A woman with diabetes may experience sexual dysfunction. Management requires identifying and correcting the contributing factors.


Features of the sexual dysfunction:

(1) decreased vaginal lubrication resulting in dyspareunia

(2) decreased interest in sex

(3) delayed arousal

(4) increased time needed to reach organism


Factors contributing to the sexual dysfunction:

(1) depression and/or anxiety

(2) fatigue

(3) relationship problems

(4) diabetic peripheral neuropathy

(5) diabetic autonomic neuropathy

(6) drugs (beta-blockers, antidepressants, etc)

(7) urinary tract infection with incontinence


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