A Candid Conversation About Men, Sexual Health, and Diabetes

Abstract

While the profound relationship between human sexuality and diabetes can affect quality of life for both men and women, male sexual health issues in the published literature have primarily focused on physical aspects of erectile dysfunction. The purpose of this article is to move this important discussion regarding aspects of human sexuality and diabetes further to consider the absence of and need for more male-focused research. Attention is given to define and discuss how male perceptions of control and masculinity shape male views on male sex roles. The author offers 4 published explanations to explain factors that influence whether men, regardless of age, nationality, or ethnic group, initiate help-seeking behaviors for sexual health concerns. These explanations can help health care professionals have candid, consistent, and nonjudgmental conversations with their patients and each other. This article concludes with strong recommendations that health care providers engage patients in timely conversations, jointly select and implement tailored treatment options, and, when necessary, link patients with social support systems to maximize improvements in both physical and psychological aspects of sexual health.

Chronic Disease and Depression Among Hispanic Americans

“…Understanding this process is all the more important as relevant literature demonstrates that masculinity and identity significantly influence men's health behaviors, such as care-seeking behavior, adherence to medication, and the establishment of new life skills (Courtenay, 2000;Gibbs, 2005;Jack, 2005;Jack et al, 2010). A particular focus on coping and empowerment strategies grounded in a masculinity-centered approach would be useful in redirecting a man's sense of control, empowering him to manage and control his illness.…”

Sexual dysfunction among women with diabetes mellitus in a diabetic center in Amol

“…[1213192425] In a study conducted by Enzlin et al ., 27 and 22% of diabetic women and men with sexual dysfunctions were suffering from type 1 diabetes. No significant association between gender and the type of sexual dysfunction has been observed, although in comparison to men, women with no physical complications due to diabetes complained more about the reduction of their sexual desire.…”

“…[7] Although diabetic disorders have been proven among diabetic men by plenty of researches,[891011] there are fewer studies regarding sexual dysfunction among diabetic women. [1112131415] Prevalence of sexual dysfunction is nearly 50% among diabetic men. However, it seems that it is lesser and varied among women with diabetes.…”

“…Even if there are many controversies in different reports,[121518] it seems that type 1 and 2 diabetes have different effects on the sexual functioning of women. [12131920] Based on other reports, this relationship includes decreased sexual arousal, vaginal lubrication, increased dyspareunia, and problems in orgasm phase, disorder in sexual indulgence, anxiety, sexual satisfaction, and vaginal infections as well. [5]…”

Sexuality Counseling: A Professional Specialization Comes of Age

“…There are also high rates of sexual dysfunction in individuals receiving antipsychotic medications (Dossenbach et al, 2005;Olfson, Uttaro, Carson, & Tafesse, 2005). Generally, sexual dysfunction rates increase with chronic illness, including diabetes and cardiovascular disease Jack, 2005;Jackson, Rosen, Kloner, & Kostis, 2006;West, Vinikoor, & Zolnoun, 2004). Cancer survivors and their partners are especially likely to experience compromised sexual functioning (Lagana et al, 2005;Navon & Morag, 2003).…”