Evaluation of sexual dysfunction in women with type 2 diabetes

Abstract

Background:Sexual dysfunction is a common complication of diabetes that adversely affects their quality of life. Its prevalence is known to be higher in diabetic men with and it is estimated to affect 20-85% of patients but the problem is probably less common in diabetic women. This study investigated the prevalence of sexual dysfunction and its risk factors among women with diabetes.Materials and Methods:This descriptive-analytic study was performed during May 2012 to Feb 2013 at Diabetes clinic of Shahid Beheshti Hospital of Qom and The Female Sexual Function Index (FSFI) was used for evaluation of sexual dysfunction.Conclusion:In this study, 59 (53.6%) women had sexual dysfunction. The mean age of patients with sexual dysfunction and healthy people was 48.22 ± 6.61 and 48.14 ± 5.37 years respectively and it was not statistically different in both groups (P = 0.94). Also, there was no significant difference between two groups in average duration of diabetes, fasting blood sugar (FBS), glycosylated hemoglobin (HbA1c) level, insulin resistance, abdominal circumference and body mass index BMI. Although the history of hypertension, coronary artery disease and exercise levels were not significantly associated with sexual dysfunction, but there was a significant association between albuminuria and sexual dysfunction (P = 0.001). Retinopathy and sexual dysfunction had statistically significant relationship (P = 0.007) while no association was found between diabetic neuropathy and sexual dysfunction (P = 0.79).Results:Sexual dysfunction is a common complication in diabetic patients which accompanies with some complications of diabetes and should be considered especially in patients with nephropathy or retinopathy.

The Impact of Metabolic Syndrome and Its Components on Female Sexual Dysfunction: A Narrative Mini-Review

“…Only 9 studies looked specifically at MS [2,25,26,27,28,29,30,31,32]. The remaining included data about components of MS [2,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58]. …”

“…Total 35 studies met the inclusion criteria (Table 1, 2) [2,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58]. Sixteen studies were classified as case-control studies [2,28,29,32,37,38,39,41,42,44,47,49,51,52,54,57] and the rest as observational/cross-sectional studies.…”

“…Similarly diabetes mellitus and diabetes medications were associated with FSD, specifically lubrication and orgasm disorders, induced by vascular changes in the pelvis and neuropathic alterations in genital arousal, directly related to glycemic control and duration of diabetes [43,44,45,46,47,48,49,50,51,52,53]. …”

The Relation of Diabetes Type 2 with Sexual Function among Reproductive Age Women in Iran, a Case-Control Study

“…Results showed that 53.6% of women had sexual dysfunction and there was a significant relation between albuminuria and sexual dysfunction ( p = 0.001) and also retinopathy and sexual dysfunction ( p = 0.007) [12]. …”

Sexual Dysfunction in Males and Females with Type 2 Diabetes Referring to Healthcare Centers of Zarand, Kerman: A Cross-Sectional Study

“…Vafaeimanesh et al presented significant correlations between sexual dysfunctions and retinopathy and nephropathy. They suggested that chronic problems, such as retinopathy and nephropathy can be considered as risk factors for sexual dysfunction (21,29).…”