Learn What Else You Like
Talk to each other about what turns you on and gives you pleasure, even if youâve been together for years.
âReally take time to figure out: What do you like? What do I do that feels good to you beyond penis-and-vagina or penis-and-anus?â Harris-Jackson says.
If you still get an erection sometimes, let your partner know what feels good when you have one — and what feels good when you donât, Garrison says. âYou can easily say: âWhen I have an erection, I love this, this, and this. In the times that I donât have an erection, I love to have my ear licked, my elbow rubbed, my left toe massaged…ââ
An intimacy-building exercise called sensate focus can help you and your partner get a better idea of where and how you like to be touched. In therapy sessions, Lilla has a couple try the exercise fully clothed, touching each other from the neck up. âItâs a really intimate experience, but itâs not necessarily sexually focused, and for some people itâs relaxing and connecting.â
You and your partner can practice sensate focus with a therapist guiding you, or you can try it at home, Harris-Jackson says. âThe goal is to learn to explore one anotherâs bodies. Take time to just caress and kiss and verbalize to one another what it feels like without penetration, without oral sex, so thereâs no pressure that anyone has to have an erection.â
Sexual Health Issues Specific To Women
For women, the most common sexual health issue that comes with type 2 diabetes is vaginal dryness. This can be the result of hormonal changes or reduced blood flow to the genitals.
Women who have diabetes have increased rates of vaginal infections and inflammation. Both of these can make sex painful. Nerve damage to the bladder can also cause incontinence during sex.
Women with diabetes are also more likely to have more frequent urinary tract infections . This can also make sex painful and uncomfortable.
Sexual Dysfunctions Common In Adults With Diabetes
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About one-third of adults with diabetes have sexual dysfunction, and sexual dysfunction is associated with greater diabetes distress and worse emotional well-being and anxiety for women, according to a study published in Diabetic Medicine.
This study showed that men and women with diabetes differ in the type of sexual dysfunction,Jolijn Van Cauwenberghe,of the department of endocrinology, diabetology and metabolism at Antwerp University Hospital in Belgium, and colleagues wrote. Moreover, in men, sexual dysfunctions were independently associated with older age, higher waist circumference and longer diabetes duration. More women with sexual dysfunction had impaired well-being, diabetes distress and moderate to severe anxiety symptoms compared to women without sexual dysfunction.
Diabet Med.
Sexual dysfunction was reported by 36% of men and 33% of women. Erectile dysfunction and orgasmic dysfunction were the two most common sexual dysfunctions for men, whereas women were most likely to report decreased sexual desire, lubrication problems and orgasmic dysfunction.
After adjusting for type of diabetes, retinopathy and neuropathy, men were more likely to have sexual dysfunction if they were older , had a higher waist circumference and a longer diabetes duration .
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High Blood Pressure After Eating Carbs
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How To Reverse Erectile Dysfunction From Diabetes
Is there anything that can be done to reverse erectile dysfunction from diabetes? Fortunately, there is.
Erectile dysfunction from diabetes is extremely common, affecting up to 75 percent of men with either type 1 or type 2 diabetes . It doesnt have to be a permanent condition. Understanding the causes of ED and the workings of diabetes can help you know what you can do to reverse erectile dysfunction from diabetes.
Diabetes and ED each have complex causes and effects. They can be physical, psychological, or both . Likewise, the effects can be physical and psychological. For example, erectile dysfunction can be caused by diabetes its an effect of the high blood sugar of the disease. It also can be a result of stress and anxiety over having the disorder. Effective ED treatment should address both causes and effects, physical and psychological.
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When Your Spouse Is Not Supportive
During initial Diabetes Self-Management Education sessions, the certified diabetes educator asks questions about a clients level offamily and community support. These sessions can be quite telling, and many different relationship dynamics can be picked up on. One woman sat in the clinic room with her common law husband. He seemed to be interested in her care, and said that he does some of the cooking and would like to attend diabetes education classes with her. When asked about stress, the young woman glanced toward her partner, and stated that they have relationship issues. She quickly stated that she did not want to discuss it at that time. The interview proceeded. She was asked about emergency room visits.
