Up to 50 % of men with diabetes have sex problems. Mostly erectile dysfunctions and rarely retrograde ejaculation. Neuronal ischemia due to autonomic neuropathy can cause orthostatic hypotension. Ask about fainting attack. Up to 25 % of women with diabetes have vaginitis and/or anorgasmia. TREATMENT: 1. Tight glycemic control, 2. Pscyho-Sexual Therapy with 3. Specific treatments for specific sexual problems of men and women. Watch this short video http://mydoctortells.com/video-treatment-erectile-dysfunction/ to know ALL the treatment methods for ED available in the world today. Treatment of female sexual dysfunction consists of use of lubricants and antimicrobial medicines, local acting and systemic. Anorgasmia is a challenge. See sexologist's useful tips http://mydoctortells.com/tips-about-female-orgasm/ Conclusion: For doctors: Please ask your male and female patients with diabetes about their sexual (dys) functions. For doctors with busy OPD and specially to cut the barrier of taboo use http://mydoctortells.com/10-questions/ For people with diabetes: Please ask for treatment to your treating doctor. Don't lift medicines form chemists shop, go to quacks or suffer silently.

1. Diabetes & Sexual Dysfunction By Ashok Koparday
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Diabetes and Sex

2. Diabetes & Sexual Dysfunction By Ashok Koparday
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Universal Symbol of Diabetes

3. Diabetes & Sexual Dysfunction By Ashok Koparday
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Up to 50 % of men = sexual problems

4. Diabetes & Sexual Dysfunction By Ashok Koparday
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Women
Up to 25 % of women = sexual problems

5. Diabetes & Sexual Dysfunction By Ashok Koparday
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ED in 1 in 3 men with Diabetes
Source: http://diabetes.niddk.nih.gov/dm/pubs/neuropathies/
Retrieved 2014 March

6. Diabetes & Sexual Dysfunction By Ashok Koparday
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Damage to nerves over long period
• Diabetic neuropathies are a family of nerve
disorders caused by diabetes.
• Desire is intact, the response erection/climax
is impaired
Source: http://diabetes.niddk.nih.gov/dm/pubs/neuropathies/

7. Diabetes & Sexual Dysfunction By Ashok Koparday
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Damaged Nerve

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Blood vessel damage
• Narrowing and hardening of blood vessels

9. Diabetes & Sexual Dysfunction By Ashok Koparday
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Atherosclerosis
Source: Janetgibson.co.uk

10. Diabetes & Sexual Dysfunction By Ashok Koparday
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Less NO due to less blood sugar
• Less of Nitric Oxide is produced
Source: Dan-O Royalty Free Music
"Dan-O at http://danosongs.com".

11. Diabetes & Sexual Dysfunction By Ashok Koparday
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Damage to capillaries
(microangiopathy)
• Diabetic neuropathy  Vasoconstriction

12. Diabetes & Sexual Dysfunction By Ashok Koparday
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Microvascular (microangiopathy) injuries
to small blood vessels that supply nerves
(vasa nervorum)
• ED
• Retrograde ejaculation
• Anorgasmia
Source: https://en.wikipedia.org/wiki/Diabetic_neuropathy

13. Diabetes & Sexual Dysfunction By Ashok Koparday
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Macrovascular conditions ->
Diabetic neuropathy
Macrovascular conditions -> Diabetic
neuropathy

14. Diabetes & Sexual Dysfunction By Ashok Koparday
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Neuronal ischemia
• Autonomic neuropathy – genitourinary system
(Find if orthostatic hypotension or fainting was
present)

15. Diabetes & Sexual Dysfunction By Ashok Koparday
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Tight glycemic control
• Men and Women Both
• Psycho-Sexual Therapy

16. Diabetes & Sexual Dysfunction By Ashok Koparday
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Rx Men:
• PGE – 5 inhibitors
• Other treatment methods of ED

17. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Lubricants
• Anti infective medicines
Rx Women:

18. Diabetes & Sexual Dysfunction By Ashok Koparday
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Fasting >_7.0mmol/l (126mg/dl)
2 hour >_11.1 mmol/l (200 mg/dl)
• http://www.who.int/diabetes/publications/Definition%20and%20diagnosis%20of%20diabetes_new.pdf
• Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia : report of a WHO/IDF
consultation. World Health Organization. 2006. p. 21. ISBN 978-92-4-159493-6.

19. Diabetes & Sexual Dysfunction By Ashok Koparday
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Diabetes mellitus (DM) or simply diabetes, is a group of
metabolic diseases in which a person has high blood sugar.
• http://www.who.int/diabetes/publications/Definition%20and%20diagnosis%20of%20diabetes_new.pdf
• Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia : report of a WHO/IDF
consultation. World Health Organization. 2006. p. 21. ISBN 978-92-4-159493-6.

20. Diabetes & Sexual Dysfunction By Ashok Koparday
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Women

21. Diabetes & Sexual Dysfunction By Ashok Koparday
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½ women had sex problem
• 32 % problems with lubrication
• 89 % problems started after they were
diagnosed
• 1986 study
Source: http://www.webmd.com/diabetes/features/women-sex-and-diabetes

22. Diabetes & Sexual Dysfunction By Ashok Koparday
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Unable to have orgasm
35 % with diabetes
6 % without diabetes
• Journal Diabetes 1971
Source: http://www.webmd.com/diabetes/features/women-sex-and-diabetes

23. Diabetes & Sexual Dysfunction By Ashok Koparday
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Vaginitis= Vaginal infection
• Sex is painful, itching and burning
• due to Yeast/Bacterial infection
• Clitoris fails to respond to stimulation

24. Diabetes & Sexual Dysfunction By Ashok Koparday
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Treatment Women
Anti infective medicines
 Lubricants
 Relationship Counseling & Sex Therapy

25. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: Gray’s Anatomy bartleby.com publishers

26. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: Gray’s Anatomy bartleby.com publishers

27. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: dejavouz.files.wordpress.com_tree2

28. Diabetes & Sexual Dysfunction By Ashok Koparday
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•erlanger_and_gasser_types_of_NervefibersDiabetesandSexual
DysfunctionbyAshokKopardayContact:http://mydoctortells.com

29. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: fineartamerica.com_capillaries-lindsay-clark
• Diabetes and Sexual Dysfunction by Ashok Koparday
• Contact: http://mydoctortells.com

30. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: glycemicindex.com_endothelium200
Endothelial
permeability
Endothelial
adhesion
Leucocyte
migration
Leucocyte
adhesion

31. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: kegel_exercise_diagram

32. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: montgomerycollege.edu_NerveFibers-200x-AllLabels

33. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: ourprg.com_Blood_Vessel
• Diabetes and Sexual Dysfunction by Ashok Koparday
• Contact: http://mydoctortells.com

34. Diabetes & Sexual Dysfunction By Ashok Koparday
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Source: tappmedical.com_atherosclerosis_slice

35. Diabetes & Sexual Dysfunction By Ashok Koparday
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• Source: wikipedia_Kegel_exerciser

36. Diabetes & Sexual Dysfunction By Ashok Koparday
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