Dear Dr Milrod:

I am a 32 year old guy with an ever-evolving problem. When I first started having sex, my girlfriend would barely touch me and I’d be done.  Now, I’m finding it almost impossible to climax. We have even had lots of bareback oral sex and haven’t been able to complete. I always figured the problem might have been too many XXX videos – along with the accompanying masturbation. Another factor could be the sturdiness of the condoms I use. One time I used a really thin condom and I was finished within about fifteen minutes, but that was with another girl and I wasn’t too attracted to her.  I’m not on Viagra or anti-depressants any longer.  Haven’t had any Zoloft in just over three years now.  But I am a diabetic on oral medications, if that has any bearing on the issue.

Whatsamatter With Me

Dear Whatsamatter With Me:

Indeed, diabetes may be the culprit here. Some studies have reported that RE and/or ED is correlated with high glycosylated hemoglobin (HbA1C), which is the result of poor blood glucose control. Another theory states that RE is caused by the exhaustion of the prostate seminal production, which is similar to the Type-2 Diabetes caused by the exhaustion of the pancreas insulin production. Then again, you’re medicated for diabetes, so this could have something to do with it. Many medical studies point to diabetes as being a major factor of RE. You should definitely discuss this with your internal medicine specialist though, as I’m not a physician and s/he will most likely have an answer.

Christine Milrod, PhD