Men with diabetes may experience such sexual problems as erectile dysfunction, reduced sexual desire and retrograde ejaculation. In retrograde ejaculation, semen goes into the bladder instead of out of the penis. The condition doesn't require treatment unless you're trying to have a child.
The most common treatment for erectile dysfunction is oral medication, such as Viagra, Levitra and Cialis. Alternatives include alprostadil (Caverject, Edex, others), which can be injected into the penis or inserted as a suppository (Muse) into the urethra. Vacuum pumps and penile implants are other options.
If your symptoms are linked to low testosterone, which is more common with type 2 diabetes, your doctor may recommend testosterone replacement therapy.
Source: Prepared by the Editors of The Johns Hopkins Medical Letter: Health After 50