Sexual Dysfunction in Diabetic Females

Kolodny, Robert C.

doi:10.2337/diab.20.8.557

Cited by 150 publications

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“…Orgasmic dysfunction was more prevalent in older diabetic women in comparison with their nondiabetic counterparts. Kolodny reported a higher frequency of orgasmic dysfunction in diabetic women than in hospitalized women for various reasons (5). There was no significant difference in the occurrence of dyspareunia between diabetic and nondiabetic women (P ϭ 0.221).…”

Section: Prevalence and Types Of Fsdmentioning

confidence: 86%

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Sexual Dysfunction in Jordanian Diabetic Women

Ali¹,

Hajeri²,

Khader³

et al. 2008

Diabetes Care

114

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OBJECTIVE -To estimate the prevalence of female sexual dysfunction (FSD) in diabetic and nondiabetic Jordanian women.RESEARCH DESIGN AND METHODS -Data were collected from 1,137 married women using the Arabic translation of the Female Sexual Function Index questionnaire.RESULTS -Prevalence of sexual dysfunction in diabetic women 50 years of age or older was 59.6 vs. 45.6% in nondiabetic women (P ϭ 0.003). Diabetic women had more dysfunction of desire, arousal, lubrication, and orgasm than nondiabetic women. Glycemic control, smoking, dyslipidemia, hypertension, autonomic neuropathy, and peripheral neuropathy did not have a significant effect on FSD. Age, BMI, duration of diabetes, and the presence of coronary artery disease, nephropathy, and retinopathy had negative effects on FSD.CONCLUSIONS -Prevalence of FSD among Jordanian women was found to be significantly higher in diabetic compared with nondiabetic women. Diabetes Care 31:1580-1581, 2008F emale sexual dysfunction (FSD) is a common problem, affecting 30 -78% of women (1). The prevalence in diabetic women is estimated to be 20 -80% (2). In Arab countries, there has only been one report that addresses this issue (1). Islam, the religion of the vast majority of Arab countries, is a very open religion regarding sexual relations, but tribal and social attitudes toward sex are widely different and sometimes reach the level of taboo. In Jordan, talking about sex openly is not easy. However, when talking about sex in a professional setting, women are very self-aware (3).FSD is defined as disorders of libido, arousal, orgasm, and sexual pain that lead to personal distress or interpersonal difficulties. It is multifactorial in etiology with physiological and psychological roots (4). In the 1950s, sexual dysfunction in diabetic men caught attention, but sexual dysfunction in women remained entirely neglected until Kolodny's article in 1971 (5).Diabetic women are prone to experience decreased sexual desire, dyspareunia, decreased sexual arousal, and inadequate lubrication (8). There are few studies of sexual dysfunction in normal and diabetic women in Arab countries, and Jordan is no exception. The purpose of this study was to address this issue in Jordan. RESEARCH DESIGN AND METHODS -Between October 2006and August 2007, 1,137 married women were studied at the National Center for Diabetes, Endocrinology and Genetics (NCDEG) in Amman, Jordan. Women were grouped into a diabetic married group (n ϭ 613) and a nondiabetic married group (n ϭ 524). Diabetic women were those attending the Diabetes and Endocrinology clinics at the NCDEG, and nondiabetic women were their female companions and health workers at the center. Divorced, widowed, seriously ill, pregnant, or lactating women and those on contraceptive pills were excluded. The study was approved by the ethics committee at the NCDEG. All women were invited to attend a face-to-face interview with one of our female authors. Privacy and confidentiality were assured. The structured interviews were based on the19-item Female ...

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Section: Prevalence and Types Of Fsdmentioning

confidence: 86%

“…It is multifactorial in etiology with physiological and psychological roots (4). In the 1950s, sexual dysfunction in diabetic men caught attention, but sexual dysfunction in women remained entirely neglected until Kolodny's article in 1971 (5).…”

mentioning

confidence: 99%

Sexual Dysfunction in Jordanian Diabetic Women

Ali¹,

Hajeri²,

Khader³

et al. 2008

Diabetes Care

114

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“…Transient erectile dysfunction may be a problem at times of poor glycaemic control, and retrograde ejaculation and ejaculatory failure may also occur. In women, orgasmic dysfunction and reduced vaginal lubrication have been reported (Kolodny, 1971;Jensen, 1981).…”

