Sexual Dysfunction in Women With Type 1 Diabetes

Abstract

OBJECTIVE -This study aimed to investigate the prevalence and risk factors associated with sexual dysfunction in a well-characterized cohort of women with type 1 diabetes.RESEARCH DESIGN AND METHODS -The study was conducted in women enrolled in the long-term Epidemiology of Diabetes Interventions and Complications (EDIC) study, a North American study of men and women with type 1 diabetes. At year 10 of the EDIC study, 652 female participants were invited to complete a validated self-report measure of sexual function, standardized history and physical examinations, laboratory testing, and mood assessment.RESULTS -Of the sexually active women with type 1 diabetes in the EDIC study, 35% met criteria for female sexual dysfunction (FSD). Women with FSD reported loss of libido (57%); problems with orgasm (51%), lubrication (47%), and arousal (38%); and pain (21%). Univariate analyses revealed a positive association between FSD and age (P ϭ 0.0041), marital status (P ϭ 0.0016), menopausal status (P ϭ 0.0019), microvasculopathy (P ϭ 0.0092), and depression (P ϭ 0.0022). However, in a multivariate analysis, only depression (P ϭ 0.004) and marital status (P ϭ 0.003) were significant predictors of FSD.CONCLUSIONS -FSD is common in women with type 1 diabetes and affects all aspects of sexual function and satisfaction. Depression is the major predictor of sexual dysfunction in women with type 1 diabetes. These findings suggest that women with type 1 diabetes should be routinely queried about the presence of sexual dysfunction and possible co-association with depression. Diabetes Care 32:780-785, 2009

Evaluation of the effect of obesity on self-respect and sexuality in women

“…20 Esposito ve arkadaşları 150 diyabetli kadın hastayla yaptık-ları bir çalışmada, cinsel memnuniyetsizliği %53.4 oranında bulmuşlardır. 21 Enzlin ve arkadaşları 652 diyabetli kadınla 10 yıllık uzun dönemli bir çalışma yapmıştır. Çalışmada diyabetli kadınlarda cinsel memnuniyet düzeyini etkileyen libido kaybı (%57), orgazm olamama (%51), yetersiz lubrikasyon (%47), cinsel istekte azalma (%38) ve ilişki sırasında ağrı (%21) saptanmıştır.…”

A Descriptive Epidemiology of Sexual Behavior and Interest in Older Adults with Diabetes

“…People with diabetes, however, did not match this pattern. In fact, as studies of European samples have noted [1,3,6], people with diabetes -whether isolated or comorbid -were having substantially less sexual activity than their peers with both other conditions and no conditions.…”

“…Although most research concerning relationships between diabetes and sexuality focuses almost entirely on medical and/or clinical dynamics [1], the variables available in the NSHAP also allowed us to look into some of the socio-demographic patterns in our respondents' experiences. People who identify as female appear to be lacking sexual engagement despite continuing sexual desire, which may be the result of gendered double standards concerning bodies and sexual desirability noted in other studies of gender and chronic health conditions [10].…”

“…In recent years, studies exploring the experience of diabetes [1] and later life sexuality [2] have begun to gain prominence in both medical and social science fields. In Europe, for example, researchers have demonstrated significant relationships between diabetes conditions and frequency of sexual activity in middle and later life [3].…”

Сучасні Погляди На алгоритм Ведення Пацієнтів З цукровим Діабетом Та еректильною Дисфункцією

“…Крім того, хворі на ЦД 2-го типу зазви-чай нечасто повідомляють про ЕД, оскільки вважають її нормальним проявом процесу старіння [14]. Також відзначається недостатньо активне розпитування па-цієнтів з боку лікарів, попри те, що ці розлади доволі поширені серед хворих на ЦД [7,[20][21][22].…”