Diabetic Men, magnitude and factors contributing to Erectile dysfunction.

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There are lots of causes of ED generally falling into two groups, organic and psychogenic causes. The organic causes are further classified into five categories: vascular, traumatic/post-surgical, neurological, endocrine-induced, and drug-induced. Probably psychogenic causes are depression, anxiety, and relationship problems. Different chronic diseases like diabetes mellitus, cardiovascular disease, and depression are associated with a higher proportion of erectile dysfunction where diabetic mellitus leads to be a major problem.

Erectile dysfunction is a common medical complication of diabetes. It is estimated that more than 75% of diabetic men will be affected at some time in their lives time with a consistent or recurrent inability to achieve and sustain an erection adequate for sexual activity, typically at an earlier age than nondiabetic men.

Erectile dysfunction (ED), defined as difficult to attain and sustain an erection sufficient to permit satisfactory sexual performance, is evidenced to be a major problem especially among diabetic patients.

While the incidence of ED increases proportionately with age in the general population, the gradient is particularly elevated in diabetic men as they appear to have more severe dysfunction. In the United States alone, more than 53% of diabetic men are affected by ED. Research suggests that there is a significant relationship between ED and diabetes mellitus (DM) in men and the estimated proportion of ED in diabetic men has been reported to range from 20% to 71%.

Samples were selected from 857 diabetic patients who were registered and have regular follow-up at follow-up clinic. Most of the patients were appointed during the interval of four to six weeks. However, for some patients, the frequency of their visits can vary depending on their blood glucose level. Then the total number of diabetic patients who had follow-up from August 5/2020 to December 05/2020 was taken to estimate the current patient flow. Then a systematic sampling technique was employed to approach the study participants. Then we determine the k-value by dividing the total number of patients by the sample size, i.e., 857/362 = 2.36 ≈ 2. Then the first patient was selected by lottery method from the first two patients. Then the study participant was selected every two patients until the required sample size was achieved.

All diabetic men clients attending the diabetic clinic and able to give informed consent were eligible for this study. Patients who were eligible for participation included men with type 1 and type 2 diabetes receiving pharmacological treatment for the disease.

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