Cursed by Diabetes: The shadow of erectile dysfunction and its impact on male well-being

Diabetes, with a prevalence of 18.3% in Malaysia in 2019, is significantly linked to Erectile Dysfunction (ED) in males. This systematic review followed PRISMA guidelines, analysing literature from 2018 to 2024. Study quality was appraised using the Joanna Briggs Institute checklist, covering a combined sample size of 3,928 diabetic males. Of 172 articles screened, 11 met the inclusion criteria. ED prevalence ranged from 28.1% to 94.7%, influenced by age, education, glycaemic control, and complications. ED profoundly impacts Quality of Life (QoL), including self-esteem and relationships. The review underscores the need for comprehensive care and localized research to address diabetes-related sexual health challenges in Malaysia.