Hormonal
Men with diabetes mellitus have an approximately 3.5-fold higher prevalence of erectile dysfunction compared to men without diabetes, with severity correlating to the duration and complications of the disease.
If you have diabetes, erectile dysfunction is a common medical complication, not just a psychological issue. It is significantly more likely in diabetic men (3.5x higher risk) and often serves as an early warning sign for heart disease. You should discuss this with your doctor not just for sexual health, but as a critical check on your cardiovascular and metabolic status.
Accordingly, patients with DM had an approximately 3.5‐fold higher prevalence of ED than those without DM.
Why this rating
Based on multiple meta-analyses and large population studies cited in the review.
Source
Erectile dysfunction and diabetes: A melting pot of circumstances and treatments
Giuseppe Defeudis et al. · Diabetes/Metabolism Research and Reviews · 2021
DOI 10.1002/dmrr.3494
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- Erectile dysfunction in diabetic men is strongly associated with cardiovascular disease, often preceding coronary artery disease by 2-5 years, making ED a predictor of cardiac risk.Good
- Testosterone replacement therapy (TRT) improves erectile function and metabolic parameters in hypogonadal diabetic men, but guidelines do not recommend it solely for improving glycemic control.Moderate
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