Section: Psychosexual Problemsmentioning

confidence: 99%

Psychiatric aspects of diabetes mellitus

Trigwell¹,

Peveler²

1998

Adv. psychiatr. treat

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In 1899, Maudsley wrote:“Diabetes is a disease which often shows itself in families in which insanity prevails: whether one disease predisposes in any way to the other or not, or whether they are independent outcomes of a common neurosis, they are certainly found to run side by side, or alternately with one another more often than can be accounted for by accidental coincidence or sequence”.Recent research confirms that a range of psychological problems and psychiatric disorders are common in people with diabetes. Such problems are important not only because of the suffering caused, but also because of their impact upon the management and outcome of the diabetes itself. This article reviews the psychosocial impact of diabetes and its treatment, describes the range of psychological problems and psychiatric disorders which commonly occur in people with diabetes, and outlines the role of the psychiatrist in the recognition and management of these clinical problems.

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“…The few studies published of female diabetic sexual response have come to different conclusions; only two involved control groups. Kolodny [4] reported a reduction in orgasm in diabetic women compared with control subjects whereas Jensen [5] found only minor differences. Other evidence from uncontrolled studies has been reported both for [6,7] and against [8] an increased incidence of sexual problems in diabetic women.…”

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confidence: 98%

Sexual responsiveness in diabetic women

et al. 1983

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Summary. Sexual responsiveness in 82 Type 1 (insulin-dependent) diabetic women was compared with that of 47 normal control subjects, using an interview method for rating various aspects of sexual response, and attitude questionnaires. The diabetic women were questioned about symptoms of autonomic neuropathy, and cardiovascular autonomic nerve function tests were performed. There were differences between the two groups in the reports of vaginal lubrication, but in most other respects the groups were similar. The diabetic women were not less orgasmic, and reported significantly fewer unpleasant feelings during sexual intercourse. They saw themselves and their husbands as less 'potent' than did the normal subjects. The possible enhancing effect of diabetes on the marriage of some diabetic women possibly counteracted the relatively mild physiological deficits involved. There was very little difference in sexual response between women with and without symptomatic autonomic neuropathy.Key words: Type 1 diabetes, sexual function, women, autonomic neuropathy.The association between diabetes and impotence in men is now well documented [1], The reported prevalence varies between 27% and 59%, increases with age and duration of diabetes and is related to the presence of autonomic neuropathy and retinopathy [1,2]. Many diabetic men have difficulty with erection, but they do not lose the capacity for orgasm and any loss of interest in sex is more likely to be a psychological reaction to their impotence [3].By contrast, the sexual responses of diabetic women have received scant attention. This may be part of a more general tendency to ignore the sexual implications of physical illness in women [2]. The few studies published of female diabetic sexual response have come to different conclusions; only two involved control groups. Kolodny [4] reported a reduction in orgasm in diabetic women compared with control subjects whereas Jensen [5] found only minor differences. Other evidence from uncontrolled studies has been reported both for [6,7] and against [8] an increased incidence of sexual problems in diabetic women. Ellenberg [8] found no difference in incidence of sexual problems between women with and without clinical evidence of autonomic neuropathy, but none of these studies has involved formal autonomic nerve function tests.We report a detailed investigation of sexual and autonomic nerve function in a group of insulin-dependent diabetic women with varying duration of diabetes and a comparison of their sexual function with that of a group of 'normal' control subjects. Subjects and Methods SubjectsOne hundred and four Type 1 female diabetic patients (aged 18 to 45 years) who were regular attenders at the Diabetic Department of the Royal Infirmary, Edinburgh, were invited to take part in the study. They were all married or co-habiting for at least 1 year and living with their partners. Initially all patients fulfulling these criteria were considered for the study, but as the interviews were difficult to arrange when patients l...

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Sexual Dysfunction in Diabetic Females

Cited by 150 publications

References 0 publications

Sexual Dysfunction in Jordanian Diabetic Women

Sexual Dysfunction in Jordanian Diabetic Women

Psychiatric aspects of diabetes mellitus

Sexual responsiveness in diabetic women

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