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]]>Mediterranean dietary plan contributes to the prevention of erectile dsyfunction through a variety of features, including an improvement in glucose metabolism and lipid levels, increased antioxidant potency, and higher arginine levels, which in turn could boost nitric oxide activity and thus improve erectile function.
The Mediterranean Diet is one of the most heart healthy diets on the planet and studies have shown that it both helps existing and prevents future erectile dysfunction. The well-known Lyon Diet Heart Study showed that after an average follow-up time of about four years, patients following the Mediterranean-style diet had a 50-70 percent lower risk of recurrent heart disease. That’s great news for your heart and your sex life! This was re-verified by Italian researchers who tested the erectile-improving capacities of the Mediterranean Diet on men with Metabolic Syndrome and found that it significantly improved their erectile capacity.
The Mediterranean Diet also has also been shown to dramatically reduce the risk of dying from cancer and heart disease.
“Nuts, Olive Oil, Legumes, Cereals, Fish, Red Wine, Fruits and Vegetables, unsaturated Fat, low intake of dairy Products, No intake of Red Meat is what the Mediterranean diet is all about”.
On top of these benefits to both your erectile and cardiac strength, a Mediterranean Diet has also passed the most rigorous of all tests: mortality studies. The results of these studies have shown that the Mediterranean Diet improves overall mortality, which means that it is good for both your heart and multiple cancers, etc.
Another reason that the Mediterranean Diet probably help with erectile dysfunction is that a recent study found to improve Metabolic Syndrome. Metabolic Syndrome is a set of conditions (high blood pressure, insulin resistance, poor lipids, etc.) that plague India.
Mediterranean Diet has also been shown to prevent Alzheimer’s Disease and dementia. The greater the adherence to the Mediterranean Diet, the less the risk of Alzheimer’s. Those with the greatest adherence to the Mediterranean Diet had a 40% less risk than those with the least. So it’s not just the heart and penis that desperately need you to follow the Mediterranean Diet: it’s the brain itself. To consult the famous Sexologist you can visit Dr. Sharmila Majumdar if your suffering from ED and want to reverse it. Make an Appointment
Dr. Sharmila Majumdar
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]]>Available research suggests that increasing age is associated with a decreased interest in sex. A survey showed that older respondents had less interest in sex, with 98% of 50–59 year olds giving it at least ‘some importance’ compared with 72% of 70–80 year olds. It is interesting, however, that the centenarians did report greater satisfaction with life and family relationships than the younger age groups. A large study using face-to-face interviews showed 59% of 75–85 year olds still attributed some importance to sex.
In general, the responses showed that those aged >70 placed less importance on sex than the younger participants.There are also gender differences, with the greatest difference being in the older age groups 41.2% of males aged 75–85 stated an interest in sex compared with 11.4% of females the same age, the men nearly always initiated the sexual interactions rather than the women. Interest in sex among older men has increased over the last 10 years possibly due to the effective and well-publicised drugs for erectile dysfunction (ED) starting with Viagra in 1998.
Looking at sexual function across four domains (desire, erection, orgasm and ejaculatory functions) and found a decrease in all with increasing age. However, even among the oldest men (aged 70–80), 46% reported orgasm at least monthly.
Educating old age patients is an important task. This includes educating about ‘lifestyle factors’ (e.g. smoking, obesity, diabetic control) which can affect sexual functioning—using the concept of remaining sexually active life years may assist patients in making healthier choices. Patients should also be educated about the changes they can expect in sexual functioning as they age, and the options available to help them. Sexologist also need to be educated to increase awareness of sexuality in older age and improve communication skills. A multidisciplinary approach when possible should be used.
Finally words are that senior citizens are also sexual and not asexual, but due to the above problems and aging factors there is a decline in interest which is natural, however, minimal interest is definitely there and sexologist can educate and treat any dysfunction that they might be having unless it’s due to another disorder like cancer, or enlarged prostrate, high diabetes, etc.
Dr. Sharmila Majumdar
Director & Chief Sexologist Sexual and Mental Health Clinic, Avis hospital.
Make an Appointment with Dr. Sharmila Majumdar
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]]>The post Unconsummated Marriage – one of the leading causes of infertility appeared first on Dr. Sharmila Majumdar - Sexologist Psychoanalyst in Hyderabad.
]]>UM can have detrimental effects on the psyche of the individual partners, it can lead to low self-esteem in individuals, blames games can result in frequent fights among partners, extra marital affair, fights within family or both the families. Also in a place like India predominantly for not being able to conceive and give birth to a child, frustration, depression, and if appropriate help isn’t available, it may lead to annulment of marriage and divorce.
Various factors are responsible for this condition, many a times individuals may not seek help at the right time from appropriate person due to lack of awareness and taboo to talk about sex life and shame it will result in after discussion.
