Why Cant I Ejaculate
Nangia says that he sees young men, mostly with type 1 diabetes, with ejaculatory dysfunction. High blood glucose over time damages nerves so semen discharges back inside the bladder rather than out the penis. You may still experience orgasm, but a lack of ejaculation can cause infertility. Treatment includes medication, such as pseudoephedrine , and infertility procedures that can be used to collect semen for artificial insemination.
Using An Insulin Pump
Some people with diabetes wear a small pump that supplies insulin to the body. This helps them maintain their sugar levels and may enable them to enjoy sex more spontaneously.
A person may feel self-conscious about wearing the pump during sex or afraid that it may detach.
It is safe to disconnect the pump for up to 1 hour during intimacy, according to one source, and it is not dangerous for a pump to become detached.
However, the user must remember to reattach it within 45 minutes to one hour.
Explaining to a new partner about diabetes early in the relationship will lead to a better understanding and communication and reduce embarrassment on both sides.
Diabetes And Erectile Dysfunction
Diabetes can be a contributing factor to ED. ED is a condition where getting and maintaining an erection becomes difficult. Though there are typically several factors that go into a mans ED condition, including high blood pressure or circulatory issues, men who have diabetes experience ED at a higher rate than those without it. A recent study found that more than 50% of men with diabetes also have ED.
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Do I Have Retrograde Ejaculation
The first sign of retrograde ejaculation will be a dry orgasm where you have very little or no semen. However, this can also be also caused by surgical removal of the prostate or bladder, and radiation therapy to treat cancer in the pelvic area.
You should see your doctor if you have dry orgasms, and if you and your partner have not been able to conceive a child during a year or longer of unprotected sex.
Your doctor will ask about any medications you are o, your sexual history and previous surgeries before conducting a thorough examination of your penis, testicles and rectum.
Diagnosis of retrograde ejaculation will be confirmed if a urinalysis shows a large amount of sperm in your urine. If your doctor is not convinced that retrograde ejaculation is causing your dry orgasms, you may be referred to a specialist.
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Anthropometric Measures And Laboratory Analyses
The height and weight of each participant were measured using a Seca 200 scale with an annexed stadiometer. Body mass index was calculated as weight divided by height . Waist circumference was also measured. At the end of clinical examination, arterial blood pressure was measured three times while subjects were sitting after 15 min resting. Patients whose average blood pressure levels were equal to or higher than 140/90 mmHg or who used antihypertensive medication were classified as affected by hypertension.
Assays for fasting glucose, HbA1c, total cholesterol, low-density and high-density lipoprotein cholesterol, triglyceride levels, and testosterone were performed in the hospitals chemistry laboratory.
Men Need To Watch For Type 2 Diabetes
Unfortunately, guys, type 2 diabetes is more common for you than it is for women. This is especially pronounced at middle age when men are twice as likely to develop the condition. And while weight gain can contribute to problems with blood sugar levelsa risk factor for type 2 diabetes, men can develop these issues at a lower body mass index than women, reports the Centers for Disease Control and Prevention. Here are the signs men need to watch for.
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Causes Of Premature Ejaculation
Various psychological and physical factors can cause a man to suddenly experience premature ejaculation.
Common physical causes include:
- relationship problems
- anxiety about sexual performance
It’s possible, but less common, for a man to have always experienced premature ejaculation since becoming sexually active. A number of possible causes for this are:
- conditioning it’s possible that early sexual experiences can influence future sexual behaviour. For example, if a teenager conditions himself to ejaculate quickly to avoid being caught masturbating, it may later be difficult to break the habit
- a traumatic sexual experiencefrom childhood this can range from being caught masturbating to sexual abuse
- a strict upbringing and beliefs about sex
- biological reasons some men may find their penis is extra sensitive
Assessment Of Sexual Function
All participants in the study were asked to complete the Italian version of three different validated multiple-choice self-reported questionnaires assessing both erectile and ejaculatory functions and the presence of depressive symptoms. Participants in the study received a short explanation in order to answer each questionnaire in the context of the visit to our diabetes unit.
