Skip to main content
main-content

06.11.2019 | Female Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors) | Ausgabe 4/2019

Current Sexual Health Reports 4/2019

The Complex Relationship Between Erectile Dysfunction and Hypogonadism in Diabetes Mellitus

Zeitschrift:
Current Sexual Health Reports > Ausgabe 4/2019
Autoren:
B.S. Levi C. Holland, M.D. Jonathan A. Beilan, M.D. Alexander J. Tatem, M.D. Larry I. Lipshultz
Wichtige Hinweise
This article is part of the Topical Collection on Female Sexual Dysfunction and Disorders

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Purpose of Review

As the prevalence of diabetes mellitus grows worldwide, it is increasingly important to understand the commonly comorbid urologic conditions, hypogonadism and erectile dysfunction, in the setting of the diabetic man. The relationship between the diabetes, hypogonadism, and erectile dysfunction is complex with significant interplay among the disease processes and potential for unique management of the triad. The purpose of this review is to provide an update on the intertwined nature of these diseases in diabetics with special consideration for pathophysiology, diagnosis, and management.

Recent Findings

There is a wide range of pathophysiologic mechanisms central to hypogonadism and erectile dysfunction in diabetes mellitus which continue to be identified and better elucidated; nevertheless, metabolic syndrome, composed of insulin resistance, dyslipidemia, hypertension, and obesity, appears to be the common thread between both. An increasing body of evidence suggests that low testosterone is an independent risk factor for cardiovascular disease and worsened overall survival in diabetic men with potential that testosterone therapy may reduce these risks. The treatment of either erectile dysfunction or hypogonadism in diabetic men may also improve the other condition; some evidence suggests that testosterone therapy in hypogonadal diabetics may improve erectile function while daily vardenafil, in addition to improving erectile function, appears to restore hypogonadal diabetics’ testosterone to the eugonadal range.

Summary

Metabolic syndrome appears to be the central connection between the increasingly common clinical picture of diabetic men with erectile dysfunction and hypogonadism. The overlapping pathophysiology of these conditions results in unique management considerations.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 4/2019

Current Sexual Health Reports 4/2019 Zur Ausgabe

Female Sexual Dysfunction and Disorders (T Lorenz and R Nappi, Section Editors)

Evolutionary Perspectives on Hypoactive Sexual Desire Disorder in Women

Male Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors)

Recent Advances and Future Opportunities to Diagnose Male Infertility

Female Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors)

The Gut Microbiome and Men’s Sexual Health

Male and Female Surgical Interventions (C Carson and M Khera, Section Editors)

Surgical Techniques and Pitfalls for Excision and Grafting

Female Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors)

Management of the Acute Phase of Peyronie’s Disease: a Contemporary Review

Neu im Fachgebiet Urologie

Meistgelesene Bücher in der Urologie

2016 | Buch

Anogenitale Hautkrankheiten

Erkennen, Befunden, Behandeln

Hautkrankheiten im Bereich Genitale werden werden oft erstmals von einem Facharzt beobachtet, der sich mit anderen genitalen Beschwerden beschäftigt – der Urologe bei Männern oder der Gynäkologe bei Frauen. Dieses Buch schult den Blick für anogenitale Dermatosen und gibt Tipps zur Therapie.

Herausgeber:
Walter Krause, Isaak Effendy

2015 | Buch

Inkontinenz- und Deszensuschirurgie der Frau

Harninkontinenz ist eines der häufigsten Symptome in der Urologie und Gynäkologie. OP-Atlas, unverzichtbarer Ratgeber, kompaktes Nachschlagewerk in einem: Mithilfe dieses Buches werden Sie Spezialist in Sachen Inkontinenz- und Deszensuschirurgie.

Herausgeber:
Rainer Hofmann, Uwe Wagner

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Urologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise