Sexual Dysfunction with Women Who have been Diagnosed with Diabetes
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Sexual Dysfunction with Women Who have been Diagnosed with Diabetes

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Sexual dysfunction with women who have been diagnosed with diabetes have been shown to suffer sexual issues.

Sexual dysfunction with women who have been diagnosed with diabetes have been shown to suffer sexual issues.

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Sexual Dysfunction with Women Who have been Diagnosed with Diabetes Document Transcript

  • 1. The Causes of Sexual Dysfunction and Women with Diabetes Studies have shown that 90% of diabetics are type 2 and less than 10% are diagnosed with type 1. The patients diagnosed with either type are under an increased threat of vascular and neurological complication and psychological issues. The women who suffer from this may have many complications. In most cases the risk of diabetes diagnoses especially type 2. An increased amount of cases of sexual dysfunction correlated with the diagnosis. The research had to account for the use of contraception, hormone replacement therapy, and pregnancy. Sexual dysfunction is a common problem, albeit a problem that has not been studied in women with type 2 diabetes in depth. Diabetes type 2 diagnoses is the leading cause of sexual dysfunction. There will be an increased amount of women diagnosed with this considered a larger proportion of the population in increasingly growing older and becoming more and more physically inactive. Thus, the rate of sexual dysfunction in women will also increase. It was not until this study that the direct correlation could be substantiated. The effect of sexual dysfunction was correlated to neurological, psychological and vascular affects and a combination of such. However, despite the common knowledge that there is an association in their measurements of such is hard to create. It is difficult to measure sexual function in women. In many cases the spouses sexual performance, quality of sexual intercourse, patients educational culture, and socioeconomic status was also a large part of the problem. They also have a decreased sexual desire, decreased stimulus, reduced lubrication and orgasm disorder. Thus, diabetes females are more at risk than others. In this study several surveyors were sued to evaluate sexual function disorders. Sex is defined by the study as an ability to experience masculine or feminine emotions, physical stimulation and/or mental feelings. It is also a perception that is expressed by the sexual organs of another. The sexuality of a human being is determined by social norms, values and taboos. This is also determined by psychological and social norms and aspects. The nature of the disease was also defined in the study. It had to be, in order to evaluate the nature of sexual dysfunction with patients who are diabetic. Responses to sexual stimulation in the subjects was divided into four phases. These included the arousal, plateau, orgasm and resolution phase. These phases were identified as the most detrimental and prevalent issues that affected women during sexual satisfaction. In the first phase, the libido is accessed. This is the appearance of erotic feelings and thoughts. Real female sexual desires begins with the first phase. Also at this point sexual thoughts or feelings or past experiences help to create either a natural or unnatural arousal stage in patients. There second phase identified by searchers here was the arousal phase. In this phase the parasympathetic nervous system is involved. With that, the phase is then characterized by erotic feelings and the formation of a natural vaginal lubrication. The first sexual response begins with vaginal lubrication which follows within 10-30 seconds and then follows from there. What follows is typically a rapid breathing session or rather tachycardia that causes women to have an increased blood pressure and a general feeling of warmth, breast tenderness, coupled with erected nipples and a coloration of the skin. Most women experience this arousal phase.The third phase is defined as the orgasm phase or rather the time with increased muscular and vascular tension by sexual stimulation occurs. This is the most imperious of the cycles and is albeit the most satisfying for women. During this period women
