Erectile dysfunction is the inability to get and keep an erection. Impotence is common in men with diabetes and could suggest cardiovascular disease or depression. The inability to perform sexually affects the quality of life and relationships they share with their significant other. Disease, medication, drugs, and alcohol can cause erectile dysfunction. Lifestyle problems, depression, stress and anxiety are other major causes of the syndrome.

Men with diabetes often experience erectile dysfunction because of poor blood glucose control. Hardening of the arteries is also a potential cause for impotence. When the arteries harden, blood and oxygen cannot flow to some areas of the body. If the arteries going to the penis have collected fatty materials on their walls it prevents the smooth muscle cells to relax, so the blood can make the penis harder and larger.

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