Recognising female sexual dysfunction as an essential aspect of effective diabetes care

Phillips, Anne; Phillips, Stephen

doi:10.1016/j.apnr.2015.04.007

Cited by 11 publications

(8 citation statements)

References 32 publications

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“…Some observational studies have shown an association between poor glycemic control, expressed by elevated levels of glycated hemoglobin (HbA1c), and ED, whereas other studies did not report any association [9]. The different methodological approaches used in the different studies may explain, at least in part, these divergent results [10]. Moreover, diabetes is commonly associated with hypertension, hyperlipidemia, overweight and obesity, metabolic syndrome, smoking, sedentary lifestyles, and autonomic neuropathy, which are recognized as risk factors for ED.…”

Section: Literature Reviewmentioning

confidence: 99%

Untitled

2022

IJCMER.

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The main objective of this study was to investigate the prevalence of sexual disorders in diabetics, owing to diabetes constitutes a growing public health problem, leading to a variety of dysfunctions such as cardiovascular, psychological, and sexual dysfunctions, that is why Diabetes is a well-known cause of sexual disorders, with prevalence rates approaching 50% in both type 1 and type 2 diabetes, but the determinants of sex dysfunction in diabetic men as a result of the principal cardiovascular risk factors, such as hypertension, and also overweight obesity, in addition to metabolic syndrome, smoking, and sedentary lifestyles. Moreover, sexual disorders considered as important predictors of the development of major complaints in diabetic patients, on the other hand, the debate as to whether diabetes link with sexual dysfunction or not, is an issue of controversy, moreover, diabetic women suffer from the same neurovascular complications that contribute to the pathogenesis of SD in men, however, results of sexual functioning of diabetic women are less conclusive. Conclusion: extending beyond the specific effects on sexual dysfunction in men and women with diabetes, the adoption of these measures promotes a healthier life and increased well-being, which in turn, may help to reduce the burden of sexual dysfunction.

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Section: Literature Reviewmentioning

confidence: 99%

Untitled

2022

IJCMER.

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“…A woman and her partner can be referred to an experienced sexual relationship therapist, who uses techniques such as the Cognitive Behavioural Therapy and Sensate Focusing, helping couples to learn sensual tactile techniques, in order to try to decrease possible tension and improve performance, thus helping them to overcome the existing sexual problems [25]. These psychological approaches can be helpful, although cultural and religious preferences should be taken into account when suggesting them [26]. Other therapeutic options include the usage of vaginal lubricants, clitoral engorgement devices and various potentially useful medications (flibanserin, testosterone, bupropion, sildenafil etc.)…”

Section: Diagnostic and Treatment Approachesmentioning

confidence: 99%

The sexual dysfunction in females with type 1 diabetes: Still an underestimated issue?

Popovic¹,

Majić²,

Prodanovic-Simeunovic³

2019

Diabetes Updates

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Sexuality is a significant part of female life and is under the impact of various life events, factors related to reproduction, relationships and socio-cultural specifics, but is also affected by different chronic medical conditions and related treatments. Physiologically, women`s sexual functioning consists of desire, arousal, plateau, orgasm and resolution. Female sexual dysfunction (FSD) is a highly prevalent, age-related and progressive problem. It has multiple causes and dimensions including biological, psychological and interpersonal elements. Several disorders, encompassing issues with sexual desire and arousal, orgasm malfunctioning and sexual pain, can be differentiated within the FSD entity. Diabetes is considered to be a major cause of the impaired sexual function. Although women with diabetes have even frequency of cardiovascular and neurological complications as males, FSD has been paid rather less attention in research than the sexual dysfunction in men with diabetes, particularly exclusive in females with type 1 diabetes mellitus (T1DM). Usually, FSD is more related to the psychosocial issues, especially depression, than to cardiovascular, metabolic and other traditional risk factors, which are more characteristic for men. The sexual difficulties among T1DM women require much more attention. Their regular annual in-depth evaluation should routinely include queries regarding the presence of depressive symptoms and their sexual functioning.

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“…Changes in structures within the genitourinary system due to vascular and neuropathic damage may lead to decreased hydration of the vaginal membrane causing dyspareunia and impede sexual response and arousal. 7,8 It has also been identified that psychological factors, diabetes medications and comorbidities may exacerbate SD in women with Type 1 diabetes. 9 Women affected by Type 1 diabetes are mainly young women who are relatively free of age-related complications, and therefore, SD could have a major impact on their quality of life with the reoccurrence of sexual disappointment and emotional discomfort.…”

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confidence: 99%

Sexual dysfunction, an invisible complication of diabetes – an exploratory study of the experiences of premenopausal women with Type 1 diabetes

Hashim¹,

Forbes

2022

idn

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Background: Survey data suggest that women with Type 1 diabetes mellitus have a higher prevalence of sexual dysfunction (SD) compared with women with Type 2 diabetes or without diabetes. However, little is known about how women with Type 1 diabetes experience SD or its impact on their lives. This exploratory study sought to elicit women with Type 1 diabetes’s experiences of SD and identify their ideas on how SD could be better addressed in diabetes care. Method: A qualitative study using semi-structured interviews was conducted at a diabetes centre in South West of England hospital. A purposeful sample of six women with Type 1 diabetes (<50 years of age) and experience of SD were interviewed. The interviews lasted 20–30 min and were analysed using Interpretive Phenomenological Analysis. Findings: The study identified four superordinate themes: barriers to sex, impact of SD, personal support and ideas for improving support with SD. The majority of the themes were underpinned by diabetes specific factor such as hypoglycaemia, body image and diabetes management (technology and glucose regulation). This study found that women’s perspectives on their sexual identities and behaviours were mediated by emotional and interpersonal issues. This study also highlighted the lack of support provided by healthcare professionals (HCPs) in addressing SD. Conclusion: The findings indicate that SD is a complex issue that needs to be given more attention by HCPs, so that the women can approach sex positively in their lives. HCPs need to be enabled to initiate conversations around SD in their consultations.

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Recognising female sexual dysfunction as an essential aspect of effective diabetes care

Cited by 11 publications

References 32 publications

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Untitled

The sexual dysfunction in females with type 1 diabetes: Still an underestimated issue?

Sexual dysfunction, an invisible complication of diabetes – an exploratory study of the experiences of premenopausal women with Type 1 diabetes

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