My husband is having a hard time getting me...

Treatment or erectile dysfunction in diabetic patient

DM is one of the commonest chronic diseases and one of the commonest causes of sexual dysfunction problems. Firstly, your husband has to control his diabetes and blood glucose level by taking his drugs regularly. Avoid obesity and should exercise daily for at least 30 minutes daily. He can take vitamins like MULTIMAX one once daily for one month in addition to Viagra one tab one hour before sex to strength it

Investigations to do

CBC for level of anemia, Blood glucose level. HA1C level for monitoring blood glucose 3 months ago. US doppler for penis

Causes of erectile dysnfuction

There are many causes like

• Stress
• Anxiety
• Obesity
• Smoking
• Aging
• Drugs side effects
• Chronic medical diseases like HTN , DM
• Penis problems like fibrosis
• Other causes

There are two types of HTN:

• Primary hypertension (unknown cause)
• Secondary hypertension caused by an underlying condition like : Obstructive sleep apnea ,Kidney disease ,Adrenal gland tumors ,Thyroid problems, medication

risk factor of HTN :

• age
• obese 
• family history 
• smoking 
• alkohol 
• stress 

causes of DM : two type 
type one unknown cause 
type two ( family history , obese , stress ,inactive lifestayle )