Endocrine Abstracts

Introduction: The inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse is a distressing and common symptom in Bangladeshi Diabetic subjects.

Aims and Objectives: The purpose of this study is to present a framework for cost effective evaluation & treatment. Because many of the diabetic subjects usually suffers from psychological stress since he is detected as diabetic and many of them believe in Myths that diabetes makes a person impotent.

Materials and Methods: Diagnosis of erectile dysfunction was based on patient self-reporting. Clinical information was collected by participating physicians. The depressive symptoms was assessed using visual analogue scale. Minimal lab investigations are suggested.

Results: 255 diabetic, male were interviewed and Investigated. Age 43.88±11.38. BMI 24.5±3.3 and duration of diabetes 5.69±5.01 years. 31% smoker and 36% subjects having moderate to severe stress. Age of spouse(wife) ranges 35.32±10.88 years. Their age differences are <5 years 23.8%, and >10 years 21%. Among them libido was normal only in 50%. 66.7% cases have premature ejaculation. More than 50% have extramarital affairs. 70.7% subjects were HbA1c > 8% (Mean 10.54±3.32 SD). 33.3% haves. Testosterone < 3.4 ng/l. Serum PRL was higher in 6.7% cases. Associated IHD was detected (by ECG change) in 7.2% and Enlarged Prostate in 3.4% subjects.

Conclusion: Interplay of clinical and psychological factors determines the risk of erectile dysfunction in type 2 diabetics. Greater attention is needed to detect demand of the patient. All are not having Erectile problems. Cost of hormonal investigations may be lessen by clinical judgment.

Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.