Type 2 diabetes and erectile dysfunction may appear as different ailments but they do have a connection. Reports suggest men suffering from type 2 diabetes are likely to experience erectile dysfunction. Moreover, diabetic people suffer from erectile dysfunction 10 to 15 years earlier than others.
Reason: 
The reason behind the connection between the two ailments is quite complex. The whole scenario involves deterioration in nerves, muscle functioning and blood vessels. For successful penetration of penis, body requires healthy functioning of blood vessels, nerves, hormones and sexual desire. Type-2 diabetes hamper the proper functioning of these blood vessels and nerves, thus posing a potential threat to a successful sexual intercourse. Diabetes becomes a big obstacle in obtaining a firm erection. Also, non-regulated flow of blood through these blood vessels adds up to the problem.

Factors contributing to erectile dysfunction due to diabetes
Complexities due to type-2 diabetes increases exponentially when aided with following risk factors-
1) obesity
2) unbalanced diet
3) non-regulated blood supply
4) excessive smoking and drinking
5) excessive stress and hypertension
6) lack of physical activity
7) blood pressure
8) side effects of medication taken to cure ed

Remedies: 
Given below are few suggestions which, if followed, can bring your sex life back on track.
1) consult doctor- it is better to open up about your sexual concerns and consult a doctor. Hesitating in doing so will only increase your problem. Proper knowledge regarding all your existing ailments will allow him to diagnose properly and help you to regulate your blood sugar level. You may further consult a sexologist for specialized treatment for erectile dysfunction. Through prescribed medicines and some therapies, this issue can be dealt smoothly.
2) practice a healthy lifestyle- stay fit. Reduce your extra weight. Include exercise and meditation in your daily routine. This will help a lot in improving your emotional health. In many cases psychological pressure also contribute in causing impotence. So, try to perform some stress relieving exercises to curb down this psychological factor.
3) avoid drinking and smoking. Smoking diminishes the quantity of required nitric oxide which in turn lowers down the blood flow to penis. This increases chances of erectile dysfunction to a greater extent. Excessive drinking destroys your blood vessels, thereby posing a serious threat to your sex life.
4) take a proper diet- a balanced diet pays a major role in checking and controlling the blood sugar level. This step will definitely decrease the harm done to your blood vessels and nerves.
5) get enough sleep and keep yourself astray from the harmful effects of fatigue.
6) talk with your partner- it is necessary that you discuss freely regarding your sexual problems with your partner. This will help you in gaining confidence, release stress and perform better.
Follow the above suggestions and choose a healthy lifestyle for a safe and pleasing sex life.

Type 2 Diabetes and Erectile Dysfunction

Peyronie's disease is a problem predominantly found in 3-9% of adult men, especially after 40 years of age. In the disease, a scar tissue is formed in the outer layer of the penis called tunica albuginea. Scar tissue is a just plaque inside the penis.

Peyronie's disease causes the penis to bend sideways or upwards and can make sex become difficult due to deformity and erection may be a painful process. It is usually associated with erectile dysfunctions, severe anxiety and reduced testosterone levels. It is worth noting that there are treatments for peyronie's disease, however, the pain often goes away on its own, generally, in 6-18 months of onset, but the deformity stays.

Here is everything you need to know about this disease:

Causes
It is not known exactly what causes peyronie's disease, however, there are some factors, which make it more likely than others. Here are those factors:

1. Trauma: this is the most common factor which causes peyronie's disease. It is believed that when someone suffers from tiny bleeding of the penis, which is very common in patients of diabetes, the plaque starts to build up. The injury or trauma, which causes the bleeding may go unnoticed as well.
2. Genes: genes are also a possible cause of peyronie's disease.

Symptoms
The symptoms of peyronie's disease vary, such as:
1. Pain on erection: there is usually pain in erection during the initial phase.
2. Bent penis: when the penis becomes hard before sex, it may bend downwards or sideways by more than 15 degree, so the vaginal entry becomes impossible or is painful for the partner.
3. Scars: tissue may form on other parts of the body, as well including the hand and feet. In fact, it has been said that men who have scarring in the hand, which affect the fingers are more likely to contract the disease as well.
One may see extensive scarring in hands in a disease called dupuytren's contracture. 

