[Sex disorders in male diabetic patients]

Sexual disorders occur in about 50% of male diabetics, appearing in two different forms: (1) temporary disorders caused mainly be general disturbances due to metabolic derangements; (2) chronic disorders characteristic of diabetes, although their symptomatology is not typical. Here, erectile dysfunction predominates. The etiology has not yet been definitely clarified. Psychological, neurogenic, vascular and endocrine factors are all involved. In the individual case, it is necessary to identify the major causes by employing subtile investigative measures, in order to be able to plan rational treatment.