Diabetes e problemas de ereção | Dr. Marco Túlio Cavalcanti

Diabetes and Erectile Dysfunction | Dr. Marco Túlio Cavalcanti - Urologist and Andrologist (CRM: 136030 – RQE: 56669) What causes erectile dysfunction? Male impotence affects men in two main groups: those who are impotent due to a psychogenic cause and those who have physical causes that lead to the problem, such as certain diseases. However, there is also another group that combines physical and psychogenic problems, resulting in erectile dysfunction. To understand whether a man is in the group with psychological or organic (physical) causes that led to erectile dysfunction, the first step is to consult an andrologist/urologist, who will listen to him to understand the reasons that led to the problem. Knowing the patient's history well is fundamental to arriving at the correct treatment. Knowing the details of the patient's life is enough to make 80% of the diagnosis. When the causes of erection problems are psychological, the problem can occur abruptly; that is, the patient has never had erection problems and suddenly begins to experience erectile dysfunction. Often, when this occurs, the patient begins to feel anxious and manifests constant worry during intercourse, which can lead to further failures due to the well-known performance anxiety. Financial problems or other worries in the patient's life can also lead to impotence due to psychological factors. Often, these psychogenic causes are also circumstantial, meaning the problem occurs in different people or in specific situations. Furthermore, when this dysfunction is psychological, patients usually have preserved morning erections; that is, the physiology of the penis continues to function satisfactorily, but the problem arises during sexual intercourse. Organic Causes Regarding organic causes, advancing age is strongly related to sexual performance, and the association with many diseases can cause the problem; for example, it is safe to say that diabetes causes impotence. Furthermore, the dysfunction is gradual, and erections become weaker, including morning erections. In these cases, the main organic cause of impotence is vascular in origin; that is, the cavernous artery, which carries blood flow to the erection, is obstructed. The warning here is that this dysfunction may be a problem caused by a cardiovascular issue, which can lead to a heart attack or stroke. But there are other pathologies that will also have this sexual problem as a secondary consequence, such as: Diabetes; Smoking; Injuries to the penile cavernous nerve (post-prostatectomy surgery, diabetic neuropathy, or spinal cord injuries); Atherosclerosis (obstructed blood vessels); Radiation treatments for cancer; Parkinson's disease; Multiple sclerosis; Hormonal (low levels of testosterone or thyroid hormones); Use of certain medications; High cholesterol and triglycerides; High blood pressure; Peyronie's disease (penile curvature); Obesity; Sedentary lifestyle; Excessive alcohol consumption or drug use; Etc. Read more at: https://www.drmarcotuliourologista.co... #erectiledysfunction #drmarcotuliocavalcanti #urologist #diabetes