Erectile function was investigated by completing the abbreviated form of the International Index of Erectile Function , which comprises items 2, 4, 5, 7, and 15 of the full scale IIEF-15 and assures simplicity and immediacy in its compilation. According to the recommended scoring system, a total score of 21 or less indicates the presence of ED. ED was classified as mild with a score ranging from 21 to 17, mild to moderate with a score ranging from 16 to 12, moderate with a score ranging from 11 to 8, and severe with a score lower or equal to 7.
In accordance with the European Association of Urology guidelines , we used the five-item premature ejaculation diagnostic tool to assess PE and investigate control of ejaculatory function, frequency, minimal stimulation, and both distress and interpersonal difficulty. A score of 8 or lowerexcluded a diagnosis of PE.
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Dont Ignore Erectile Dysfuntion: Its Treatable
If you are a man with diabetes, weve 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 isnt something youor your partnershould have to live with.
What ED Isand What It Isnt ED 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.
ED does not mean: 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 isnt fun, but it is totally normal.
You are not alone others have faced these difficulties. ED is treatable you do have options!
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Does Low Testosterone Matter
Low sexual libido can be sign of low testosterone in men, which is more common in men with diabetes than men without, according to a study published in April 2007 in the journal Diabetes Care. Sisson says your healthcare provider can test you for low testosterone, and it can be treated with testosterone replacement medication, such as patches.
Nangia says that low testosterone is also linked to metabolic syndrome a cluster of risk factors, such as high blood pressure and excess fat around your waistline, that increase your risk for heart disease diabetes, and other health problems. You can treat metabolic syndrome by getting these risk factors under control. Exercise, lose weight, eat healthy foods, and quit smoking if you smoke.
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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Damage To The Autonomic Nervous System
Diabetes can harm the autonomic nervous system and lead to sexual problems.
The ANS controls the widening or constricting of your blood vessels. If the blood vessels and nerves in the penis are injured by diabetes, ED can result.
Blood vessels can be damaged by diabetes that can slow blood flow into the penis. This is another common cause of ED among men with diabetes.
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Causes Of Delayed Ejaculation
Like premature ejaculation, delayed ejaculation can be caused by psychological and physical factors.
Possible psychological causes of delayed ejaculation are similar to those of premature ejaculation for example, early sexual trauma, strict upbringing, relationship problems, stress or depression.
Physical causes of delayed ejaculation include:
Many medicines are known to cause delayed ejaculation, including:
- antidepressants, particularly selective serotonin reuptake inhibitors
- medicines to treat high blood pressure, such as beta-blockers
- antipsychotics, used to treat episodes of psychosis
- muscle relaxants such as baclofen, which is widely used to treat motor neurone disease and multiple sclerosis
- powerful painkillers, such as methadone
Delayed ejaculation can suddenly start to happen after previously having no problems, or the man may have always experienced it.
It can occur in all sexual situations, or only in certain situations. For example, you may be able to ejaculate normally when masturbating, but not during sex. When ejaculation only occurs in certain situations, there’s usually a psychological cause.
Premature Ejaculation Associated With Hypoglycemic Variability In Type 1 Diabetes
Higher glycemic variability in the hypoglycemic domain is associated with premature ejaculation in young men with type 1 diabetes, although prevalence of premature ejaculation is similar for young men with and without type 1 diabetes, according to a study published in the Journal of Sexual Medicine.
Giuseppe Bellastella, MD, PhD, from the Second University of Naples in Italy, and colleagues examined the prevalence of premature ejaculation in type 1 diabetes. Data were collected from 100 male patients with type 1 diabetes aged younger than 40 years and 51 age-matched controls without diabetes.
Blood glucose variability was assessed in a subgroup of 30 patients with diabetes . The premature ejaculation diagnostic tool and the self-estimated intravaginal ejaculatory latency time were used to assess the presence of premature ejaculation.
