Erectile dysfunction (ED) you’ve been experiencing could be related to both your diabetes and some of your medications. Diabetes can cause nerve and blood vessel damage that affects erectile function, and high blood pressure or its treatments may also contribute.

1. Causes of Erectile Dysfunction (ED) in Your Context

   • Type 2 diabetes often leads to nerve and blood vessel damage, which can impair blood flow necessary for an erection.
   • High blood pressure itself and medications like Olmesartan (an angiotensin receptor blocker) and Metoprolol (a beta-blocker) can sometimes worsen ED by affecting blood flow or nerve signals.
   • Aspirin (Ecosprin) is generally less likely to cause ED.

2. Medication-Related Effects

   • Sitagliptin and Metformin (in Janumet) typically do not cause sexual dysfunction and are less likely to be the cause of your ED.
   • Olmesartan and Metoprolol have been associated with ED in some cases, so they might be contributing factors.

3. What You Can Do About It

   • Discuss your symptoms openly with your endocrinologist or primary care doctor to evaluate and possibly adjust your medications safely.
   • Improving blood sugar control, regular exercise, and a healthy diet can help improve erectile function.
   • Your doctor may consider prescribing ED treatments such as phosphodiesterase type 5 inhibitors if appropriate.

4. Relevant Medical Specialties and Tests

   • Seeing an endocrinologist for diabetes management and a urologist for ED evaluation is advisable.
   • Tests might include cardiovascular assessment and hormone level checks to identify underlying causes.

5. Reassurance and Next Steps

   • ED is common in people with diabetes and hypertension, and effective treatments are available.
   • Early consultation with your doctors can help improve your quality of life and address this issue safely.

If you want, I can explain more about specific ED treatments or lifestyle changes. Please consult your endocrinologist or urologist for personalized care.