Is Sexual Dysfunction Associated with Diabetes Control and Related Factors in Women with Diabetes?

Sexuality and Disability (Impact Factor: 0.72). 09/2011; 29(3):251-261. DOI: 10.1007/s11195-011-9209-5


This study was performed to evaluate the sexual dysfunction (SD) in women with diabetes and to correlate SD with the factors
related to diabetes and its control. The study was conducted in 310 non-pregnant women with diabetes, 19years and over. Socio-demographic
characteristics and other factors related to diabetes were evaluated using Participant Information Form. The Arizona Sexual
Experience Scale was used to evaluate sexual function. Rate of SD was found as 46.7%. SD was frequent in sexual desire(36.8%),
satisfaction from orgasm(25.5%) and orgasm(24.8%). Type of diabetes and treatment, blood pressure, cholesterol levels, BMI
were not associated with SD (P>0.05). SD increased with age, HbA1c, high number of diabetic complications and poor education (P<0.05). An one unit increase in HbA1c value caused 19.1% of dysfunction increase on sexual dysfunction, 23.2% on drive, 20.7% on satisfaction from orgasm and 17.5%
on orgasm(P<0.05). Increasing HbA1c, number of diabetic complications and low literacy should be considered as risk factors of SD and evaluated in routine clinical
care of women with diabetes.


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    • "LUTS are also commonly accompanied by symptoms related to sexual intercourse. In studies investigating how women were affected by DM with respect to sexuality, it was reported that a high rate of HbA1c, diabetic complications (Ozcan et al., 2011) and particularly the use of insulin as a treatment regime in DM (Copeland et al., 2012), lead to a decrease in sexual desire, lubrication and orgasm. In addition to DM, urinary tract symptoms and UI may also give rise to sexual dysfunction in women (Salonia et al., 2004). "
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    ABSTRACT: Determination of lower urinary tract symptoms (LUTS) in diabetic women with and without urinary incontinence (UI) and its related factors is significant to define essential measures associated with prevention. The aim of this study is to compare the features of diabetes mellitus (DM) in diabetic women with and without UI, and to investigate LUTS and its related factors. Applying to the Diabetes Department of Istanbul Medical Faculty, Istanbul University (IMFIU) between May and December 2011, 77 diabetic women with the complaint of UI and 88 diabetic continent women were enrolled into the descriptive study. Data were collected via a questionnaire defining socio-demographic and clinical features, and The Bristol Female Lower Urinary Tract Symptoms (BFLUTS-SF) after obtaining an approval from the ethical board of the institution. It was found that diabetic continent women and those with UI showed no statistically significant difference regarding age, BMI and duration of DM (p > 0·05). Among women with UI, levels of fasting blood glucose and HbA1c were significantly higher (p < 0·05). The total BFLUTS-SF and subscale scores of women with UI were significantly higher than continent women (p < 0·05). A significant correlation was determined between total BFLUTS-SF score, and fasting blood glucose (r = 0·185), BMI (r = 0·192), HbA1c (r = 0·245), complaint of vaginal itching (r = 0·629) and exposure to frequent vaginal infections (r = 0·701; p < 0·05). It was found that increased HbA1c was effective on total BFLUTS-SF. Consequently, diabetic women with UI show high rates of fasting blood glucose and HbA1c, compared to diabetic women without UI. Therefore, diabetic women should meticulously be followed and evaluated in terms of LUTS by health care professionals.
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    ABSTRACT: The aim of this paper is to explore the potential value of questionnaires in routine clinical practice to assess female sexual dysfunction (FSD), and to identify if this could increase the competence of a physician in the initial management of women with these problems. The rationale to encourage Health Care Professionals (HCPs) to engage women in dialogue about their sexual health is that it may enhance a woman's quality of life (which may lead to improved general health) and might lead to timely interventions and possible preventative measures for certain diseases. A short literature review of the most relevant publications was undertaken evaluating current practice. FSD can have a negative impact on women's well-being and can also be an early symptom of underlying disease. Many HCPs do not broach the subject, consequently women do not get the opportunity either to voice their sexual concerns or access appropriate services. Review of currently available FSD questionnaires suggests that many but not all are generally inappropriate for use in routine clinical practice. Kriston et al.'s STEFFI-2 may be an appropriate starting point. Evidence suggests that this would facilitate discussion of sexual matters between the HCP and the women, and increase the likelihood of FSD being diagnosed. Following this review of the literature, the authors strongly recommend that HCPs include FSD questionnaires as part of their routine engagement with women. However, the questionnaire would need to be used as part of the overall assessment and cannot replace a detailed case history and examination, which should lead to effective treatment and management of FSD. The authors recommend further research in the following areas: • Effective training for HCPs. • FSD as an early presentation of sub-clinical disease. • The cost-benefit of early treatment of FSD. • A standardised, validated FSD screening tool. • Benefits of using FSD screener in routine clinical practice.
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