Men's Sexual Health

Erectile Dysfunction (ED)

By definition unable to have sufficient erection sufficient for penetration.

Risk factor for erectile dysfunction

• Age above 50
• Obesity
• Lack of exercises
• Excess of alcohol
• Smoking
• Drugs
• Certain medications
• Diabetes, Hypertension, Hypercholesteremia, heart disease

Note- Erectile dysfunction may be early indicator of heart disease by 3 years

Diabetes and Erectile Dysfunction. Diabetes is one of the common causes of Erectile Dysfunction (ED)

• 50% of men between the age of 50-70 has some degree of ED
• Erectile dysfunction may indicate underlying Cardiac disease
• Drugs used in ED are less effective in Diabetic patients

Diabetes effects Erection it effects on

• Blood vessels
• Nerves
• Smooth muscles
• Vascular endothelium

Treatment of Erectile dysfunction

• Life style changes
• Treatment of underlying medical conditions-e.g., control of diabetes
• Stop medications that cause erectile dysfunction
• Medication like PDE5 inhibitors (Viagra)
• Penile Injection
• Penile implant

Penile implant

• When other treatment modality fails
• Types of implants
• Rigid or semirigid
• Inflatable
• Rigid implants are
• Cheap
• Difficult to conceal
• Last longer
• Inflatable
• Expensive
• Natural