Erectile Dysfunction Linked to Diabetes

I am a 27-year-old married man. I tried having sex with my wife in the top position. Then I felt pain in my left testicle. Is this normal in this type of sexual position? Should I consult a doctor?

Yes, you need to consult a doctor in person. Possibly, your partner’s hip may be hitting your testicles during up-and-down sexual intercourse movements (in the woman’s upper position), and this may be the cause of the pain.

I am 47 years old. I am diabetic. I have erection problem and also premature ejaculation problem. This makes me sad because I can’t enjoy sex. Please suggest a solution.

There is no need to become depressed as both your complaints can be managed satisfactorily. One of the complications of long-standing and poorly controlled diabetes is Endothelial Dysfunction. This means that the inner lining of blood vessels, known as the endothelium, becomes damaged and does not work properly. This causes decreased blood flow through these blood vessels. If the penile blood vessels are affected, there will be less blood flow to the penis and therefore erection will be negatively affected. Although the exact cause(s) of premature ejaculation are unknown, diabetes has been observed to be associated with it. Both of these conditions can be managed through a combination of pharmacotherapy (treatment with medications) and sex therapy. Consult your doctor personally.

The author is a sexologist. Email Dr.narayana@deccanmail.com