Erectile dysfunction in diabetes — SCE Endocrinology MCQ
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Correct answer: B — Offer a vacuum erection device and review cardiovascular risk
PDE5 inhibitors are contraindicated with nitrates because of hypotension risk, so a non-PDE5 option such as a vacuum device is safer while cardiovascular risk is reviewed. Testosterone is not given empirically without biochemical hypogonadism. The pearl is that erectile dysfunction may be a vascular warning sign as well as a quality-of-life issue.
Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/diabetes-and-other-endocrinal-nutritional-and-metabolic-conditions