<s>[INST] I have diabetes and I m 57 , for years I have used everything possible for ED. My last resort was edex shots And does not work any more ( dead in the water ). My doctor said the only fix is penile implant Operation. Tried to go through the insurance and they denied it because they said it was not a necessary and I can not afford the operation. I have no idea what to do. Do you have any suggestions? [/INST] Hello, In case of diabetes and with the age of 57 years, the penile erection may not be as good as it should be. If the condition is associated with some functional elements, I would advise you to try some exercise, stop worrying, stay away from stress, anxiety and depression because erection taking place in brain. Have enough of sleep, alcohol, smoking should be avoided along with stress because these are the causative factors can cause the ED, do not go for anything like implantation and medicines. Hope I have answered your query. Let me know if I can assist you further. </s>