The researchers noted no significant difference in premature ejaculation prevalence between the groups: Pathological values of PEDT score and IELT score were observed in 24% of patients with diabetes and in 23.5% of controls.
HbA1c was significantly associated with the PEDT score and IELT . The PEDT score correlated with low blood glucose indices but not with the standard deviation of blood glucose, mean amplitude of glycemic excursions or low blood glucose indices in the subgroup assessed for glucose variability.
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Diabetes And Retrograde Ejaculation
Retrograde ejaculation is when the muscle at the opening of the bladder, which usually stops semen from entering the bladder when you orgasm, doesnt close properly. This causes semen to flow back into the bladder.
If, when you orgasm, you ejaculate little or no semen, retrograde ejaculation could be the problem. Your urine might also be cloudy when you first urinate after orgasm.
How does diabetes cause retrograde ejaculation?
If you have diabetes, the high levels of sugar in your blood can damage the nerves and muscles that open and close the neck of the bladder . This muscle usually stops semen from entering the bladder when you orgasm so if it isnt closing properly, semen flows back into the bladder instead of being ejaculated.
How is retrograde ejaculation treated in men with diabetes?
If retrograde ejaculation is caused by diabetes, controlling blood sugar levels and making lifestyle changes can help. Often, you wont need treatment. However, retrograde ejaculation can make it more difficult for you to have a baby. If you have retrograde ejaculation and youre trying to conceive, you might need the help of assisted reproductive technologies such as in-vitro fertilisation .
Is There A Test To Diagnose Type 1 And Type 2 Diabetes
Your doctor or other healthcare provider will order urine and blood tests find out if you have diabetes. There are several different types of blood tests used to diagnose diabetes.
- Fasting blood sugar test: After fasting for 12-hours a glucose level is checked in your blood. If it is high, it is indicative of diabetes.
- Hemoglobin A1C test: This test tells your doctor how your average blood glucose level has been over the past 2-3 months.
- Normal ranges for HbA1c are between 4% and 5.6%.
- HbA1c levels that range from 5.7% to 6.4% indicates increased risk of diabetes.
- HbA1c levels higher than 6.5% indicate diabetes, while higher percentages indicate either worsening diabetic disease or poor response to diabetic treatments.
- Random blood sugar test: This is a test of your blood sugar at the moment your blood is drawn, but this number can vary greatly based on when you last ate.
- Oral glucose tolerance test: This test is rarely used in men, but it measures your bodys response to a large amount of glucose.
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Evaluation Of Depressive Symptoms
The 13-item short form of the Beck Depression Inventory was used to assess the presence of depressive symptoms. This self-report questionnaire covers affective, psychological, and somatic symptoms associated with depression. Each item is scored ranging from 0 to 3. Four ranges were identified: normal , mildly depressed , moderately depressed , and severely depressed .
The Initial Causes Can Diabetes Cause Premature Ejaculation
Type 2 diabetes is a common condition in many people. This type is caused by a lack of insulin and is a result of an unhealthy lifestyle. The bodys inability to process glucose from the blood can damage many parts of the body, including the eyes, kidneys, and nerves. Fortunately, there are some things you can do to avoid diabetes. Here are five tips to help you lower your risk: Eat more vegetables and fruits, get regular exercise, and avoid smoking.
High levels of triglycerides in the blood are another factor that can cause diabetes. These triglycerides are caused by a buildup of cholesterol in the blood. A high triglyceride level causes the body to misrepresent insulin as a molecule, which causes glucose to build up in the blood. A simple blood glucose test can confirm your diagnosis of type 2 diabetes. By following these tips, you can begin living a healthy life and avoid the complications of diabetes.
A person with type 2 diabetes must consume less sugar. Glucose causes thirst and dehydration because the body releases energy stores into the bloodstream instead of using insulin. If untreated, diabetes can lead to weight loss and diabetic ketoacidosis, a dangerous condition whereby the cells are deprived of energy. To prevent the condition, you must make sure that your diet is low in glycemic load and that you exercise regularly.
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