Erectile Dysfunction in Type 2 Diabetes

Erectile dysfunction (ED) is a common complication of type 2 diabetes. ED is the inability to achieve or sustain an erection firm enough to have satisfying sexual intercourse. ED is caused by damage or constriction of blood vessels and nerves in the penis.^1-3

ED, also known as impotence, is often thought of as an age-related condition affecting more than 20 percent of men over age 40. It is especially common in men of all ages with type 2 diabetes. ^1,2

Doctors believe that ED in people with diabetes may be caused by poor long-term blood sugar control. ED is also linked to other medical conditions that are common in men with diabetes, such as high blood pressure and heart disease.¹

ED is a common complication of diabetes that affects quality of life. It is often a sign of underlying conditions that affect blood vessels, which can be a predictor of more serious cardiovascular issues.¹

Type 2 diabetes on the rise

The number of people with diabetes has risen globally from 108 million in 1980 to an estimated 425 million in 2018. Rates of adults developing diabetes have nearly doubled in that time. People around the world are living longer, so the aging population is experiencing an increased rate of diabetes.¹

People with diabetes often have medical complications that affect the heart, blood vessels, eyes, kidneys, and nerves. There are also links to cancer, cognitive decline, and depression.¹

Erectile dysfunction early in type 2 diabetes

Erectile dysfunction may affect up to 75 percent of all men with diabetes. Studies have reported that ED may develop earlier in men with diabetes than those without the condition. ED may also be an early sign of type 2 diabetes.^1,2

Seeking treatment for erectile dysfunction

Talking to anyone about ED can feel embarrassing. But it is important to talk to your doctor if you are experiencing ED. Early detection can improve your mental and emotional health, as well as your overall quality of life. Problems with sexual activity can be a source of concern and even depression in men with ED. Sexual dysfunction is often linked to a reported decline in quality of life.¹

A team approach to the management of ED can lead to general health improvement. This includes metabolic specialists, urologists, counselors, and education.

Options to consider:

• Manage your diabetes: Get good blood sugar control.
• Counseling: See a mental health specialist for anxiety and stress to develop strategies to help you and your partner cope with ED.
• Medicines: Talk to your doctor about all of the medicines you are taking because they may have side effects that are a factor in ED.
• Drug therapy: There are drugs that can help blood flow to the penis, like Viagra, Cialis, Levitra, and Stenda. There are also suppositories and injectable medicines if pills are not a viable option. Talk to your doctor about which medicines might be right for you.
• Vacuum constriction: Also known as a penis pump, this tube can help you draw blood into the penis.
• Penile implants: Surgically implanted devices that are an effective option for some men.

Lifestyle choices

There are several steps you can take to improve both ED and your overall health. Stopping smoking, maintaining a healthy weight, limiting alcohol intake, and exercising daily can help you feel better, improve your diabetes management, and may improve ED. Talk to your doctor about what lifestyle choices may help you.