Treatment
1. Wait &amp; watch: it is worth noting the acute phase with pain is treated by wait and watch, controlling contributory factors like diabetes, low testosterone and psychogenic factors. Antioxidants are useful. Large number of cases are relieved of the pain in 1 to 1.5 years.
2. Intralesional injection: if the bend is significant enough to interfere in sexual functioning, it can be treated by injecting medicines in the plaque. The medicine, xiaflex is currently not available in india and other medicines given are not very effective.
3. Surgery: this is a last option when peyronie's disease has not gone on it's own and medicines are not helping either. The two most common procedures performed are removing the plaque and putting a tissue graft in its place and also removing the tissue opposite the plaque to counter the bending effect. The results are fairly good.

Going for a penile implant is the last option, which is a permanent solution and is commonly done in india. And, the success rate for penile implant is also very high.

Peyronie's Disease: About Bent Penis

Zinc and erectile dysfunction

Zinc is a naturally occurring metallic element. Certain types of vegetable, meats and seafood are rich in zinc.

Erectile dysfunction is a man's inability to achieve a penetrable erection. It is one of the most common sexual problems faced by men of all ages. Zinc helps the body to produce testosterone and thus the levels of zinc in a person's body may affect erectile dysfunction.

A host of factors ranging from nutritional deficiency to clinical depression can lead to the condition. In recent years, deficiency of zinc has been found to be the cause of ed. Apart from producing testosterone, zinc is used for metabolism purposes, DNA and protein production and cell division.

Most studies related to male infertility show a clear concise relationship between zinc and ed. During a study some young men were given a diet which included very little amounts of zinc and thus they developed a zinc deficiency. When testosterone levels were measured after 20 weeks of low-zinc diet it was found that the level of the hormone had drastically reduced. The study also found that in elderly men, with an increase in the uptake of zinc, testosterone levels nearly doubled.

Research on animals established the fact that relationship rats who were given 5 milligrams of zinc supplement a day, were found to be sexually active to a greater extent. It concluded that zinc had an impact in the arousal and maintaining of an erection in men.

Zinc deficiency can also reduce the sense of smell in person. A sense of smell is vital to libido, especially more in young men. Thus, it can cause a person to lose the ability to detect certain chemicals that stimulate arousal.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Knowing Erectile Dysfunction. PART 2: Management and Treatment

Zinc and Erectile Dysfunction - How is it related?

Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.
Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.
Sexual Activity and Cardiovascular Disease
Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.
Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.
The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).
How is the Heart and ED Related?
Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.
What to do?
If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist.

How Erectile Dysfunction and Cardiac Problems are Related

A few physical conditions can render intense mental distress as well, and one such condition is Erectile Dysfunction in men. A majority of the men facing the problem feel uncomfortable disclosing the problem of erectile dysfunction. Affecting more than 30 million men worldwide, ED or erectile dysfunction continues to damage their sexual life. However, this condition is very much treatable and nothing at all to hide or embarrassed about.

How can you know that you have erectile dysfunction?
Erectile dysfunction refers to a man's failure of having a firm erection for having sexual intercourse. Problems with having an erection are nothing uncommon and are experienced by men half of the time. But when this male sexual problem becomes extremely frequent, then it is termed as erectile dysfunction.

The symptoms caused by erectile dysfunction can vary from one person to another. However, some of the common symptoms that can make one certain that he may be suffering from ED are reduced interest in intercourse or sex, facing difficulty in getting a firm erection and trouble in maintaining the erection for long during different sexual activities. Apart from these, some sexual disorders like delayed ejaculation or premature ejaculation and inability to achieve an orgasm, even after enough stimulation are some its symptoms too.

