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278 Diabetes and Genetalia

Diabetes and Genetalia

Dr. M. Balasubramanian, MD, DDVL,

Past IMA State President,
Retd.Deputy Director, TANSACS

INTRODUCTION third the size of Coronary artery. Hence if ED is noted
It was said ‘He who knows Syphilis knows Medi- and reported and remedial Life Style Changes are im-
cine’,because Syphilis affects not only the generals plemented,impending cardiac arrest can be certainly
but each and every structure in the body except the averted.
ovary and mimics many diseases in the field of Medi- With more and more new Diabetics in younger age
cine and Surgery. Then the saying shifted to Diabetes group, genital manifestations cannot be sidelined
due to decrease in number and severity of Syphilis and have to taken care of.
after the discover of Penicillin.
Than only we can proudly say ‘He who knows Dia-
Diabetes is a life style disease increasing in number betes knows Medicine.
every year and likely to fetch our India the dubious
distinction of Diabetic Capital of the World in another IMA CGP has been conducting Fellowship Certificate
fee years. in Sexual Medicine and 9th batch is going on.
Diabetes is known to affect many organs and sys-
tems. But little is known or given least importance
regarding its manifestations over genital organ in
both the sexes.
Even though Polyurea. Polydipsia or Polyphagia are
the three cardinal signs of Diabetes,it is often diag-
nosed
It is seldom realised and reported that early sign
and symptom of Diabetes is over the genitals. When
blood sugar crosses 160 or 180 mg%, sugar is begin
to be excreted through urine. This glycosuria pave
way for growth of Candida albicans dormant in every-
body’s body leading to micro fissures leading to the
symptom of burning sensations over the genitals af-
ter coitus or sign of Candidiasis with macro fissures
over prepucial edges. In woman it presents with thick
Curdy white vaginal discharge with itching over the
vulva. It is proved beyond doubt the Venereologist
detect new cases of Diabetes clinically than any oth-
er specialist who detect only on routine screening.
Yet another early symptom of Diabetes is Erectile
dysfunction.Endothelial dysfunction is the basic pa-
thology similar to Cardiac Infarction.Erectile dysfunc-
tion is early to occur because Penile artery is one

GCDC 2017