She turned to her partner and stated, Did I go to the Emergency Room when you dropped that TV on my arm? At that point, there was suspicion of abuse, so the woman was asked to come back to a clinic room alone to discuss with the social worker issues that she may be having at home. She was able to confide in the social worker about abuse by her partner, and get help in a battered womens shelter. This woman did end up getting a divorce, as she had no true support and was in an abusive relationship. Her blood sugars were high in part due to the stress the abuse was causing.
Treatment Options For Men
There are several medications a doctor can prescribe to enhance blood flow and improve a mans ability to achieve an erection.
Examples include:
- vardenafil
- avanafil
However, these medications may not be suitable for every man, particularly those with high blood pressure or heart conditions.
Find out more here about these drugs.
Some men may find that mechanical methods to improve blood flow, such as vacuum pumps and injections into the penis, are effective.
Some men undergo surgery, such as a penile implant, which can also increase the ability to get an erection.
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What Warning Signs And Symptoms Of Diabetes Are The Same In Men And Women
There are diabetes warning signs and symptoms that both women and men have in common, for example:
- Excessive thirst and hunger
Men who have type 2 diabetes are twice as likely to have low testosterone than men who do not have diabetes. Because of the low levels of the hormone testosterone, men with diabetes can have unhealthy symptoms that are not seen in women with diabetes.
Low testosterone can cause , depression, lack of energy, and reduced muscle mass. It can also cause male-specific sexual problems and urological problems.
Erectile dysfunction , or inability to get or maintain an erection, is a common symptom of diabetes in men. Diabetic men experience erectile dysfunction at earlier ages than men who do not have diabetes.
Another diabetes-related sexual dysfunction symptom in men is reduced amounts of ejaculation, or retrograde ejaculation. Retrograde ejaculation is a condition in which the semen goes into the bladder, rather than out of the body through the urethra. Diabetes and damage to the blood vessels causes nerve damage to the muscles that control the bladder and urethra, which results in this problem.
Why Dont I Feel Like Having Sex Anymore
Libido is multifactorial, says Nangia. Besides the physical issues of, say, ED or ejaculatory dysfunction, he says libido is tied to depression, marital status, hormones, emotions, gender, and sexuality.
Sisson also points to the complexity of sexual desire, including your partners interest in sex. When a man complains about trouble having sex, Sisson says he always asks: Well, do you want to? And does your spouse want to? Your partners interest in sex cant be discounted, says Sisson. If youre having marital strife, youre having a fight, thats not conducive to a healthy sexual relationship, he adds. Talking about relationship problems with your spouse or a family counselor could help.
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Why Do Men With Diabetes Have Erectile Dysfunction
The causes of erectile dysfunction in men with diabetes are complex and involve impairments in nerve, blood vessel, and muscle function.
To get an erection, men need healthy blood vessels, nerves, male hormones, and a desire to be sexually stimulated. Diabetes can damage the blood vessels and nerves that control erection. Therefore, even if you have normal amounts of male hormones and you have the desire to have sex, you still may not be able to achieve a firm erection.
Assessing Your Cardiovascular Health
Your GP may assess your cardiovascular health. Narrowed blood vessels are a common cause of erectile dysfunction and linked with cardiovascular disease .
Your GP may:
- reducing stress
As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular disease .
Read more about preventing cardiovascular disease
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Sex Without An Erection
Itâs possible. âSometimes people refer to it as âthe stuffing method,â where itâs putting a flaccid penis inside,â Lilla says. âItâs probably going to be easier with a vaginal canal than with an anus.â
Try not to think about how the sex used to feel, and make sure itâs comfortable for both partners, Harris-Jackson says.
How Partners Can Cope
People who have a partner or spouse with ED can have their own difficulties with mental health. They may worry that the inability to maintain an erection is a sign that their partner no longer desires them.
However, low libido is a separate condition from ED. Someone with low libido does not want to have sex, whereas people with ED may wish to but be unable. If someone with ED is not interested in sex anymore, it may be due to the effect that ED is having on their mental state.
A partner can cope by remembering that ED is often not personal and that it is okay for them to talk with a professional about how their partners ED makes them feel. It may help to discuss the issue with a urologist, counselor, or other individuals in the same situation.