There can be several reasons for UM: psychological, organic or even both at the same time.
In a developing country like India, most individuals have nil or inadequate (may not know ‘how to proceed’) or even negatively presumed knowledge about sex (especially in females that intercourse will be very painful); so many individuals are unable to have sex after marriage. The only way they can get this information is from the net, but a lot of this sexual information comes from unreliable pornographic sites, which often end up confusing the couple even more. Some may have a negative image about sex (based on the early teachings by their family or religion, but fail to understand that it’s an important and integral part of marriage), hence may not indulge in and nor allow the partner to proceed.
Women rose to place most of their self-esteem and identity in virginity can have a tough time.For them taking on a new role as a married woman and a new identity as a sexual human being, is difficult. In the conservative middle-Eastern societies and in the developing countries, couples are strongly prevented by religious rules and cultural taboos from sexual experiences before wedding.
For some the performance anxiety; the intense social pressure to accomplish hasty coitus with an unfamiliar woman (some men having had no social contact with their new bride), and in the presence of relatives waiting nearby for evidence of the bride’s virginity and confirmation of coitus; may lead to unsuccessful attempts. Sources of performance anxiety includes fear of sexual failure, fear of mistakes, sexual myths about sexual performance, demand for sexual performance, fear of being rejected by the partner, living in the same house with family/ lack of privacy and misconceptions and beliefs about sexuality. Unreasonable expectations, traumatic early sexual experiences, restricted foreplay, impaired self-image and poor communication, also may contribute to performance anxiety.
The current competitive lifestyle, working couples are under constant tremendous work pressure to meet deadlines leading to excessive mental stress and fatigue. They are practically available for each other only on weekends and that too, if one of them has different work schedule then it’s really difficult to spend time together. This results in “no mood tonight”, “have had a hard day, want to sleep”, “am tired, have to complete project, and get back to work early” and such other excuses and situations, affecting their sex-life. This also increases performance anxiety and later due to avoidance behaviour, partners enter a vicious cycle where they lose sexual interest altogether.
It’s hard to get to the truth in the first few minutes of a hurried consultation, and requires a lot of gentle and careful probing. Patients need to be able to be trust the doctor, before they are willing to volunteer such sensitive information.
Sexual dysfunction like erectile dysfunction, premature ejaculation, performance anxiety in males and vaginismus in females has been predominantly reported in several studies and reviews over the years. Vulvodynia, an often unbearable pain when the genitals are touched is also one possible reason.
Little research has been conducted about UM. A trend that is seen in these studies is that in western countries lately there have been lesser reported cases of unconsummated marriage compared to eastern developing countries. Also a positive trend visible is: increased reporting among people in developing countries, this could be attributed to the fact that discussing or seeking help for sexual problems may no longer be a stigma.
It’s essential to assess and evaluate both the partners and their sexual history along with their current relationship & psychiatric history well in combination with physical examination and diagnostic testing. The socio-cultural and psychodynamic factors pertaining to the failure to consummate the marriage should be investigated in detail and addressed. An empathetic attitude by Qualified Sexologist is required, so that patients know that they are not being judged as incompetent nincompoops. Educating a couple to take their time, experience sexuality and intimacy rather than view it as a performance or a test, or as a task you either pass or fail, often takes the pressure off.
Premarital sex education can prevent UM arising due to wrong/inadequate knowledge of sex. Frequent meetings during courtship can lead to better understanding and comfort level between couples, thus preventing the condition. Couple counselling on sex and physical relationships including sex education can be availed after marriage.
Marital therapy is done to resolve interpersonal issues, make each other understand faulty behaviour, to work hard to strive the relationship, develop trust and emotional bonding, to spend quality time together eventually to save the relation. Behaviour therapy where first couple should be encouraged to explore their own sexuality. Once they are comfortable with their own sexuality, gradually they can progress to having intercourse.
Sexual dysfunctions like Vaginismus & low desire in females & Erectile Dysfunction and premature ejaculation, low desire in males and infertility due to UM should be treated.
In conclusion, identification of the etiological factors of UM may be essential for the proper management to achieve a successful outcome. In addition to proving explicit sex education and behavioural counselling, Sexologist often find prescription medicines useful.
Conclusion
It’s time for unconsummated marriages to come of the closet!
Dr. Sharmila Majumdar
Make an Appointment at the Sexual & Mental Health Clinic, Avis Hospital, Jubilee Hills, Hyderabad
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]]>The post Relationship Between Hypertension & Erectile Dysfunction appeared first on Dr. Sharmila Majumdar - Sexologist Psychoanalyst in Hyderabad.
]]>To characterize the relation of blood pressure and ED in detail.
A cross-sectional population-based study of 45 to 70 year old men without previously diagnosed hypertension, cardiovascular diseases, renal disease, or diabetes was conducted from 2005 to 2007 in southwestern Finland. A total of 665 men with at least one cardiovascular risk factor were studied. ED was defined by the five-item International Index of Erectile Function.
We found a U-shaped association between diastolic blood pressure (DBP) and prevalence of ED.
The average age of the study subjects was 56 ± 6 years and 52% had ED. After adjustment for age, cohabitation status, education, fasting plasma glucose level, waist circumference, and prevalence of depressive symptoms, the curve relating DBP to the prevalence of ED was U-shaped with a nadir of DBP 90 mm Hg.
Our findings emphasize the importance of blood pressure measurement in the physical examination of men with Erectile Dysfunction.
This was a cross-sectional study, which prevents the evaluation of causality between ED and hypertension. However, this community-based study population is well-defined and the anthropologic measurements were made by trained medical staff.
We found a U-shaped correlation between ED and DBP, which confirms the link between Erectile Dysfunction and hypertension.
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]]>Erectile dysfunction — the inability to get and keep an erection firm enough for sex — can be an early warning sign of current or future heart problems. Understand the connection and what you can do about it.
In the past, the buildup of plaques in the arteries of your body was believed to be the reason why erectile dysfunction often precedes heart problems. The idea was that plaque buildup reduces blood flow in the penis, making an erection difficult.
However, experts now believe that erectile dysfunction preceding heart problems is more often due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. Endothelial dysfunction causes inadequate blood supply to the heart and impaired blood flow to the penis, and aids in the development of atherosclerosis.
Erectile dysfunction does not always indicate an underlying heart problem. However, research suggests that men with erectile dysfunction who have no obvious cause, such as trauma, and who have no symptoms of heart problems should be screened for heart disease too.
Besides sharing a common disease process, erectile dysfunction and heart disease also share many risk factors, including:
If your doctor thinks you might be at risk of ED or heart disease, consider making lifestyle changes. Increase your physical activity, maintain a healthy weight, stop smoking and drinking. However, further tests or treatment might be needed if you have more-serious signs and symptoms of ED.
If you have both erectile dysfunction and heart disease, talk to your doctor about treatment options. If you take certain heart medications, especially nitrates, it is not safe to use many of the medications used to treat erectile dysfunction. Consult a sexologist at the earliest as it could save your life by many years.
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]]>The post Don’t Ignore Erectile Dysfunction: It’s Treatable! appeared first on Dr. Sharmila Majumdar - Sexologist Psychoanalyst in Hyderabad.
]]>If you are a man with diabetes, we’ve got good news and bad news about your sex life.
The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed.
The good news: ED is one of the most treatable complications of diabetes. In fact, over 95 percent of cases can be successfully treated. With proven treatments available, diabetic men with ED have options. It isn’t something you—or your partner—should have to live with.
Erectile Dysfunction means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. ED is not an inevitable part of the aging process.
• An occasional failure to achieve an erection. The adage is true: It really does happen to everyone. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. It isn’t fun, but it is totally normal.
• Diminished interest in sex. ED occurs when a man is interested in sex, but still cannot achieve or maintain an erection. Many men with diabetes also experience a decreased sex drive, often as a result of hormone imbalances or depression. Decreased sex drive is quite treatable, but it is treated differently from ED.
• Problems with ejaculation. Such problems often indicate a structural problem with the penis. The most common treatment is surgical.
Human sexual response requires several different body functions to work properly and together: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these functions.
• Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. Neuropathy to either system can cause ED.
• Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. “Erection is a hydraulic phenomenon that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire.
• Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual response.
• Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED!
• Medications: About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED. That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED.
Erectile Dysfunction is easily and successfully treated! If your sex drive is unaffected, but you experience problems achieving or sustaining erection for a period of four to five weeks, you may have ED. Talk to your doctor immediately. Don’t delay—erectile dysfunction doesn’t “just go away!” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. Ignoring your ED because it’s embarrassing could jeopardize your health.
Most men seek treatment from their family doctor, who may or may not be familiar with the range of treatment options. A specialist may be a better choice. Specialists include urologists and doctors practicing at ED treatment centers.
A thorough physical exam and medical history, along with certain laboratory tests, can help your doctor determine what is causing ED, and then choose an appropriate treatment. The most common treatments for ED fall into four categories: medications, external mechanical devices, counseling, and surgery.
The best known Erectile Dysfunction medications are the Big four. The four are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive (these medicines have become the treatment of choice for most men experiencing ED.
The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision.
In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention).
When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. To prevent this, the man should use a condom.
This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. A popular version of this medication is Upjohn Corporation’s Caverject. The MUSE System, by VIVUS, involves the same medicine (a pellet of alprostadil) applied with an eye-dropper-like applicator, directly into the urethra.
This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out. Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. All are portable, and costs range between $200-$500, covered under most insurance plans and Medicare Part B.
The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection.
