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The Question
02/04/10 08:55 AM

"type 1 for 40 years. I have trouble getting and maintaining an erection and I don't produce any semen. My testosterone levels are fine. What 2 do?"
Asked By: tgonsorek  
Category: Men's Issues

Background Info Hide
I am 43 year old male and I have tried a couple of meds which didn't do much good. I am on Plavix, atenolol, cozaar, lipitor. I feel the attraction but have no desire. I am in kidney failure but not on dialasis. Had a heart attack in 2001. I am 43 and without sex I feel like I just exist. I want the desire back and help with the E.D. and sperm problem.

Expert Answers (1)

02/10/10 02:46 PM

Hello TgonSorek:
Thanks for bring this sensitive issue to dLife, is it just men or is it due to the diabetes in men? Statistics suggest men with diabetes develop ED or impotence 10-15 years earlier than men without diabetes. 50-60% of all men with diabetes have some type of problem with impotence. Impotence (ED) has a range of severity. ED defined as the consistent inability to achieve or maintain an erection that permits intercourse. If occasionally you fail to maintain or achieve erection, you are not impotent. You are not impotent if you experience a decrease in sexual desire, have premature ejaculation, or if you fail to ejaculate or reach orgasm. Absolute impotence can be due physical or psychological factors, don't be shy discuss with your doctor (he can diagnose) or healthcare provider-or see a specialist of urology, reluctance to discuss this results in it going untreated/undertreated. I have included a phone number for additional information: Impotence Institute of America, (800) 669-1603, guidance and physician referral in each state on impotence. The most common cause in men with diabetes is the physical problems that result from blood vessel-and nerve related complications, your history has increased the risk. Take actions now: testing and treatment options for Ed might include: nerve conduction testing, vascular ultra sound, pressures and other measurements. There are medications and/or surgical options available.

First and foremost; Back to the Basics: A1C<7%, Blood pressure<130/80, Total cholesterol<200, LDL<70-100, HDL>40mg/dl, no smoking or alcohol. Keeping the blood glucose levels under control at all times, <140mg/dl, is your best method to avoid any additional injury to nerve cells. Call on your healthcare team to assist with how to achieve these tighter controls or other diagnostic needs. Thanks for asking dLife, be your best. Call on us as needed, regards Sue

Answered By: Susan Throop
Accreditations: RD, CDE, MA
Sources Show

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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