 Hi everyone, this is Dr. Ahmed Ergin. I'm an endocrinologist and I'm a diabetes expert. Now today I'm going to talk to you about erectile dysfunctions super common in men. In my clinic, I deal with that pretty much every day. And today I will talk to you about why erectile dysfunction happens in men and I will talk to you about your treatment options. Let's get started. So erectile dysfunction is very common. It can happen in men even before the diagnosis of diabetes. So erectile dysfunction happens as a result of damage to your arteries and your nerves. Now as you can imagine, diabetes does the same thing to pretty much every other artery and nerve in your body. So actually if you have erectile dysfunction there's a good chance that you may have other arterial problems. So basically the blood flow is not enough to give you a firm enough penis to have a satisfactory sexual intercourse. So what do you really do? So if it is already at that stage where you're experiencing erectile dysfunction, you may have to look into a few things. Number one, you have to control your diabetes and get your diabetes under control. But not only that, you have to also control your cholesterol and you also have to control your blood pressure. So I sometimes watch some doctors saying that each salt is good for you or just eat all the grease and each steak every day. That's not going to help your erectile dysfunction. So your sugars may be okay to eat steak every day but you will still have erectile dysfunction. So let's get this straightened up. So you have to control your blood pressure, control your cholesterol and control your blood sugar at the same time. It's like a little tripod. If you do not fix one leg, you still fall. So you have to make sure that you fix all the legs and you control all three conditions at the same time. Now, what are your options? Number one, talk to someone. Don't be shy. Just talk to your doctor. Say, hey, you know, I'm not happy. My wife is not happy. You know, somebody's unhappy. Let's do something about this. What can you offer to me? Also, make sure you check your medications. Make sure you ask your doctor, is there any medication that's affecting me? There's some antidepressants that actually a lot of people are on can cause erectile dysfunctions. There are a lot of blood pressure medications that can cause erectile dysfunctions as well. So you have to kind of make sure that your doctor is paying attention to your medication list to make sure these medications are eliminated if possible. And of course, you may want to seek counseling. If you have a lot of anxiety, stress in your life, sex might not be your priority anymore. You will say, yeah, I'm not 20 year old anymore, but you still have a life, you know, like you have to make sure that you are not ignoring yourself and you're not ignoring your anxiety and your stress. And asking for help is not always a bad option. Now, let's talk about the options. What do you need to do to get that fixed? Get this going, buddy. Now, so number one, of course, everybody knows this, but I'm going to give you a couple of tricks here. Viagra, Cialis, the most common drugs that can help the erectile dysfunction. Of course, you can use, you know, all the counter stuff if you if you like, but typically we use Viagra or Cialis. Now, some people take Viagra, for example, anywhere from 20 milligram up to 100 milligrams, depending on how much they need. Some people just need 20 milligrams. Some people will need 100 milligrams, and they take it a couple hours before the expected sexual intercourse. Now, sometimes it works like that and sometimes it doesn't. And interestingly, sometimes people take the medication every day. It could be 20 milligram, 40 milligram, 60 milligram, 50 milligram, whatever it comes with, you can use it every day. And sometimes that works better. And some of my patients actually will take the drug every day and will take a few extra before the expected time as well, which also increases the chances of working. So if you started taking Viagra one way or the other or Cialis and it didn't work for you, just don't trash the medication. There are other ways you can try to make it work. And of course always make sure that you're informing your doctor what you're doing with your medication. Do not do anything based on my video only. Make sure you get your doctor's consent, because your condition may be different than somebody else. If the pills are not a good option or they're not working, sometimes people who are on nitrates, for example, should not be taking together Viagra and nitrates. The nitrates are certain chest pain medications that may be used. And if you have that condition together, you may have to be very careful with these drugs. Now if these are not an option for you, if they're not working, then you can use suppositories or even needles. There are some suppositories you can insert through the penis or you can actually use an injection that can give you a locally immediate effect and can give you a firm penis. Yes, a needle into the penis is not the most sexy idea or the most fancy idea, but it is an option, it works. Your third option is Vatum. We call this a penis pump if you wish and it basically sucks the blood into your penis to give you this firm penis. It is an option. Yes, it's again not the most sexy option, but it is something to consider. It's better than nothing, right? Well, the last option is Penile Implants and I think it is, it sounds like a drastic option. Yeah, it is a drastic option, but it is an option. I even had some patients who came to me without diabetes asking for implants. I'm like, you're not in the right place buddy. I don't do that kind of stuff. I'm an endocrinologist, I'm a hormone doctor. So that guy was just looking for some other purposes, but in any case, Penile Implants can be an option if you are having problems and everything has failed or other options may not be good for you. So I hope you guys enjoyed this video and if you did, give it a thumbs up and share this video if you are comfortable with it. I'll talk to you later.