Vacuum therapy devices have a few disadvantages. One must interrupt foreplay to use them. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Initial use may produce some soreness. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED.
“Rejoyn” is an inexpensive, non-prescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom).
The great majority of Erectile Dysfunction cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Do not view such a diagnosis as an insult. Most psychologically-based ED is easily and successfully treated.
There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction. Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort.
The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.
Prostheses: Many different types of penile prostheses are available, in three categories: rods, inflatable prostheses, and self-contained prostheses. Semi-rigid or malleable rods are the simplest and least expensive of all. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment.
Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. Parts are inserted surgically into the penis and scrotum, and activated by squeezing. When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Self-contained single-unit prostheses are similar to the inflatable types, but more compact. The entire device is implanted into the penis. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used.
Vascular Reconstructive Surgery corrects defects in penile blood vessels. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. Less than five percent of men with ED may benefit from vascular surgery.
Like all diabetic complications, ED can occur even when you have followed your doctor’s advice and carefully managed your diabetes. Also like all diabetes complications, ED is less likely to occur with good blood sugar control. Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In addition, regular smoking and alcohol use can contribute to ED.
You are not alone; others have faced these difficulties. Erectile Dysfunction is treatable; you do have options! Visit the ‘Sexual & Mental Health Clinic’ at Avis hospital in Jubilee Hills to consult our Chief Sexologist Dr. Sharmila Majumdar. For more information log on to www.doctorsharmila.in
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]]>Testosterone is a hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. Testosterone is also important for maintaining muscle bulk, adequate levels of red blood cells, bone growth, a sense of well-being, and sexual function.
Inadequate production of testosterone is not a common cause of erectile dysfunction; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.
As a man ages, the amount of testosterone in his body naturally gradually declines. This decline starts after age 30 and continues throughout life. Some causes of low testosterone levels are due to:
Without adequate testosterone, a man may lose his sex drive, experience erectile dysfunction, feel depressed, have a decreased sense of well-being, and have difficulty concentrating.
Low testosterone can cause the following physical changes:
The only accurate way to detect the condition is to have your doctor measure the amount of testosterone in your blood. Because testosterone levels fluctuate throughout the day, several measurements will need to be taken to detect a deficiency. Doctors prefer, if possible, to test levels early in the morning, when testosterone levels are highest.
Note: Testosterone should only be used by men who have clinical signs and symptoms AND medically documented low testosterone
Each of these options provides adequate levels of hormone replacement; however, they all have different advantages and disadvantages.
Men who have prostate cancer or breast cancer should not take testosterone replacement therapy. Nor should men who have severe urinary tract problems, untreated severe sleep apnea or uncontrolled heart failure. All men considering testosterone replacement therapy should undergo a thorough prostate cancer screening – a rectal exam and PSA test, prior to starting this therapy.
If you are taking hormone replacement therapy, regular follow-up appointments with your doctor are very important.
If you feel the above symptoms of low testosterone please consult a sexologist or an andrologist at the earliest.
Dr. Sharmila Majumdar
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]]>The post Masturbation – decoding common misconceptions appeared first on Dr. Sharmila Majumdar - Sexologist Psychoanalyst in Hyderabad.
]]>Let’s take a look at a few of them:
Pleasuring yourself is the ultimate form of safe sex. There is no way for you to catch an STD – sexually transmitted disease, or for it to cause any sort of mental health problem. The only risks involved are allergic reactions to lubricants or toys and a feeling of guilt or shame due to societal pressure. It lowers the chances of you having an orgasm during sex.
Single people as well as people in committed relationships masturbate. While it can lead to problems in a relationship depending on your partner’s views about it, it does not amount to cheating on him or her.
Pleasuring yourself does not reduce your chances of getting pregnant or getting someone else pregnant. However, for men with a low sperm count, restricting ejaculations while trying to get their partner pregnant is a good idea. The only way it could be a problem is if partners who share sex toys do not keep them clean and pass on STDs through them.
Erectile dysfunction has a number of psychological and biological causes, such as heart disease, stress and obesity but masturbation is not one of them. Eating certain foods can help control the urge to masturbate.
Touching your genitals is very unlikely to damage them. The sex organs are designed to withstand friction and hence are very tough organs. The maximum damage that can be caused by masturbation is a little chafing. Using lubricant can prevent this from occurring.
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]]>The post Diabetes – Ways it Impacts Male & Female Sexual Health appeared first on Dr. Sharmila Majumdar - Sexologist Psychoanalyst in Hyderabad.
]]>Listed below are issues diabetic men and women face in terms of sexual health:
In Men:
1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both of these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.
2. The affected nerve function also leads to difficulties in reaching a climax. In men, it can additionally cause Peyronie’s disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.
In Women:
1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes, and therefore, there is a definite decline in the urge.
2. The above-mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.
3. It also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.
Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.
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