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Diabetes and sexual health

Diabetes and erectile dysfunction

Diabetes can affect the blood vessels and nerves needed for erections. The same person may also be managing blood pressure, cholesterol, mood or medication effects, making a complete review more useful than focusing on one number.

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The direct answer

Men with diabetes experience ED more often than men without diabetes. Glucose control, vascular risk, nerve function, medication safety and possible hormone symptoms may all be relevant to assessment and treatment.

01

Why diabetes can affect erections

Long-term high blood sugar can damage small blood vessels and nerves. Reduced sensation, slower response and less reliable firmness can develop gradually.

02

Bring more than your medication request

Have a current medication list and recent blood-pressure information. Tell the clinician about glucose control, kidney problems, chest symptoms, neuropathy and changes in sexual desire.

03

Treatment still needs individual review

Prescription tablets may be considered, but response and safety vary. Kidney function, cardiovascular status and interacting medicines can affect the plan.

04

Use ED as a reason to review overall health

Regular diabetes care, smoking cessation, physical activity and management of blood pressure and cholesterol support health beyond erections. Do not change diabetes treatment without your usual care team.

Help for erection difficulties

Can ED medication help with these symptoms?

Sildenafil and tadalafil help blood vessels relax, improving blood flow during sexual stimulation. That can make it easier to get and keep an erection firm enough for sex.

Trouble getting an erection?

Wanting sex but struggling to get firm enough can be a sign of ED. Find out how prescription treatment may help.

Difficulty getting an erection

Losing your erection during sex?

ED can also mean getting an erection but not keeping it. Learn about losing firmness and when medication may be an option.

Difficulty keeping an erection

Sexual stimulation is still needed. These medicines do not increase desire and are not suitable for everyone; a prescription is required.

Keep going

Useful next steps