  • 2. experience orgasmic responses from the sympathetic nervous system. Changes also occur in the entire genital region these include a change in heart rate, and blood pressure. The final phase of normal sexual stimulation is the resolution phase. During this period women have genital changes. Basically the withdrawal of blood from the genital region and the discharge of sexual tension as occurs after the orgasm will bring the entire body to a period of rest. The basis of sexual responses cycle depends on normally functioning of the endocrine, vascular, neurological and psychological factors. Considering the brain is the center for sexual stimulation, sexual behaviors are directly correlated to the sense of being aroused. The study has defined sexual stimulation and peripheral stimulation. Central stimulation is defined as the act of being aroused and sexual desire is phenomena mainly mediated by the mesolimbic dopaminergic pathway. Dopamine is the most important known neurotransmitter system responsible for the arousal. The process breaks down to the fact that testosterone is responsible for both female and male desire and it increases blood flow either directly and indirectly through estrogen. Sexual dysfunction has been classified and defined by the inability to experience anticipated sexual intercourse. This is a psychosocial change that complicates interpersonal relationships and creates significant problems. Orgasm disorder usually occurs with a recurrent delay or difficulty in achieving an orgasm after sexual stimulation. Several sexual disorders have been affected by diabetes, many others are blanketed under the sexual dysfunction term. Sexual Aversion Disorder is the avoidance of all genital contact with ones partners. The difference between the phobia and the feelings of disgust and hatred are part of the phobia. Sexual Arousal Disorder is the inability to establish adequate lubrication stimuli in a persistent manner. Orgasmic disorder is defined as a persistent or recurrent delay in or lack of normal phases. Orgasm is the sudden temporary peek feeling. According to the data from the U.S National Healthy and Social life survey women who are at risk for SD. In the study it was found that women with healthy problems have an increased risk for pain during intercourse. Also women with urinary tract problems or symptoms are at risk for problems during intercourse. The socio-economic status of women is another risk factor as well as women who have been the victim of harassment. Menopause has a negative impact on sexual function in women. Sexual dysfunction was not limited to affective disorders, in fact socio-cultural and social demographic causes effected demographic and sociological characters were investigated. In the studies conducted sociodemographic characteristics like age, education level and income levels. Also the use of an effective method of family planning was related to the BMI and marriage were also factors in this decisions. The use of alcohol and drugs was also linked to a woman’s sexual response and leads to SD. The most prevalent use came from antidepressants received for the treatment of depression were reported with the use of the prescription drugs. The affects included a lack of lubrication, vaginal anesthesia, and delay in or lack of orgasm. Other drugs that have were found to affect female SD included anthypertensives, lipid-lowering agents and chemotheraputic agents. The study also took into account that chronic diseases like systemic diabetes and hypertension causes psychiatric disorders, including depression, anxiety disorders, and psychoses are attributed to chronic disease states. Diabetes is a common chronic disease with more than 90% of diabetics having been diagnosed with type 2 diabetes. Diabetic patients have been found to have an elevated risk of vascular and neurological complications and psychological problem.Thus,
  • 3. because of this it has been found that diabetics are prone to having female sexual dysfunction. Thus, the subject of female diabetic SD was largely unrecognized until 1971. Even at that time in an article the study was the first to evaluate limited cases of sexual dysfunction in women. Studies with females who have been diagnosed with SD. Diabetic females with sexual problem are explained with biological, social and psychological factors. Hyperglycemia had been found in many diabetic women who have been diagnosed with SD. It reduces the hydration of the mucus membranes of the vagina. It in turn reduces the lubrication levels, leading to painful sexual intercourse. The risk of vaginal infections increases because of that and so too does vaginal discomfort and painful intercourse. It is clinically hard to measure sexual function in women. In many cases medical history, physical examination, pelvic examination and hormonal profile were reviewed. The subjects were questioned in detail regarding spouse’s sexual performance, quality of the sexual intercourse, the patients educational level and socioeconomic status. The several questionnaires which were used to evaluate sexual function disorders were a substantial methodology. Sexual inventories were then classified in two groups. The information obtained through a structured incentive allowing the discloser of terms. There was fact to face interview and also many sexual inventories which were based on the human sexual cycle. There were 400 female patients that applied to the hospital or diabetes center. The test was conducted between June 2009 and June 2013. There were first non-voluntaries or those who met the exclusion criteria and type 1 diabetics were excluded from the study. This study also included 329 married women, there were 213 diabetic and 116 nondatebooks. All of the women in this study were sexually active and had a spouse. Also the survey questions were asked questions in a face to face attack. The subjects were given questionnaires and the volunteers who were inactive or had an illness were excluded from the study. It was also important in the study to take into account demographics. These included the age of the participants, their weight, and their height. Their weight circumference, BMI and education level were also part of this study. With diabetic patients the plasma glucose level was also reviewed. In this study the reliability of the female sexual function index and the test-retest reliability was a .82 and a .79. The version of the validity and reliability of the scale was performed. Another form of measurement was the Arizona Sexual Experiences Scale, again another form of questions used to measures the experiences that women have and how they were able to deal with them. Patients that were treated with psychotropic drugs were the main focus of this experiment. This is a set of five questions created to show a minimal disturbance with patients. The scale aimed to assess sexual functions by excluding sexual orientation and relationships with a partner. The format that was used for most women in this study included several questions regarding sexual drive and arousal. Still other tests were utilized. These included the Golombuk-Rust Inventory of Sexual Satisfaction (GRISS). The utilization of this test was yet another set of questions that were given to males and females (28 males, 28 females) and were aimed at objectively evaluating the heterosexual relationship of the individuals and to identify the level of dysfunction of the subject. The results again found that women with diabetes are more prone to suffering from dysfunctional disorders. Of course researchers looked into the subjects BMI and found that 23 of only 7% of the patients were in the normal range of the BMI which at the time was 18.5-24.9 kg. The
  • 4. mean BMI was also only 33.11 in patients with diabetes. The majority of patients that had higher BMI issues were smokers. So not only was it diabetes that attributed to SD but smoking and drug use caused additional complications. Also, 193 were premenopausal and 136 were postmenopausal. The average number of patients who were diagnosed were also on oral antibiotic medications in combination with insulin and in some cases antilipedemic medications. Many patients were not using medications at all which may result in the reference that they were suffering from the disease because they were unable to move through their diabetes diagnoses. The study conducted found that there was no correlation between the age of a patient a their FSFI. Plus, there did not seem to be a correlation between the BMI and FSFI and the sub structures like desire, arousal, lubrication, orgasm, sexual success, and pain with diabetic women. Some of the volunteers had children, one to three children in fact. There again was no direct correlation with diabetic women with children or without. However there was a correlation with women who had a more children and their ability to reach an orgasm. Perhaps due to the multiple births and the destruction that it could have caused neurologically. Specifically when addressing diabetes, researchers wanted to understand the extent of the SD disturbance. The attributes of a imbalanced hormonal system, vascular constrictions and increased sexual problems cause the physiological and psychological responses that were found. The differences in the mechanisms of the neurotransmitters during sexual responses in women with diabetes and without diabetes was the leading contributor to a decreased sexual appetite. Women have many dimensions that lead to their diagnoses. Sexual function is affected therefore when a woman is diagnosed with diabetes. The research also found that female lubrication occurred only during the arousal phase. But the dysfunction was largely affective, meaning that women were unable to become lubricated during the arousal phase. Women who were insulin dependent had little or no evidence of dysfunction while non-insulin dependent patient status had a negative effect on sexual disorders. This included the ability to orgasm, lubrication during arousal, sexual satisfaction, and sexual activity. This suggests a more comprehensive explanation that SD might be related to the age at which the diabetes develops. Also women who have a genital disease will also have be unable to achieve ideal sexual arousal. Other factors besides diabetic mediations include other medications. For instance, antibiotics used to treat urinary infections and oral contraceptives have been attributed to an adverse sexual function in women. These medication will also heighten a woman’s ability to reach normal sexual functioning. Again the psychological effects of diabetes will also cause women to be unable to reach an adequate amount