Impact of Pilates Exercises on Diabetic Erectile Dysfunction.
Erectile dysfunction (ED) has a prevalence of 52.5% in diabetic male patients, as described in a meta-analysis of 145 studies, including 88,577 men with type 1 and type 2 diabetes. In men, ED can cause sexual dissatisfaction and distress, unsatisfactory relationships, and marital tension
• Men aged 40-60 years.
• Diagnosed diabetes mellitus (type 2) ≥ 1 year.
• Clinical diagnosis of erectile dysfunction for ≥ 6 months, confirmed by IIEF5 score.
• Stable antidiabetic medications for ≥ 3 months prior to randomization.
• HbA1c between 6.5% and 10.0%.
• Sexually active or attempting sexual activity at least occasionally (at least once monthly) and willing to attempt intercourse during study.
• Able and willing to participate in the exercise program (physically capable and available for scheduled sessions) and provide written informed consent.