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Your treatment options and their suitability will remain much the same as for other erectile dysfunction patients. Oral drugs like PDE-5 inhibitors increase blood flow to penis by optimizing the action of nitric oxide. Generally, these are the first line therapy for erectile dysfunction and include sildenafil, tadalafil and vardenafil. These can be safely had by diabetics owing to their compatibility with diabetes medicines like insulin, metformin, etc. Yet, their efficacy could vary in diabetics from generic erectile dysfunction patients. Also, if you’re a heart patient or have other medical conditions, as seen in many diabetic cases, you should relate the same to your doctor before getting a prescription. Consulting a urologist can also be considered. Later erectile dysfunction treatments often resorted to when PDE-5 inhibitors fail include intracavernous injections, vacuum erection, intraurethral suppositories, penile implants and shockwave therapy. These treatments vary in their efficacy and safety. For example: penile surgery carries certain amount of risk for complications, IC may cause penile pain whereas penis pumps may cause injuries if mishandled. Another thing, if your erectile dysfunction is mild or experienced occasionally, you may attempt reversing it with good diabetes management and lifestyle modifications through medicines, exercises, diet, quitting smoking or alcohol, getting enough sleep, stress reduction, etc.