Erectile Dysfunction Afflicts More Than Half of Men With Diabetes
Men with diabetes should be screened for erectile dysfunction and vice versa. They tend to develop erectile dysfunction 10 to 15 years earlier than those without diabetes. The screening for ED should be part of routine assessment of cardiovascular risk in men with diabetes, given underlying vasculopathy and increasing evidence of a direct link with cardiovascular disease.
Although hypertension and age older than 60 years were the only factors associated with diabetes-related ED, longer diabetes duration, poor glycemic control, hyperlipidemia, sedentary lifestyle, smoking, and the presence of other diabetic complications have been found related to ED.
Considering the association between depressive symptoms and erectile dysfunction, especially in diabetic patients, management should be multidisciplinary. In addition to the skills and expertise of the metabolic diseases specialist and traditional pharmacological therapy, psychosexual counseling and specialist andrologist/urologist advice is necessary.
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