of sexual ability. Typical feelings from diabetic patients that have been reported to researchers include a feeling of isolation, feeling of being unattractive, loneliness and isolation. These are mainly caused from the diagnoses and a lifestyle change. Women who have these symptoms or feelings are advised to seek treatment with their medical doctor and to seek a therapist. They should advise them of the feelings, to seek a holistic treatment plan. Researchers advise that there are holistic treatments available for women who are suffering from these diseases and including the inability to organism which can be remedied with vibrating tools or psychosomatic techniques. Also a reduced libido may be a form of depression and therapists will address the patients self image during the scores of holistic treatment. This may in fact lead to a better self image and an increased libido. The loss of genital sensations can also be attributed to diabetes. Many patients have been advised to use entertaining vibrating tools in order to treat
  • 5. Sexual dysfunction is mainly caused by a blanket of issues but according to recent studies by Paul Enzlzin, MA, Chantal Mathie, MD, PHD and others the direct correlation between medications in 90% of patients diagnosed with diabetes medication and disease state causes sexual definition. The effects are a common problem, 20% to 80% of women are reported as having a sexual dysfunction. The disease Diabetes Mellitis is the leading systemic disease of sexual dysfunction. Research has found that the cause largely forms because of psychological and physical issues. Thus leading to the inability to stimulate during sexual intercourse. For many researchers configuring how to asses a woman’s sexual dysfunction was challenging. Talking about it presented a taboo and in many cases this would not lead to a very honest or comfortable conversation for the participant. That is why researchers utilized questionnaires and face to face interviews. This included the Female Sexual Function Index which was created in 2000. At that time Cronbach’s coefficient testretest reliably was found to be about .82-.79. It is in essence a questionnaire that is composed of six sections that measure desire, arousal, lubrication, satisfaction, pleasure, and pain. The topic is also given a score system between 0-6. The 1 st, 2nd and 15th questions are then also scored between 1 and 5. The other questions are scored between 1 and 5. This was only one of the measurements that researchers utilized to gain a better understanding on the role of sexual dysfunction and women with diabetes. Patients or subjects are encouraged to speak with their health care provider regarding any issues they may begin to feel with a lack of sexual desire. There will be minor episodes of this feeling or it may progress into something less attractive. Episodes of depression will periodically affect the already progressing SD these too will be a point that many should discuss with their physicians. Patients who are diagnosed with diabetes and then depression should seek therapy. In many cases the treatment may include antidepressants and holistic approaches. Lifestyle changes such as the implementation of a healthy and balanced lifestyle may help patients to improve significantly.However, that was found only in patients that made positive lifestyle changes accordingly. The medications that affect depression however will and may cause more complexities with SD. Moreover, only further testing will provide conclusive evidence. SD is a chronic and persistent problem in women diagnosed with diabetes. Until this recent study the appearance of sexual dysfunction had not been studied enough. The impact if studied properly will largely affect most of the population diagnosed with diabetes. In recent years this the diagnoses has grown because the population has increased. Research with women and sexual dysfunction is scarce and also filled with flaws in the methodology of the research. The presence of the diabetes complications, the adjustment that patients have to the disease, and the psychological factors surrounding the disease affect it. The relations that they have with their partners are all part of the complications that arise with diabetic sexual dysfunction diagnoses in women. The study or research attempted to examine the prevalence of the dysfunction in women, the problems that occurred with an age matched group and the influence that diabetes had on female sexuality. The psychological factors that inhibited adequate sexual functioning were also measured in the most recent study. Again in these studies women reported having less satisfaction during sex, avoided it as well. Researchers believe that these women who in particular were suffering from type 2 diabetes felt that they were less sexually attractive because of their body image. Researchers also examined psychological aspects of older type 2 diabetes in women who reported that they felt their bodies were less attractive then non-diabetic women.
