Enzlin et al evaluated sexual dysfunction in women with Type 1 diabetes and identified risk factors for its occurrence. The authors are participants in the DCCT/EDIC Study Cohort.


Female sexual dysfunction may involve:

(1) loss of libido

(2) problems with arousal

(3) lubrication difficulties

(4) decrease in the ability to reach an orgasm

(5) pain during intercourse (dyspareunia)


Risk factors for sexual dysfunction in women:

(1) depression

(2) being married


A woman with Type 1 diabetes and these risk factors should be screened for sexual dysfunction.


A woman with Type 1 diabetes and sexual dysfunction should be screened for depression.


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