Sexual Dysfunction Prevalence in Women with Type 2 Diabetes Mellitus

Alireza Shafiee Kandjani, Mohammad Reza Hosseinpour, Hossein Daneshamooz, Habib Shoja, Leila Nikniaz

Abstract


Background: Sexual dysfuntion is a common complication of diabetes and its psychiatric and physical affects may obligate a huge burden compromising patients’ matrimonial, inter-personal and marital relationships. Current study is aimed to evaluate the frequency of sexual dysfunctions in type 2 diabetic women during 2015-2016 in Tabriz, Iran. Materials and Methods: Current cross-sectional study evaluated data gathered from 18-45 years of age type 2 diabetic women attending diabetes care centres of Tabriz. Sample size was estimated to be 300 and the sampling process fulfilled using cluster sampling methods according to the inclusion criteria. Female Sexual Function Index (FSFI) is used as the research tool. Descriptive data analysis were applied to achieve results using SPSS 20. Results: Non-parametric binominal tests reflects statistically significant decrease in sexual activity of the diabetic patients (p= 0.001). The probability of the catogry below the cut point was 1 which means that 100% of type 2 diabetic women suffer from sexual dysfunction. All items of sexual function are found to be below the average normal measurments. Conclusion: Type 2 diabetic women are vastly under the burden of sexual dysfunction, which affects their physical and psychological health. Current study showed the need to provide sufficient and available care services and organized education courses for diabetic women.

Keywords


Diabetes Mellitus, Ssexual Dysfunction, Anorgasmia, FSFI, Marital Satisfaction

Full Text:

PDF

References


- Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure. Diabetes Care 2000; 23 (7):943-50.

- Ahmann A. Guidelines and performance measures for diabetes. Journal Manage Care 2007; (13): 6-41.

- Delavari AR, Mahdavi Hazaveh AR, NorooziNejad A, Yarahmadi SH. National plan for prevention and control of diabetes. Tehran: Seda Press; 2004. [Persian].

- World Health Organization Diabtes, Fact sheet N 312. Available from URL: http://www.who.int/mediacentre/ factsheets/fs312/en,accessed 28/Aug/2011.

- International Diabetes Federation, Diabetes Atlas. 4th Edition. International Diabetes Federation, Brussels. 2009.

- Prevalence of Diabetes Mellitus and Impaired Fasting Glucose in the Adult Population of Iran: The National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes Care 2008, 31:96-98.

- Moghaddasian S, Ebrahimi H. Three dimensions of quality of life in patients Diabetes Center, Tabriz University of Medical Sciences. Journal of Nursing and Midwifery. 2008; 3(10): 38-44. [Persian].

- Nazari A.M, Yarahmadi H, Zahrakar K. The effectiveness of existential group psychotherapy on marital satisfaction in women with type 2 diabetes. Journal of Knowledge & Health 2014; 9 (2):14-20.

- Elnashar A M, El-Dien Ibrahim M, El-Desoky M M, et al . Female sexual dysfunction in Lower Egypt. BJOG an International Journal of Obstetrics Gynaecology. 2007.114 (2) 201-6.

- Hisasue S, Kumamoto Y, Sato Y et al. Prevalence of female sexual dysfunction symptoms and its relationship to quality of life: a Japanese female cohort study. Urology.2005. 65 (1) 143-8.

- Laumann E O, Paik A and Rosen R C .Sexual dysfunction in the United States: prevalence and predictors. JAMA 281. 1999. (6) 537-44.

- Papaharitou S, Nakopoulou E, Kirana P et al. Women’s sexual concerns: data analysis from a help-line. The Journal Sexual Medicine.2005. 2 (5) 652-7.

- Noohi S, Azar M, Shafiee-Kandjani A, Tajik A. Knowledge and Beliefs of Couples attending Marriage Counseling Centers toward correct sexual relationships. Hayat. 2007; 13 (3) :77-83.

- Bahrami N, Soleimani M, Shraifnia H et al .Female sexual satisfaction with different contraceptive methods. Iran Journal of Nursing. 2012. 25 (76) 55-63. [Persian].

- Erol B, Tefekli A, Ozbey I et al. Sexual dysfunction in type II diabetic females: a comparative study. Journal of Sex& Marital Therapy.2002. 28 (Suppl 1) 55-62.

- Bernhard LA. Sexuality and sexual health care for women. Clinical Obstetrics and Gynecology 2002; 45: 1089-98.

- Sadock BJ, Kaplan HI, Sadock VA. Kaplan and Sadock comprehensive textbook of psychiatry. Philadelphia, USALippincott Williams & Wilkins; 2009. p.732.

- Sadock BJ. Kaplan HI, Sadock VA. Kaplan and Sadoch,s synopsis of psychiatry. Philadelphia, USALippincott Williams & Wilkins; 2007. p.1025.

- Oniz A, Keskinoglu P and Bezircioglu I. The prevalence and causes of sexual problems among premenopausal Turkish women. The Journal of Sexual Medicine. 2007.4 (6) 1575-81.

- Lowenstein L, Pierce K and Pauls R .Urogynecology and sexual function research. How are we doing? The Journal of Sexual Medicine.2009. 6(1) 199-204.

- Raina R, Pahlajani G, Khan S et al. Female sexual dysfunction: classification, pathophysiology, and management. Fertility & Sterility.2007. 88 (5) 1273-84.

