Impotence: a complication of diabetes

Erectile dysfunction in diabetic men is a problem that needs to be addressed by the primary health team. Defined as erectile failure for more than 75 percent of the time, it prevents satisfactory sexual intercourse. However, another difficulty experienced is the inability for the patient to approach the primary care team. Should the patient be asked directly, as part of their diabetes care, or should they volunteer this information themselves? Time constraints within the clinic usually do not allow discussions of potentially difficult issues. In addition to this, many men, while experiencing erectile dysfunction, do not wish to opt for treatment. It is therefore left to the patient to volunteer this information. Treatment options include intracavenosal injections, vacuum devices and oral agents such as yohimbine. The primary care team can offer an environment which enables a patient to discuss this sensitive issue.