Other Sexual Problems In Men With Diabetes

Diminished or absent testicular pain has been described as an early sign of autonomic neuropathy. Retrograde ejaculation from the prostatic urethra into the bladder might occur occasionally and follows loss of sympathetic innervation of the internal sphincter, which normally contracts during ejaculation. Complete loss of ejaculation probably indicates widespread pelvic sympathetic involvement and, like retrograde ejaculation, causes infertility, which may be treated by insemination (70).

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