- Veronelli A, Mauri C, Zecchini B et al. Sexual dysfunction is frequent in premenopausal women with diabetes, obesity, and hypothyroidism, and correlates with markers of increased cardiovascular risk. A preliminary report. The Journal of Sexual Medicine. 2009.6 (6) 1561-8.

- Romeo JH, Seftel AD, Madhun ZT, Aron DC. Sexual function in men with diabetes type 2: association with glycemic control. J Urol 2000; 163: 788-91.

- Enzlin P, Mathieu C, Van den Bruel A, Bosteels J, Vanderschueren D, Demyttenaere K. Sexual dysfunction in women with type 1 diabetes: a controlled study. Diabetes Care 2002; 25: 672-7.

- Erol B, Tefekli A, Ozbey I, Salman F, Dincag N, Kadioglu A, et al. Sexual dysfunction in type II diabetic females: a comparative study. J Sex Marital Ther 2002; 28 Suppl 1: 55-62.

- Buvat J, Lemaire A. Sexuality of the diabetic woman. Diabetes Metab 2001; 27: S67-75.

- Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol 2000; 163: 460-3.

- Lauren P.Wallner LP, Sarma AV, and Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. J Sex Med 2010; 7:881–887.

- Olarinoye J, and Olarinoye A. Determinants of sexual function among women with type 2 diabetes in a Nigerian population. J Sex Med 2008; 5:878–886.

- Meeking DR, et al. Sexual dysfunction and sexual health concerns in women with diabetes. Sexual Dysfunction 1998; 1:83-87.

- Najafi M, Mirhoseini M, Moghani Lankarani M, Assari S. Correlation between Sexual Dysfunction and Marital Dissatisfaction among Diabetics. Iranian Journal of Endocrinology and Metabolism. 2006; 8 (2):175-179. [Persian].

- Steinberg HO, et al. Type II diabetes abrogates sex differences in the endothelial function in premenopausal women. Circulation 2000; 101:2040-2046.

- Balletshofer BM, et al. Endothelial dysfunction is detectable in young normotensive first-degree relatives of subjects with type 2 diabetes in association with insulin resistance. Circulation 2000; 101:1780-1784.

- Karbasi M. The study range of sexual disorder in women. 4th congress of sexual

Health. Tehran shahed university. 1388: 124.

- Naenian M, Shaeri M, Hossinipor N, Rajabi M. The study mental health in people who involved to sexual dysfunction. 4th congress of sexual health. Tehran shahed university. 1388:65.

- Azar M, Noohi S, Shafiee -Kandjani AR. Relationship between female sexual difficulties and mental health in patients referred to two public and private settings in Tehran, Iran. J Sex Med 2007; 4:1262–1268.

- Fedele D, Coscelli C, Santeusanio F, Bortolotti A, Chatenoud L, Colli E, et al.Erectile dysfunction in diabetic subjects in Italy: Gruppo Italiano Studio Deficit Erettile nei Diabetici. Diabetes Care 1998; 21:1973–1977.

- Penson DF, Latini DM, Lubeck DP, Wallace KL, Henning JM, and Lue TF: Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database: do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? Results from the Exploratory Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database. Diabetes Care 2003; 26:1093–1099.

- Enzlin P, Mathieu C, Van den Bruel A, Vanderschueren D, Demyttenaere K: Prevalence and predictors of sexual dysfunction in patients with type 1 diabetes. Diabetes Care 2003; 26:409–414.

- Erol B, Tefekli A, Ozbey I, Salman F, Dincag N, Kadioglu A, ET al.Sexual dysfunction in type II diabetic females: a comparative study. J Sex Marital Ther 2002; 28(Suppl 1):S5–S2.

- Erol B, Tefekli A, Sanli O, Ziylan O, Armagan A, Kendirci M, et el.Does sexual dysfunction correlate with deterioration of somatic sensory system in diabetic women? Int J Impot Res 2003; 15:198–202.

- Mohammad, Khadija; Heidari, M.; Faghihzadeh, S. The validity of Persian version of the Female Sexual Function Index-FSFI as Female Sexual Function Index, a quarterly survey, the seventh year, the third number, 1387.pp. 278-269. [Persian].

- Rosen R., Brown C, Heiman J. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy 2000; 26: 191-208

- Cindy M, Meston. Validation of Female Sexual Function Index (FSFI) in the women with female orgasmic disorder and in women with hypoactive sexual desire disorder. Journal of Sex and Marital Therapy 2003; 29: 39-49

- Markus W, Cindy M, Raymond R. The Female Sexual Function Index (FSFI): cross validation and development of clinical cutoff scores. Journal of Sex and Marital Therapy 2005; 31: 1-20.

- Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol2000; 163: 460-3.

- Jackson G. Sexual dysfunction and diabetes. Int J Clin Pract 2004; 58: 358-62.

- Chreiner-Engel P, Schiavi RC, Vietorisz D, Smith H. The differential impact of diabetes

Type on female sexuality. J Psychosom Res1987; 31:23-33.

- Whitehouse C R. Sexuality in the older female with diabetes mellitus–A review of the literature. Urologic Nursing. 2009; 29 (1) 11-8.




DOI: https://doi.org/10.7575/aiac.abcmed.v.6n.4p.15

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine