Thank you for sharing this â I understand this is a deeply personal concern affecting your relationship, and it is important to address it honestly and medically. There are two separate issues here that need to be addressed together. First, the erectile dysfunction (ED): the inability to maintain an erection sufficient for intercourse is very common in Type 2
diabetes, even in patients in remission. Diabetes damages the small blood vessels and nerves that supply the penis, leading to ED â this is called diabetic vasculogenic or neurogenic ED. Your blood pressure medication (Telmisartan/Eritel) is actually one of the more sex-friendly BP medications and is unlikely to be causing this. Performance anxiety â which develops naturally when erection difficulties arise â also worsens the problem in a cycle. The good news is that ED is highly treatable: medications like Sildenafil (Viagra) or Tadalafil (Cialis) are very effective in diabetic patients and can be taken before intimacy under medical supervision. Second, regarding the micropenis: this is a distinct condition usually related to lower-than-normal
testosterone levels or hormonal issues. Your testosterone,
LH,
FSH, and
prolactin levels should be checked â if testosterone is low, treatment can help both penile dimensions (to some extent) and erection quality significantly.
Next Steps
Consult a Urologist or Andrologist for a comprehensive evaluation. Get your
testosterone,
LH,
FSH,
prolactin, and
HbA1c tested. Both the ED and hormonal aspects are treatable â please do not lose hope. Do not self-medicate with ED pills without a doctor's guidance. Please consult me directly on Practo for a detailed evaluation.