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Study aim
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Evaluation of the effect of Metformin on erectile dysfunction in male patients with type 2 diabetes mellitus
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Design
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A double-blind randomized clinical trial, group controlled, on 270 patients, randomized by Excel software.
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Settings and conduct
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This randomized double-blind clinical trial will be conducted on 270 cases of men between the ages of 30 and 70 who were recently diagnosed with type 2 diabetes mellitus during a visit to the Loghman Hakim Hospital clinic in Tehran. Patients will be randomly assigned to two groups. Intervention group receives dietary advice and Metformin, and control group receives dietary advice and placebo. All subjects will be followed up for 3 months. The investigation of erectile dysfunction will be done using the International Index of Erectile Function (IIEF) questionnaire. Also, serum levels of testosterone, LH and FSH will be measured before and after the study.
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Participants/Inclusion and exclusion criteria
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Inclusion Criteria: Men aged 30 to 70 with newly diagnosed type 2 diabetes whose HbA1c level was between 6.5 and 8 in the last six months.
Exclusion Criteria: History of diabetes or treatment with blood sugar control drugs, anatomical disorders in the penis or other sexual disorders, spinal cord injuries, stroke, heart attack in the last 6 months, treatment with mineral nitrates, peptic ulcer, migraine, visual impairment, allergic rhinitis
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Intervention groups
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Patients are randomly divided into two groups. In addition to prescribing a special diet, Metformin 500 mg tablets are used in the intervention group, once daily for 3 months, and in the control group, placebo tablets containing oral maltodextrin are used once daily for 3 months.
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Main outcome variables
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erectile dysfunction status; testosterone serum level; luteinizing hormone serum level; follicle-stimulating hormone serum level