The connection of diabetic dyslipidemia and erectile dysfunction

Abstract

Background Diabetes is an established risk factor for sexual dysfunction in men; a threefold increased risk of erectile dysfunction (ED) was documented in diabetic compared with non-diabetic men. Diabetic vasculopathy concerns macroangiopathy, microangiopathy and endothelial dysfunction. Macrovascular disease in diabetes corresponds to the atherosclerotic damage in the blood vessels, which limits blood flow to the penis. Aim Value the connection of dyslipidemia and erectile dysfunction in men patients who are ill with diabetes. Materials and methods In the research, 180 patients at the age of 33–67 with type 2 diabetes mellitus were participated. According to the duration of diabetes, the patients were divided into three groups and revealed the erectile dysfunction. The lipid metabolism was revealed and HbA1c was determined in all the patients. Results The patients who are ill with diabetes within 1–5 years ( n =41, 22,78%), the erectile dysfunction is met in 34.15% of patients (in this group n =14), those who are ill with diabetes within 5–10 years, the erectile dysfunction is met in 57.53% (in this group n =43), who are ill with diabetes within 10 years and more the erectile dysfunction is met in 69.7% of patients ( n =46). The result of lipid metabolism value showed that hypercholesterolemia was met in 42.22% ( n =76) of the patients, hypertriglyceridemia was met in 21.11% ( n =38), combined disorder was met in 24.44% ( n =44). Thus, 87.77% of the examined patients have lipid metabolism disorder. The result of the research showed that erectile dysfunction was usual in case of dyslipidemia. It should be noted that 60.52% of the patients ( n =23) who had isolated hypertriglyceridemia had erectile dysfunction, 63.16% of the patients ( n =48) who had hypercholesterolemia had erectile dysfunction and 72.73% ( n =32) of the patients with combined disorder had erectile dysfunction. Conclusion Surely, the erectile dysfunction in diabetes mellitus has a multifactorial nature such as duration of diabetes, level of compensation, complications especially neuropathy availability and harmful habits. According to our findings, we have a lot of patients with erectile dysfunction and hypertriglyceridemia. The findings remind us once more that medical practitioners have to pay attention especially to lipid metabolism condition, triglyceridemia level in diabetic patients. So, dyslipidemia is the reason of increasing cardiovascular risks and decreasing quality of life.