Diabetes and impotence

Q: I’m 72 years old, strong and still working as a music teacher. I take 1000 mg metformin for diabetes, eat well, weigh 198 lbs. What is causing my impotence? Is it just age related?

A: Since you are on metformin, I am assuming you are diabetic. Even though you are strong, you have a sedentary occupation. You didn’t give your height but most people who weigh 198 pounds are at least overweight if not obese. Based on this, it is likely your impotence is caused by vascular damage from uncontrolled diabetes. Please accept my apology if this is not the case. Uncontrolled diabetes combined with obesity greatly increases the risk of a heart attack. I’d suggest that you speak to your doctor who knows your personal medical history.

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