{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T17:20:09Z","timestamp":1778520009361,"version":"3.51.4"},"reference-count":109,"publisher":"Oxford University Press (OUP)","issue":"1037","license":[{"start":{"date-parts":[[2012,1,25]],"date-time":"2012-01-25T00:00:00Z","timestamp":1327449600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sexual dysfunction (SD) is common in type 2 diabetic men, but few subjects are diagnosed and treated. The prevalence of diabetes mellitus is increasing worldwide. It is expected that the number of subjects suffering from SD increases in the near future. Most studies of SD in diabetic men have focused on erectile dysfunction. There is a dearth of studies in the area of the other forms of SD. SD has consequences on the psychological well-being and reproductive function. They can be the first symptom of comorbidities or a treatment side effect. Erectile dysfunction is increasingly being recognised as an early marker of organic incipient systemic disease. Evaluation for any SD includes a complete medical history, detailed sexual history, physical examination, psychosocial assessment and, sometimes, complementary studies. Initial treatment of any SD should eliminate any modifiable factor that may lead to or aggravate the dysfunction. Phosphodiesterase type 5 inhibitors are the preferred therapy for most men with organic erectile dysfunction who do not have a specific contraindication to their use. Pharmacological treatment of premature ejaculation includes on-demand or daily dosing of certain selective serotonin reuptake inhibitors or clomipramine and on-demand topical local anaesthetics. Delayed ejaculation and anejaculation due to vascular or neuropathic damage are usually irreversible. The issue of infertility in patients with anejaculation or retrograde ejaculation seeking to have children should be addressed. No study specifically conducted in diabetic men on the treatment of hypoactive sexual desire disorder, apart from that occurring in the context of hypogonadism, has been published.<\/jats:p>","DOI":"10.1136\/postgradmedj-2011-130069","type":"journal-article","created":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T01:54:26Z","timestamp":1327629266000},"page":"152-159","source":"Crossref","is-referenced-by-count":64,"title":["Sexual dysfunction in men with type 2 diabetes"],"prefix":"10.1093","volume":"88","author":[{"given":"Maria Luisa","family":"Isidro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2012,1,25]]},"reference":[{"key":"2023041906364430800_bib1","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1016\/j.juro.2006.11.059","article-title":"Diabetes and sexual dysfunction: results from the Olmsted County study of urinary symptoms and health status among men","volume":"177","author":"Burke","year":"2007","journal-title":"J Urol"},{"key":"2023041906364430800_bib2","doi-asserted-by":"crossref","first-page":"2202","DOI":"10.2337\/dc10-0524","article-title":"Sexuality among middle-aged and older adults with diagnosed and undiagnosed diabetes: a national, population-based study","volume":"33","author":"Lindau","year":"2010","journal-title":"Diabetes Care"},{"key":"2023041906364430800_bib3","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/07435800802080138","article-title":"Epidemiology of type 2 diabetes in children and adolescents","volume":"33","author":"Nadeau","year":"2008","journal-title":"Endocr Res"},{"key":"2023041906364430800_bib4","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.jpeds.2004.12.042","article-title":"The global spread of type 2 diabetes mellitus in children and adolescents","volume":"146","author":"Pinhas-Hamiel","year":"2005","journal-title":"J Pediatr"},{"key":"2023041906364430800_bib5","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.2337\/diacare.28.8.1876","article-title":"Annual incidence and clinical characteristics of type 2 diabetes in children as detected by urine glucose screening in the Tokyo metropolitan area","volume":"28","author":"Urakami","year":"2005","journal-title":"Diabetes Care"},{"key":"2023041906364430800_bib6","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/S0022-3476(96)80124-7","article-title":"Increased incidence of non-insulin-dependent diabetes mellitus among adolescents","volume":"128","author":"Pinhas-Hamiel","year":"1996","journal-title":"J Pediatr"},{"key":"2023041906364430800_bib7","doi-asserted-by":"crossref","first-page":"2125","DOI":"10.1111\/j.1743-6109.2008.00907.x","article-title":"Erectile dysfunction among men with diabetes is strongly associated with premature ejaculation and reduced libido","volume":"5","author":"Malavige","year":"2008","journal-title":"J Sex Med"},{"key":"2023041906364430800_bib8","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.2337\/diacare.26.4.1093","article-title":"Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? 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