When diabetic patients see each other, they can talk about all kinds of problems, but there is one thing that is difficult to talk about, and that is the problem of declining sexual function. Not only is there less communication between patients, but when they go to the doctor, they rarely talk about it either. But like an ostrich sticking its head in the sand, the problem is not the same as solved, so the other half of the life is also suffering together. There are few patients whose “sexual happiness” is affected by diabetes, and this must be taken seriously in order to improve the quality of life of patients. According to the report, the Department of Endocrinology of the PLA General Hospital has done a random survey among male diabetic patients in the outpatient clinic and admitted that patients with sexual dysfunction accounted for about 40%, which is close to the international statistics, which are in the range of 30%-50%. “China’s diabetic patients are conservatively estimated at 40 million, even if men account for half of the population, counting the population with sexual dysfunction is large.” Sexual dysfunction in diabetics is actually found in both men and women. More attention is paid to men because of their initiative in sexual life. Men who suffer from this problem have low libido, lack of erectile hardness and shortened duration in the milder cases, and in the more severe cases, it can affect sperm quality and lead to reduced fertility. Women, on the other hand, mainly show low libido and in some cases, menstrual disorders. ”The reasons for this are 4 main points.” The first is damaged blood vessels. Diabetes can damage the blood vessels of the whole body, and the penis erection precisely needs blood supply, if the blood vessels are hardened or blocked, naturally “can not”. The second is nerve damage. On the one hand, the blood vessels that nourish the nerves are “very injured”, on the other hand, diabetic patients often have problems with the vegetative nerves, and an important role of the vegetative nerves is to govern the vascular diastole. Again, the impact of diabetes on brain function, so that the patient’s ability to respond to sex is reduced. Finally, the psychological problems of diabetic patients often “add the last straw”, diabetic patients are under great psychological pressure, depressive symptoms are very common, which will directly affect their sexual function. ”It is important to note that the occurrence of erectile dysfunction (ED) in men with diabetes often indicates the possibility of hardening of arteries throughout the body, so patients must be alert to complications of heart disease and damage to small and medium-sized arteries.” “Coronary heart disease is the most serious complication of type 2 diabetes, and 70% of diabetics will die from it. But patients don’t have symptoms until their blood vessels are 50 percent or more blocked, and they have to have stents put in when they’re 70 percent blocked. And ED can remind them to check their heart earlier and monitor lipids, blood pressure and other indicators to assess vascular function.” The reason many patients are reluctant to talk about sexual dysfunction is more pessimistic about addressing it, in addition to having a conservative outlook. Some other patients blindly look for so-called “aphrodisiacs” and “aphrodisiac foods” on the market to supplement. To solve the sexual disorder, to regain “sexual happiness”, in addition to active control of blood sugar, psychological counseling and other basic treatment, there are currently four types of clinical drugs can be used: 1, sildenafil. It is commonly known as “Viagra”, which can dilate the blood vessels of the whole body and has a fast onset of action. However, its use must be under the guidance of a doctor, low blood pressure, poor heart function, the use of nitroglycerin to lower blood pressure patients can not be used, otherwise there are life-threatening. 2. Androgens. It has the function of improving erection, but the premise of using it is that laboratory tests show that the patient’s body is indeed lacking. 3, nerve-nourishing drugs, such as vitamin B1, B12, etc. 4, drugs that dilate the arteries and improve circulation, such as Prostil. ”When sexual dysfunction occurs, patients should be honest and tell their doctors about the confusion they are facing; taking aphrodisiacs and supplements indiscriminately is not beneficial but may also be life-threatening.”