a higher risk of developing problems with sex or bladder.

To prevent these complications, it is essential to maintain stable glucose levels, which leads to a healthy lifestyle, which includes a balanced diet and controlled physical activity.

Finally, he added that changes in sexual function or bladder habits can also be signs of diabetes.

“There are patients who come to the office with a very irritable bladder, frequent urination at night, or no strength when urinating. For this reason, the urologist in this condition is the first to rule out the possibility of diabetes. Ask for a glucose test.

Nation World News Desk
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