This health video is looking how the onset of diabetes could cause ED (Erectile Dysfunction)
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Frank J. Costa: The most common condition that I would say is associated with Erectile Dysfunction are patients that are diabetic. Because diabetes is a systemic type of disease that affects various body parts, and it affects your eyes, it can affect your kidneys, it can affect your sexual organs, it can affect your limbs, it can affect your heart. So the fact that this is a systemic disease and it does have a higher association of patients with erectile dysfunction. Randall B. Meacham: We know that unfortunately, among men that are diagnosed as having diabetes, within ten years of having that diagnosis made fully, 50% of those men will develop erectile dysfunction. Type-1 diabetes or insulin dependent diabetes is actually even more strongly associated with sexual dysfunction than is adult-onset diabetes. Frank J. Costa: Diabetic men are about 4-5 times more likely to have erectile dysfunction than somebody in the normal population. Randall B. Meacham: Diabetes causes erectile dysfunction in a number of different ways. We know that among men that have diabetes there is a tremendous problem with vascular supply to many of their organs, vascular occlusion takes place. We also know that there are neurologic reasons, men that have diabetes may have erectile dysfunction. If we think in some circumstances, the actual production of the substances within the penis that allow erections to take place maybe impaired among men that have diabetes. So for a variety of reasons, diabetes has a very, very negative effect on sexual function, and this is a group of men that very often need to see treatment for their sexual dysfunction in addition to overall medical care for their diabetes. Frank J. Costa: Diabetes is a systemic illness. It's something that affects virtually every body part. And so that the way it affects erectile dysfunction is believed to be the way the blood vessels are affected. There are things called endothelial defects where the lining of the blood vessels are impaired, so that the blood flow to the sexual organ is impaired. And as a result of that, the ability to obtain an erection is compromised by virtue of the fact that the blood vessels are compromised and also the blood vessels that supply the nerves that are important for sexual function are also compromised.