Chapter 29: Male sexual dysfunction in type 2 diabetes

Abstract

Erectile dysfunction (ED), defined as the inability to sustain adequate penile erection for satisfactory sexual activity, is common in adult men with T2DM (50 to 75%)¹ and negatively impacts quality of life.^2,3 ED has also been described in up to 1/3 of newly diagnosed men with diabetes.⁴ Additional risk factors for ED include diabetes duration, increasing age, poor glycaemic control, cigarette smoking, hypertension, dyslipidemia, androgen deficiency states and cardiovascular disease (CVD). ED occurs 10–15 years earlier in men with diabetes, is more severe and less responsive to oral drugs.³