Avandia (Rosiglitazone)

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Avandia (Rosiglitazone)
DIABETES AND IMPOTENCE
One of the myths about diabetes is that all diabetic men are impotent. This is nonsense. Most diabetic men are normally potent but a few develop impotence in later years, and this is more common among men with diabetes than non-diabetics. If you think that you may be impotent, do not bottle your worries up inside you but discuss them with your doctor. He will not be embarrassed or think it odd that you want to discuss your sex life. If you go to a diabetes specialist he will probably also have trained in endocrinology or hormone disorders and be used to discussing such problems.
The impotence associated with diabetes is thought to be due to autonomic neuropathy because the autonomic nervous system is responsible for the increase in blood flow to the penis which causes it to become firm and erect. However, one study showed that two-thirds of diabetic men who were troubled by impotence were having wet dreams or morning erections. If this is the case, impotence during intercourse or masturbation is more likely to be due to psychological factors and may improve with counseling. One of the problems is that the more you worry about whether you are going to have an erection while making love, the more likely you are not to have one. If you and your partner can relax about this aspect of love making and not aim for full intercourse for a few weeks or months, but enjoy each other in different ways, things may improve. Many hospitals have counseling services for people with sexual problems. It is important to share your worries with your partner. She will then be able to help you as well.
But what if you are having no erections at all? The first thing to do is to have a full medical check-up. It may be that there is a non-diabetic hormonal reason for your impotence that can be put right by hormone injections. Your doctor will certainly want to take some blood tests to check this. Many illnesses, including uncontrolled diabetes, are associated with temporary impotence and loss of sexual drive. Full potency may return if the illness is treated and sometimes returns if the blood glucose is brought back under control, although this does not always happen.
If after a lot of tests your doctor tells you that you have impotence due to autonomic neuropathy, do not despair. It may be that you and your partner have the sort of relationship in which the sexual act plays only a small part. It is very important that you discuss things fully with your partner. She may be less upset than you imagine and there are other ways of giving each other pleasure. There are several treatments to help impotence. Injections of papaverine into the penis produce an erection in most cases and you can find the dose which suits you. Rarely this causes a prolonged erection which can be painful. There are several sheath-like devices which produce an erection by inducing a vacuum around the penis. Some men prefer penile implants – unlike the other methods these are permanent. Hormone injections are no use for neuropathic impotence; they simply increase the desire without improving the performance.
*57/102/5*

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