While he initially came to treat diabetes, he opened up about his health issues, a doppler examination revealed plaque buildup in the blood vessels of his penis. It is a common complication of diabetes. Medications were prescribed to improve blood flow and help him achieve an erection
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Abhishek Shah (name changed), a 45-year-old Mumbai man initially visited the diabetes care centre, says Dr Rajiv Kovil, head of Diabetology, Zandra Healthcare and co-founder of Rang De Neela Initiative, for a routine diabetes checkup. Although, he was reluctant to discuss his health issues, the Mumbaikar eventually confided that he was struggling with Erectile Dysfunction (ED). A doppler examination revealed plaque buildup in the blood vessels of his penis, a common complication of diabetes. Medications were prescribed to improve blood flow and help him achieve an erection.
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However, Abhishek later experienced chest pain and was found to have inadequate blood flow to his heart, placing him at risk for a heart attack. Treatment for his cardiovascular condition required stopping the ED medication, highlighting a challenging dilemma: prioritising heart health at the expense of his sexual health. After undergoing a coronary angiography and receiving a stent, Abhishek resumed his ED medications and now leads an active sexual life.
Intersection of ED and cardiovascular health
Abhishek's story highlighted an important aspect of a healthy lifestyle: ED can be an early indicator of cardiovascular disease. Men with ED should not only address their sexual health but also consider it a potential alarm bell for heart disease. Ignoring ED not only affects one's quality of life but can also overlook a critical warning sign of more severe health issues.
Erectile dysfunction (ED), the inability to achieve or maintain an erection sufficient for sexual intercourse, is a significant health issue that affects many men, particularly those with diabetes. In India, the prevalence of ED is 15.8 per cent, and about 61.4 per cent of these individuals also have diabetes.
Globally, it is estimated that ED will impact 322 million men by 2025. Despite the serious consequences on self-esteem and confidence, compounded by feelings of shame and guilt, there is a significant lack of data due to ignorance and societal taboos surrounding this issue.
The stigma and its consequences
Many men find discussing ED embarrassing and awkward, often avoiding conversations with their partners or healthcare providers. This reluctance is rooted in societal norms that pressure men to appear 'macho', perceiving any discussion on ED as a threat to their masculinity. While attitudes toward health are evolving and medical advancements are significant, these deep-seated stigmas continue to prevent many from seeking help.
Breaking the silence
The stigma surrounding ED must be challenged to improve health outcomes for men. Open discussions with healthcare providers about ED and mental health are crucial. By addressing these issues head-on, men can receive appropriate treatments and potentially identify underlying health concerns, such as cardiovascular disease, early on.
Abhishek’s journey serves as a poignant reminder to all men in India and around the world: speak up about ED. Seek help and undergo evaluations for heart disease if necessary. Addressing ED openly and proactively can lead to better overall health and well-being.
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