Since 6 - 8 months its taking too much time to get erection and even if it erect it will not be strong enough and not lasting for minimum time, I am diabetic since 4 yrs. And I am 57 years old. What may I do which tablet I have to take? Any herbal tablet like tentex royal would help me if its so for how many days to take these tablets or may you suggest some thing else.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. Erectile dysfunction (ed), is one of the most common complications of diabetes. It occurs due to the damage to microvasculature supplying the penile muscles. If blood glucose levels are not in good control (fasting < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.8%), then ed is seen quite often. There is no mention of your blood glucose control at all. It is necessary to look at overall treatment, including above details, diet pattern, the extent of daily exercise, weight & height. The tablet mentioned (by you) may be tried. There is no proven clinical evidence. There are other drugs called pde - iv inhibitors which can be beneficial. Thanks.  

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