What causes Erectile Dysfunction?
When it comes to the causes of erectile dysfunction, there is a variety of them. For every different individual, the factors making him suffer from erectile dysfunction can be different. Some of the very common causes of erectile dysfunction are, suffering from hypertension, anxiety due to relationship problems, alcohol or drug use, excessive stress, cardiovascular disease, being overweight, any injury or damage due to cancer or any kind of surgery etc. It is not necessary that any one cause to be responsible behind ED, several factors can also cause erectile dysfunction.

Treatment options-
Depending on the underlying cause of erectile dysfunction, there are various treatment options available. From different oral medications to implants or surgeries, psychological counseling, various treatments are now available for treating erectile dysfunction. There are even different erection creating device and exercises that can put an end to erection dysfunction. There are also penile implants and alternative medications available. However, one must look for the guidance of a medical professional before opting for any of the treatment options. Because it is only a medical professional who can analyze the condition of ED, find out the exact cause behind it and suggest the best treatment that can help one in dealing with this condition.

Experiencing trouble in erection from time to time is nothing to be concerned about. However, when this condition turns into an ongoing one that happens every time one feels interested in intercourse or is sexually aroused, then the person should not hesitate anymore in seeking a consultation with a doctor.

Erectile Dysfunction- Causes, Symptoms and Treatment!

Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. 
The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. 

So, what are the causes. In some male, it is psychological, caused by anxiety, depression, stress, marital disharmony etc. Use of alcohol and smoking will aggravate the problem. Psychological causes can happen at any age but more common at younger age. But in some cases, it is associated with serious diseases, especially at old age. It has been seen that in apparently healthy male ed is the first sign of heart disease. So, if you have ed, make sure that i's not caused by your heart problem. Again diabetes is another important cause. Excessive weight gain will also cause hormonal imbalance and thus problems in erection. Some hormone may also cause ed like thyroid, prolactin and even testosterone (male sex hormone). If you have chronic diseases like liver or kidney disease, it may also lead to ed. Diseases of nerves and spines should also be kept in mind. Sometimes, infections or tumour in private parts (prostate, testis etc) will also add to ed. Other diseases of penis like abnormalities in blood vessels can also be responsible, especially in young guys. Apart from these, some surgeries in abdomen and some drugs (like drugs to lower blood pressure, antidepressants, hormonal drugs etc) will also cause ed.

Now, what you can do? if you want to suffer silently, you will land up in other problems like problem in sexual life, problem in family relationships, depression and even inability to make your partner pregnant. But do all men with ed have to go to doctor? initially, the men should try life style modifications like avoiding smoking and alcohol; avoiding stress and anxiety; making good understanding with partner and also reducing weight. The partner should also have sympathetic attitude to the husband who is having ed.

But if still the issue is not resolved you have to consult doctor. It's not a mater of hesitation or embarrassment, as you may think. Rather it is needed to ensure that you are healthy. So, your doctor will talk to you, will check you and try to find out if any cause is there or not (like heart disease, diabetes, hormones etc). He may order some basic tests to ensure that everything is alright. After that he will advise you the treatment. If the cause is found, treatment of the cause (like diabetes) may cure ed. Even if no cause is found, ed can be treated by various ways.

But should you try the drugs shown in television or newspaper? remember, drugs used in ed have important side effects and we advise drugs only when it is absolutely necessary. In most cases simple measures like stress reduction, exercise help. Sex counseling of both the partners helps a lot. And if still ed persists, we advise drugs. There are variety of drugs, all are having own advantages and disadvantages. Particularly sildenafil group of drugs can affect heart and retina. So, we always practice caution before prescribing such drugs. And when patients are advised such drugs we advise to inform us when he feels eye problems, chest pain, fainting or even painful persistent erection of penis (" priapism").

There are other drugs that can be applied directly over penis. Testosterone group of drugs are prescribed only in selective cases as they have serious side effects and even they can reduce the size of your testes. In some cases where drugs cannot be given or drugs fail, we advise penile implants or artiificial pump to maintain erection. Finally in very few cases, where blood vessels of penis is blocked, we can cure it by some operations. 

So, if you feel ed, don't get depressed. At the same time don't feel embarrassed to take medical help. Today's embarrassment may harm you in future. So, get cured and enjoy your personal life.

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