Erectile dysfunction as a possible important side effect of metformin: A case report

Metformin-induced sexual dysfunction is rare in patients with diabetes mellitus. Herein, we present the case of a 57-year-old man newly diagnosed with type 2 diabetes mellitus who developed erectile dysfunction following treatment with metformin 500 mg BD. Prior to taking metformin, he had well-cont...

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Main Authors: Min Huang Ngu, Rosnani Zakaria, Maryam Mohd Zulkifli, Rahiza Bt Ab Rahman
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2023-04-01
Series:Malaysian Family Physician
Subjects:
Online Access:https://e-mfp.org/wp-content/uploads/18.20R1CRErectiledysfunctionapossibleimportant1.pdf
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author Min Huang Ngu
Rosnani Zakaria
Maryam Mohd Zulkifli
Rahiza Bt Ab Rahman
author_facet Min Huang Ngu
Rosnani Zakaria
Maryam Mohd Zulkifli
Rahiza Bt Ab Rahman
author_sort Min Huang Ngu
collection DOAJ
description Metformin-induced sexual dysfunction is rare in patients with diabetes mellitus. Herein, we present the case of a 57-year-old man newly diagnosed with type 2 diabetes mellitus who developed erectile dysfunction following treatment with metformin 500 mg BD. Prior to taking metformin, he had well-controlled hypertension, hyperlipidaemia and normal sexual function. Two weeks after beginning metformin therapy, he was diagnosed with erectile dysfunction after experiencing persistent difficulty achieving an erection. After discontinuation of metformin, his sexual function returned to normal. To determine whether sexual dysfunction is caused by metformin, we rechallenged the patient with metformin 500 mg BD. After 15 days, he became impotent again, confirming that metformin was the most likely cause of his sexual problem. Metformin was stopped, and his sexual function returned to normal after 3 weeks. The adverse reaction is ‘probable’ according to the World Health Organization–Uppsala Monitoring Centre.
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spelling doaj.art-e1382babfb2847498b52231a1af304d72023-05-01T16:48:27ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-207X1985-22742023-04-01182010.51866/cr.207Erectile dysfunction as a possible important side effect of metformin: A case reportMin Huang NguRosnani ZakariaMaryam Mohd ZulkifliRahiza Bt Ab RahmanMetformin-induced sexual dysfunction is rare in patients with diabetes mellitus. Herein, we present the case of a 57-year-old man newly diagnosed with type 2 diabetes mellitus who developed erectile dysfunction following treatment with metformin 500 mg BD. Prior to taking metformin, he had well-controlled hypertension, hyperlipidaemia and normal sexual function. Two weeks after beginning metformin therapy, he was diagnosed with erectile dysfunction after experiencing persistent difficulty achieving an erection. After discontinuation of metformin, his sexual function returned to normal. To determine whether sexual dysfunction is caused by metformin, we rechallenged the patient with metformin 500 mg BD. After 15 days, he became impotent again, confirming that metformin was the most likely cause of his sexual problem. Metformin was stopped, and his sexual function returned to normal after 3 weeks. The adverse reaction is ‘probable’ according to the World Health Organization–Uppsala Monitoring Centre.https://e-mfp.org/wp-content/uploads/18.20R1CRErectiledysfunctionapossibleimportant1.pdfmetforminerectile dysfunctiondiabetes mellitussexual dysfunction
spellingShingle Min Huang Ngu
Rosnani Zakaria
Maryam Mohd Zulkifli
Rahiza Bt Ab Rahman
Erectile dysfunction as a possible important side effect of metformin: A case report
Malaysian Family Physician
metformin
erectile dysfunction
diabetes mellitus
sexual dysfunction
title Erectile dysfunction as a possible important side effect of metformin: A case report
title_full Erectile dysfunction as a possible important side effect of metformin: A case report
title_fullStr Erectile dysfunction as a possible important side effect of metformin: A case report
title_full_unstemmed Erectile dysfunction as a possible important side effect of metformin: A case report
title_short Erectile dysfunction as a possible important side effect of metformin: A case report
title_sort erectile dysfunction as a possible important side effect of metformin a case report
topic metformin
erectile dysfunction
diabetes mellitus
sexual dysfunction
url https://e-mfp.org/wp-content/uploads/18.20R1CRErectiledysfunctionapossibleimportant1.pdf
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AT maryammohdzulkifli erectiledysfunctionasapossibleimportantsideeffectofmetforminacasereport
AT rahizabtabrahman erectiledysfunctionasapossibleimportantsideeffectofmetforminacasereport