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ED Treatments for Diabetic Men 

Targeted, Medically Supervised ED Care for Men with Type 1 or Type 2 Diabetes 

ED and Diabetes: A Clinically Proven Link

Erectile dysfunction (ED) affects more than 50% of men with diabetes. According to the American Diabetes Association, chronic high blood sugar damages nerves and blood vessels—both essential for achieving and maintaining erections. This makes ED not only more common in diabetic men but also more difficult to treat without personalized medical intervention. 

If you’re diabetic and dealing with ED, you’re not alone—and you’re not without options. 

What Makes ED Treatment Different for Diabetic Men?

Typical ED treatments often fail in diabetic patients. Oral medications like Sildenafil and other PDE5 inhibitors remain a first-line treatment for ED in men with diabetes, but response rates are generally lower due to common complications like vascular damage and neuropathy.  

That’s why Florida Men’s Health uses a comprehensive diagnostic process and multi-modal treatment plan that considers your full health profile—including glucose control, hormone levels, and vascular function. 

Why Diabetic Men Are More Likely to Experience ED

How Hormonal Imbalances Affect Weight Gain in Men

Multiple biological mechanisms contribute to ED in diabetic patients: 

  • Vascular Damage: High glucose impairs endothelial function and restricts blood flow to penile tissue. 
  • Peripheral Neuropathy: Damaged nerves weaken the communication between brain, spine, and genitalia. 
  • Low Testosterone: Men with Type 2 diabetes are up to 2 times more likely to have low testosterone. 
  • Medication Side Effects: Beta-blockers, antidepressants, and even some diabetes meds (e.g., thiazolidinediones) can worsen ED. 
  • Psychological Barriers: ED can lead to stress, shame, and relationship issues—further reducing arousal and performance. 
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Our ED Treatment Process for Diabetic Men

Step 1: Comprehensive Medical Evaluation 

We start with a full diagnostic workup to identify the root causes of ED in the context of your diabetes. 

This includes: 

  • Hormonal testing: Testosterone (free & total), estradiol, prolactin 
  • Metabolic markers: HbA1c, fasting glucose, lipid profile 
  • Penile Doppler ultrasound (when needed) 
  • Medication review and sexual function scoring (IIEF, SHIM) 

Step 2: Personalized Treatment Planning 

Based on your lab results, symptoms, and history, we design a treatment plan tailored to your physiology and diabetic status. 

Treatment paths may include: 

  • PDE5 inhibitors (custom compounded if needed) 
  • Trimix injections 
  • Low-Intensity Shockwave Therapy (Li-ESWT) 
  • PRP injections (P-Shot) 
  • PT-141 for neurogenic or libido-related dysfunction 

Step 3: Treatment Initiation 

Your therapy begins under clinical supervision—whether that’s on-site injection training, shockwave sessions, or compounded prescriptions. 

All treatments are adjusted to: 

  • Avoid interference with your diabetes meds 
  • Minimize cardiovascular risk 
  • Maximize response despite vascular/nerve damage 

Step 4: Ongoing Monitoring & Optimization 

We track your results, reassess labs if needed, and modify protocols based on performance, side effects, or lifestyle changes. 

Includes: 

  • Follow-up visits every 4–8 weeks 
  • Erectile function retesting (IIEF score) 
  • Hormone rebalancing if necessary 
  • Coordinated care with your PCP or endocrinologist (optional) 

Medically Proven ED Treatments We Offer:

Trimix Injections

📌 Best for: Men who failed oral ED medications 

A compounded formula of three agents (alprostadil, papaverine, phentolamine) directly injected into the penis. 

  • Bypasses diabetic vascular damage 
  • Delivers results in under 15 minutes 
  • Dosage personalized to your tolerance 
  • Up to 89% success with Trimix injections, even in men who don’t respond to ED pills

Low-Intensity Shockwave Therapy (LI-ESWT)

📌 Best for: Vasculogenic ED, early intervention 

Non-invasive acoustic waves improve blood flow and regenerate vascular function. 

  • Painless, no drugs or surgery 
  • Stimulates angiogenesis (new blood vessel growth) 
  • Significant improvements in IIEF scores in diabetic men with moderate ED 

Platelet-Rich Plasma (PRP) Therapy – “P-Shot” 

📌 Best for: Neuropathy-related ED 

Your own platelets, injected into penile tissue to promote tissue repair and nerve regeneration. 

  • Especially effective in diabetic nerve damage cases 
  • Zero systemic side effects 
  • Long-term benefits after a few sessions

PT-141 (Bremelanotide) 

📌 Best for: Libido loss, neurogenic ED 

Unlike other ED meds, this peptide works on the brain to stimulate desire and arousal. 

  • Doesn’t depend on blood flow 
  • FDA-approved for sexual dysfunction 
  • Available as nasal spray or subcutaneous injection 

Customized Oral ED Medications 

📌 Best for: Mild ED, adjunctive therapy 

We compound sildenafil or tadalafil with oxytocin or other agents for diabetic-friendly ED solutions. 

  • Doses adjusted to avoid interactions with insulin/metformin 
  • Fewer side effects than generics 
  • May be combined with other treatments 

Why Diabetic Men Choose Florida Men’s Health

  • Full Diagnostics In-House 
    We test more than just your testosterone—we assess vascular, endocrine, and metabolic health. 
  • Men’s Health Experts Only 
    You’ll never be handed off to a generalist or sales rep. 
  • Tailored Treatment for Type 1 & Type 2 Diabetics 
    We factor in your meds, blood sugar history, and coexisting health issues. 
  • South Florida Convenience 
    Visit us in Fort Lauderdale or Sunny Isles Beach. Private. Professional. No judgment. 

Ready to Fix the Root of the Problem?

You don’t have to “just live with it.” Most diabetic men with ED can be successfully treated. You just need a clinic that understands the complexity of your condition—and has the tools to fix it. 

📞 Call (954) 584-7009 or Book Your ED Consultation Online 

Frequently Asked Questions

Why don’t ED pills work for me anymore? 
Because diabetic ED often involves vascular and nerve damage. Oral meds depend on intact function in both areas. 

Is it safe to get ED treatments while taking insulin? 
Yes. All our therapies are reviewed for compatibility with your medications and glucose control plan. 

Will this fix my libido too? 
If low testosterone or central arousal is part of the issue, we address it. PT-141 and TRT may be added to your plan. 

What’s the fastest-working option? 
Trimix offers erections in minutes. PT-141 works within an hour. Shockwave and PRP provide long-term benefits over 4–12 weeks. 

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