Many medical treatments are available for ED. However, the best option will depend on what is causing the ED. It is a good idea for both partners to learn about the treatment options and what they involve.
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A Partners Guide To Erectile Dysfunction
Anne, 63, of Medford, OR, knows a thing or two about erectile dysfunction . Her husband, now 58, first started taking medication for it about 5 years ago.
âAt first you think, oh, youâre getting older and slowing down. But it got to the point where it was really bothering him, and he was unable to have sex without the drugs,â says Anne, who asked that we use her middle name only,
He is far from alone. Some 18% of all men in the U.S. have ED, and the odds of developing it increase sharply after age 40.
People who have diabetes, as Anneâs husband does, are three times more likely to have ED than men who donât have diabetes. The disease can damage the blood vessels and nerves needed for an erection.
Having a partner with ED can be difficult to deal with, but think of it from their perspective. âWe as women cannot even imagine how frustrating it is for them — at least, thatâs what my husband tells me,â says Anne.
How Are Diabetes And Erectile Dysfunction Related
For men, type 1 and type 2 diabetes can lead to an increased risk of erectile dysfunction, or ED for short. Based on data from a survey study, the risk is 50% higher for men with diabetes compared to men without diabetes, regardless of what type of diabetes they have. While many men may develop ED as they age, those who have diabetes may develop ED 5 10 years earlier than most.
It is important to note that ED can be related to insufficient blood flowing to penis , emotional issues such as depression , or problems with the nerves to the penis . Diabetes can cause or make these issues worse. As such, patients with diabetes who experience ED tend to notice that the problem gradually gets worse.
Current medical knowledge has identified several likely causes in patients specifically with diabetes.
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Type Two Diabetes Medication
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Use I Messages Instead Of You Messages
Everyone can agree that communication is the key in any relationship. This is especially true of a marriage or long term relationship where there is a commitment involved. When you communicate with your spouse or significant other, its a good idea to use I messages instead of you messages. An I message is an appropriate way to express our feelings, without putting the other person on the defensive. Thomas Gordon coined the term I messages in the 60s, when he learned to use them when doing play therapy with children. Lets look at some examples of I messages versus You messages, and see how they differ in the way they can make us feel.
- You message example
Partner 1: You forgot to take your medicine.Partner 2: Thats because you were running me late!Partner 1: Youre always forgetting your medicine. Why cant you be more responsible?Partner 2: If you would quit nagging me so much, I might be .
Do you see how in the You message example, the diabetic partner is immediately put on the defensive? He or she crosses their arms, shutting off any further communication between the two. Now lets look at a more effective way of communicating with I messages.
- I message example
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Detecting And Treating Ed
ED was defined as the inability to attain and/or maintain erection sufficient to permit satisfactory sexual intercourse. The International Index of Erectile Function-5 questionnaire, a validated and self-administered questionnaire, was used for clinical assessment of the presence and severity of ED. The IIEF-5 assesses erectile function, intercourse satisfaction, orgasmic function, sexual desire and overall satisfaction. According to the diagnostic criteria of the IIEF-5, subjects with a total IIEF-5 score 21 were diagnosed with ED. ED was categorized as severe , moderate or mild . If the participants were previously diagnosed with ED, the duration of ED and current and past therapies were recorded. After enrollment, all previous treatments for ED were discontinued at least 1 month before treatment.
My Husband Has Erectile Dysfunction
fierywoman123435 over a year ago
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hoseclamps83901 over a year ago
over a year ago
Erectile Dysfunction Some Facts And Possible Treatments
Guest over a year ago
since we’ve been married 46 years my husband hasn’t had any interest in me sex and intimacy. We did have sex once and none since then. I tryed to fix our problems but my husband flat refused any help an further convinced me he really has never really loved me as a wife. I found out when he was younger from the nurse at his doctors office he had E/D. Things might have been different between us if I knew, but he prefered to not tell me and went on with his life. He ruined my life and I will never forgive him for that. Our marriage waS HORRIBLE and I can’t relive any thing. He never slept with me or even had dinner and hasn’t talked to me in years.
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