When people get older they face common health problems like
bothersome bladder symptoms or changes in sexual function. People with
diabetes can have an early onset and a marked intensity of these
problems. The sexual and urologic complications of diabetes occur because
of the damage that diabetes can cause to blood vessels and nerves. Men may
have difficulty with erection or ejaculation. Women may have problems with
sexual response and vaginal lubrication. Infections of the urinary tract
and bladder problems are more frequent in people with diabetes. People who
keep their diabetes under control can decrease the risk of developing these
sexual and urological problems early, says the best sexologist in Delhi.
Both women and men who have diabetes can develop sexual
problems due to damage to nerves and small blood vessels. When a person
wants to raise an arm or take a step, the brain sends nerve signals to the
right muscles. Nervous signals also control internal organs such as the
heart and bladder, but people do not have the same kind of conscious control of
these organs as they do of the arms and legs. The nerves that control the
internal organs are called autonomic nerves and tell the body to digest the
food and circulate the blood without the person having to think about
it. The body's response to sexual stimuli is also involuntary, it is
governed by autonomic nerve signals that increase blood flow to the genitals
and cause the smooth muscle tissue to relax. The damage of these autonomic
nerves can alter normal function. The reduction in blood flow due to
damage to the blood vessels also contributes to sexual dysfunction, says sexologist in Delhi.
Erectile dysfunction
Erectile dysfunction is the constant inability to achieve or
maintain an erection firm enough to have a sexual relationship. This
condition includes the total inability to achieve an erection and the inability
to maintain it.
In men with diabetes, the prevalence rates of erectile
dysfunction fluctuate widely, from 20 to 75 percent. Top sexologist in Delhi warns
that men with diabetes are two to three times more likely to have erectile
dysfunction than those without diabetes. Men with diabetes can suffer from
erectile dysfunction 10 to 15 years earlier than men without diabetes. Sex specialist in Delhi suggests
that erectile dysfunction may be an early sign of diabetes, especially in men
45 and younger.
Other major causes of erectile dysfunction, in addition to
diabetes, include high blood pressure, kidney disease, abuse of
alcohol and blood vessel diseases. Erectile dysfunction can also occur due
to the side effects of some medications, psychological factors, smoking, and
hormonal deficiencies, says sexologist
doctor in Delhi.
Men who have erectile dysfunction should consider talking to
their sex doctor in Delhi. The best sex doctor in Delhi can
ask questions about the patient's medical history, the type, and frequency of
the sexual problem, medications, smoking and alcohol consumption, and other
health conditions. A physical examination and laboratory tests can help
determine the causes of sexual problems. The best sexologist in Delhi will
review the control of blood glucose and hormone levels and may ask the patient
to have a test at home to check for erections while the person is
sleeping. The doctor can also ask the patient if he or she is depressed or
has had difficult changes in their life recently.
Erectile
dysfunction treatment in Delhi caused by nerve damage, also
known as neuropathy, are very varied and include oral medications, the vacuum
pump, granules placed in the urethra, injections applied directly inside the
penis, and including surgery. All these sex treatment in Delhi has
advantages and disadvantages. Psychological therapy may be necessary to
reduce anxiety or treat other problems. Surgery to implant a device that
helps with erection or to repair arteries is the treatment of last resort when
everything else has failed.
Retrograde ejaculation
Retrograde ejaculation is a male disorder in which part or
all of the semen flows into the bladder instead of exiting the tip of the penis
during ejaculation. Retrograde ejaculation happens when the internal
muscles, called sphincters, do not work properly. The sphincter
automatically opens and closes a duct in the body. In retrograde
ejaculation, the semen enters the bladder, mixes with the urine and leaves the
body through urination, without affecting the bladder. A man who has
retrograde ejaculation may notice that little semen flows during ejaculation or
he may become aware of the disorder if fertility problems occur.
The analysis of a urine sample after ejaculation will
confirm the presence of semen.
Inadequate control of blood glucose and consequent damage to
the nerves can cause retrograde ejaculation. Other causes include prostate
surgery and some medications.
Medicines that strengthen the muscle tone of the bladder
sphincter can help with retrograde ejaculation caused by diabetes or
surgery. A sexologist
in Delhi specializing in treatments for infertility can help
with techniques to stimulate fertility, such as collecting sperm from the urine
for later use during artificial insemination.
What types of sexual problems can occur in women with
diabetes?
Many women with diabetes suffer from sexual
problems. Although research on sexual problems in women with diabetes is
limited, one study found that 27 percent of women with type 1 diabetes have
sexual dysfunction. Another study revealed that 18 percent of women with
type 1 diabetes and 42 percent of women with type 2 diabetes suffer from sexual
dysfunction.
Sexual problems can include
- decreased vaginal lubrication, which causes vaginal dryness
- painful or uncomfortable sexual intercourse
- decreased or absent sexual desire
- diminished or absent sexual response
Diminished or absent sexual response may include the
inability to achieve or maintain arousal, reduced sensation in the genital area
or total absence of sensitivity and constant or sporadic inability to achieve
orgasm.
The causes of sexual problems in women with diabetes include
damage to the nerves, decreased blood flow to the genital and vaginal tissues,
and hormonal changes. Other possible causes include some medications,
abuse of alcohol, smoking, psychological problems such as anxiety or
depression, gynecological infections, other diseases and conditions related to
pregnancy or menopause.
Women who suffer from sexual problems or who notice changes
in sexual response should consider talking with their health care provider. The
health care provider will ask questions about the patient's medical history,
any gynecological condition or infection, the type, and frequency of sexual
problems, medications, smoking, alcohol consumption, and other health
problems. The best
sexologist in Noida may ask if the patient is pregnant or has
reached menopause and if she is depressed or has had difficult changes in her
life recently. A physical examination and laboratory tests may also help identify
the cause of sexual problems. The sexologist in Noida will
also talk with the patient about blood glucose control.
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