<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi,sir, i am a 53 year old person having alcoholic attitude and is a patient of diabetes by last 5 year normally maintained with medicine like glizid M. My problem is that i have no any erection even i used to see x movies to get erection but failed. would u like to advice me sir.  <response>: HelloThanks for query. You are known to have severe diabetes and chronic alcoholic since many years facing problem of loss of libido and erectile dysfunction since a couple of years. This is due to following reasons 1 Uncontrolled diabetes resulting into Diabetic Neuritis which involves nerve involved in process of erection 2 Diabetic vasculitis causing loss of elasticity of arterioles in erectile tissue of penis .3 Diabetic atherosclerosis causing narrowing of blood vessels Penile Artery carried oxygenated blood to erectile tissue resulting in to reduced blood flow to erectile tissue. Consult qualified Urologist for clinical evaluation and get following basic tests done to establish cause of your ED 1 Blood tests for sugar to see status of Diabetes2 Blood Tests for Free and Total Serum Testosterone levels 2 Color Doppler Ultrasound Scanning of penis to rule out confirm vasculogenic cause for your ED, Further treatment will depend upon results of these tests and cause of your ED. Chat Doctor. 