Factors affecting sexual function in premenopausal age women with type 2 diabetes: a comprehensive study

Yencilek, Faruk; Attar, Rukset; Erol, Bülent; Narin, Raziye; Aydın, Hasan; Karateke, Ateş; Sarıca, Kemal

doi:10.1016/j.fertnstert.2009.10.060

Cited by 28 publications

(28 citation statements)

References 35 publications

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“…Published results of a few studies are not univocal. Some authors revealed that the presence of DM was an important risk factor for sexual dysfunctions [4–6], whereas other works did not prove any correlation [2,3,7–11]. Furthermore, most studies showed differences in sexual functioning between females with type 1 and type 2 DM, generally demonstrating a greater effect of DM type 2 on sexual health [2,5,6,9,11–23].…”

Section: Introductionmentioning

confidence: 98%

Mediators of Sexual Functions in Women with Diabetes

Nowosielski

Skrzypulec‐Plinta

2011

The Journal of Sexual Medicine

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Introduction Sexual disorders in women with diabetes mellitus (DM) may not necessarily have only the biological etiology. Aims To establish the mediators of sexual functions in the population of women with DM. Methods Five hundred seventeen females, aged 18–55 years old, were included in a questionnaire-based, cross-sectional study. This is the second part of the study on sexual functions in females with DM where only females with DM (n = 242) were analyzed. Sexual functions were compared between women with type 1 (n = 109) and type 2 DM (N = 133). Main Outcome Measures To assess reported female sexual functions by using the Female Sexual Function Index (FSFI) in women with type 1 and type 2 DM. To establish the risk factors of female sexual dysfunction (FSD) in women with DM by using multivariate logistic regression model. Results Sexual dysfunction was diagnosed in 32.65% (n = 64) of women with DM. Women with type 2 DM had a significantly lower number of points scored in all FSFI domains except pain compared to type 1 respondents. The only variables associated with DM significantly influencing sexual functioning were: type 2 diabetes in desire, arousal, as well as in global FSD (odds ratio [OR] = 1.40; 2.70 and 3.31, respectively), the presence of retinopathy in lubrication (OR = 7.8), and treatment with insulin in satisfaction domain (OR = 0.29). Neither the presence of comorbidities, the duration of diabetes, the presence of diabetes complications nor the glycemic control was a moderator of FSD. The strongest significant predictors of FSD were: the presence of depressive symptoms, the importance of sex to the respondent, and satisfaction with the partner as a lover. Conclusions Women with DM, especially type 2, are at risk of sexual dysfunctions. Diabetes-related factors have little impact on sexual functions in women with DM. Depressive symptoms, partner-related factors, and individual perception of sexuality should be evaluated when counseling females with DM.

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Section: Introductionmentioning

confidence: 98%

Mediators of Sexual Functions in Women with Diabetes

Nowosielski

Skrzypulec‐Plinta

2011

The Journal of Sexual Medicine

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“…The prevalence of low sexual activity and low sexual desire was much higher in diabetic women compared to those without diabetes; diabetic women have previously been reported to meet FSFI dysfunction criteria compared to women without diabetes 14, 15, 27 . High waist circumference was associated with low sexual activity.…”

Section: Discussionmentioning

confidence: 85%

“…Two cross-sectional studies 4, 14 and one case control study 15 reported more sexual dysfunction in women with diabetes, however, another study reported similar prevalence 16 . Among premenopausal women with type 1 diabetes who met a cut point for female sexual dysfunction, BMI, number of children, anxiety, social dysfunction, and depression were significant correlates of sexual dysfunction 17 .…”

Section: Introductionmentioning

confidence: 94%

Metabolic Syndrome and Sexual Function in Postmenopausal Women

Trompeter

Bettencourt

Barrett‐Connor

2016

The American Journal of Medicine

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BACKGROUND Limited literature suggests sexual dysfunction in women covaries with the metabolic syndrome. This study examined the association of sexual function with metabolic syndrome and cardiovascular disease in healthy older women. METHODS 376 postmenopausal, community-dwelling women from the Rancho Bernardo Study (mean baseline age = 73) completed a clinic visit during 1999 – 2002 and returned the Female Sexual Function Index (FSFI) questionnaire mailed in 2002. RESULTS 39% reported being sexually active; 41.5 % met a diagnosis of metabolic syndrome. The number of metabolic syndrome components was strongly associated with decreased sexual activity, desire, and low sexual satisfaction. Waist girth, diabetes, and hypertension were associated with decreased sexual activity. Elevated triglycerides were associated with low desire. Among the cardiovascular endpoints, heart attack, coronary artery bypass, and angina were associated with decreased sexual activity, but not with sexual desire or satisfaction. Past diagnosis of heart failure, poor circulation, and stroke were not associated with sexual function. Sexually active women with metabolic syndrome met criteria for sexual dysfunction in desire, arousal, orgasm, and satisfaction domains. The FSFI Total Score did not differ significantly between sexually active and inactive women. CONCLUSIONS Metabolic syndrome was associated with decreased sexual activity, desire, and satisfaction in all women and with sexual dysfunction in most domains in sexually active women. Coronary artery disease was more prevalent in women with low sexual activity.

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“…Sexual dysfunction was observed in most studies including women with type 2 diabetes [7][8][9][10], in whom the relative risk of sexual dysfunction is estimated at 2.29 [11]. Moreover, most [12][13][14], but not all [15], studies revealed that the prevalence of sexual dysfunction was higher in women with metabolic syndrome than age-matched healthy controls.…”

Section: Introductionmentioning

confidence: 99%

Funkcjonowanie seksualne i objawy depresyjne u kobiet z różnymi typami stanu przedcukrzycowego — badanie pilotażowe

Krysiak

Drosdzol–Cop

Skrzypulec-Plinta

2018

Endokrynologia Polska

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Introduction: No previous study has investigated sexual functioning in prediabetic women. This study was aimed at investigating sexual function in young women with various types of prediabetes. Material and methods:The study included four groups of women: women with isolated impaired fasting glucose (Group A; n = 19), isolated impaired glucose tolerance (Group B; n = 18), presence of both impaired fasting glucose and impaired glucose tolerance (Group C; n = 18), as well as matched healthy controls (Group D; n = 19). All participants completed questionnaires evaluating sexual function (Female Sexual Function Index -FSFI) and the presence and severity of depressive symptoms (Beck Depression Inventory-Second Edition -BDI-II). Results:The total FSFI and BDI-II scores were lower in Group C than in the remaining groups of women, while the total FSFI score was lower in Groups A and B than in Group D. Patients with both impaired fasting glucose and impaired glucose tolerance had lower scores in all domains (sexual desire, arousal, lubrication, orgasm, sexual satisfaction, and dyspareunia). Compared to Group D, Group A was characterised by lower domain scores for sexual desire and sexual satisfaction, and Group B by lower domain scores for desire, arousal, and orgasm. In all groups of prediabetic women, the overall FSFI score correlated negatively with the degree of insulin resistance and weakly with the total BDI-II score. Conclusions: Impaired fasting glucose and impaired glucose tolerance may disturb sexual functioning and induce depressive symptoms.

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Factors affecting sexual function in premenopausal age women with type 2 diabetes: a comprehensive study

Cited by 28 publications

References 35 publications

Mediators of Sexual Functions in Women with Diabetes

Mediators of Sexual Functions in Women with Diabetes

Metabolic Syndrome and Sexual Function in Postmenopausal Women

Funkcjonowanie seksualne i objawy depresyjne u kobiet z różnymi typami stanu przedcukrzycowego — badanie pilotażowe

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