  • 6. 60% or more of women in this study did not have a dysfunction, other than physiological symptoms or diabetes. Much research has stated that if the patient is having difficulties it is important to have a talk with a physician about the probable side effects they will be suffering from. Women with diabetes who were suffering form the onset of menopausal symptoms could not be correlated to SD. In fact women who reported sexual problems were not significantly different in age though to the women who had an onset of menopause. The overwhelming evidence however suggested that psychological dysfunction and its accordance with diabetes was a crucial deciding factor to a rise in SD cases. The majority of research findings have concurred with it, stating that they in fact are able to correlate within the study. A poor self image in women with diabetes leads to a loss of self esteem, feelings of unattractiveness, concern about weight gain and negative body images. The occur largely around the issue of weight gain, which follows with anxiety. There is evidence that these problems are common in older women who have been diagnosed according to several questionnaires that were used to evaluate women in the studies from 20092010. Research could suggest that it is because older women may be without a sexual partner and their diabetes could add to feelings of inadequacy. Younger women tend to worry about the effects that the disease and what it will have on their physical appearance especially with insulin therapy. If women begin healthy eating patterns then the main cause will have not issue on the physical appearance on women with proper nutrition. A woman has to be able to communicate with her partner and others around her in order to make sure that everyone understand the problems she is facing. However diabetes coupled with poor self images will lead a woman to become and introvert and therefore keep her feelings to herself. Thereby causing SD and a loss of social experiences by the woman in fact who has been battling these disease states. A woman’s sexual desire has been found to be low, painful and absent. Thus, of this issue women will not be able to have healthy relationship. Unfortunately there has not been much research conducted with women because the variables have been to hard to control. But recently in this recent study conducted in 2009-2010 the questionnaire gave insight into the mind of women suffering form this disease. The limited study has prevented women from seeking out help and having a renewed interest in the problem. Limited studies have found that this problem affects largely about 50 % or more of women diagnosed with the disease. Most women who have type 2 and 1 diabetes are statistically going to stop having sex as much as their male counterparts because of their lack of a valued self image. In fact there are many sociological risks to not having adequate support systems to help minimize the impact the diabetes has on a lifestyle. The changes that take place in a woman’s body who has been diagnosed with diabetes type 2 have largely been ignored. There are a plethora of issues at play here including detrimental issues affecting the central nervous system.Therefore, a woman’s sexual desire is largely affected by not only the CNS, but many other factors. In some cases these may include a hormonal imbalance caused by pre-menopause. Regardless there is a correlation between female diabetics and the changes in estrogen and sexual arousal stimulation. In the study the decreased sexual function and diabetes was also found to have a direct correlation in women who were overweight. This correlation was diminished in women who were average.
  • 7. However of all of the contributors that will and do cause dysfunctions with women in sexual dysfunctions a poor self image was the leading cause. Depression was established in many women with a poor self image. Studies have shown that there is a direct link with diabetes and SD which is linked to a psychological disorder within women. Also diabetic women with this dysfunction were at least two times more likely to have sexual dysfunction than women without diabetes. In many cases depression caused a lack of sexual arousal or desire and a lack of physical performance when initiating the act. Therefore, a woman who is diagnosed with diabetes is at a higher risk of complications that harm her self confidence, her physiological health and her social interactions. Her daily routine will even be affected due or her lack of sexual arousal. Specifically when addressing diabetes, researchers wanted to understand the extent of the SD disturbance. The attributes of a imbalanced hormonal system, vascular constrictions and increased sexual problems cause the physiological and psychological responses that were found. The differences in the mechanisms of the neurotransmitters during sexual responses in women with diabetes and without diabetes was the leading contributor to a decreased sexual appetite. Several risk factors were associated with sexual dysfunction including health problems which affected sexual intercourse, mainly in the form of pain associated with penetration. There are also several other causes that can be attributed to sexual dysfunction including urinary tract symptoms and arousal issues. However not necessarily in direct correlation to diabetes, but it becomes a symptom of the sexual dysfunction that may be attributed to diabetes as an after effects. Women who were diagnosed with type 2 diabetes had a direct correlation with sexual dysfunction. It was only with this research that many methodologies were proven useful in capturing the information.