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Erectile dysfunction is three times more common in Diabetics compared to Non-Diabetics

Erectile dysfunction is much more common than retinopathy and nephropathy.

Erectile dysfunction may be first symptom in 12% of Diabetics

Hypertension and Erectile dysfunction

Erectile dysfunction in hypertensive patients is two times more common

Dyslipidemia and Erectile dysfunction

It has been found that there is an Improvement in Erections after lowering LDL cholesterol

Metabolic Syndrome is also associated with low Testosterone levels and Low Te levels are associated with two times increased cardiovascular risk. Low Te increases insulin resistance and worsens DM, and thus the vicious cycle.

Cardiovascular risks and men’s health

Prevalence of silent coronary artery disease in patients with ED is ranged between 8% and 56%. Erectile dysfunction has been independently associated with Cardiovascular Disease.

Relative risk of Cardiovascular Disease is higher among younger patients with Erectile dysfunction, and risk decreasing linearly as age in years increased. Improvement of Testosterone levels by TRT has shown reduction in the mortality by 50%.


One in 6 men will sustain a hip fracture by age 90, and risk of death from complications of a hip fracture is 34%

Treatment includes making healthy lifestyle changes, including getting 1000 mg to 1200 mg of calcium daily

Vitamin D3 should be above 30ng/ml

Use bone forming agents, if Bone mineral Density is -2.5.

Take home message

  • Cardio-metabolic risk assessment is crucial aspect of Men’s Health evaluation
  • Lifestyle modification is one of the fundamental pillars of treatment
  • Collaboration with other disciplines is inseparable part of Men’s Health management
  • Multi-disciplinary and holistic approach is very important
  • Irrespective of age, Males should Consult a professional Andrologist, if they are any symptoms. Don’t neglect of feel shy to share with family members/friends, as they could assist/direct you to the right medical professional

Erectile dysfunction (ED) is the inability to get or sustain an erection firm enough to have sexual intercourse good enough for partner satisfaction. It’s also sometimes referred to as impotence.

ED can be caused by only one of these factors or several. That’s why it’s important to work with your doctor so that they can rule out or treat any underlying medical conditions.


There are many possible causes for ED and they can include both emotional and physical disorders. Some common causes are:

  • Cardiovascular disease
  • Diabetes
  • Hypertension
  • Dyslipidemia
  • Smoking
  • Obesity or being overweight
  • Damage caused by cancer/ surgery to the nerves
  • Stress
  • Anxiety
  • Relationship problems
  • Substance abuse
  • Alcohol use

Treatment at Erectile Dysfunction treatment in Bangalore:

There are various levels of treatment.

  • Lifestyle modifications
  • Medicines – Like Sildenafil, Tadalafil
  • Low Intensity shock wave therapy
  • Intra cavernosal injections
  • Vaccum erection device
  • Surgery – Venous ligation, Penile prosthesis


Joshi's Centre - Sahakara Nagar

Mon - Sat

9:30 AM - 8:00 PM

Joshi's Andrology & Urology Centre

Block-A, Sri Krishna complex,

Opposite Ganesha Temple 776,

1st and 2nd floor, Sahakar Nagar,

Bengaluru- 560092, Karnataka, India.

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