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Frequency and correlates of sexual dysfunction in women with diabetes mellitus
Anthonia Okeoghene Ogbera1, Sonny Chinenye, Akinleye Akinlade
1Lagos State University Teaching Hospital-Department of Medicine, Ikeja, Lagos, Nigeria. oogbera@yahoo.co.uk
Introduction:
Sexual dysfunction (SD) in women with diabetes mellitus (DM) is an important but understudied aspect of DM complications in women with DM.
Aim:
This report is an attempt to document the prevalence, clinical correlates, and determinants of SD in a cross sectional study of women with diabetes mellitus (DM).
Main Outcome Measures:
The main outcome measures were demographic, clinical parameters, psychological morbidity, and frequency of SD.
Methods:
A total of 58 married women with type 2 DM and 30 age-matched women who did not have DM had their sexual function and psychological status assessed using the Female Sexual Function Index (FSFI) and General Health questionnaires (GHQ 12) respectively. Glycemic control was assessed using glycosylated hemoglobin.
Results:
The prevalence of SD in women with DM and in the control population was 88% and 80%, respectively. The mean (standard deviation) FSFI score in the women with DM was significantly lower than that of the control group (16.2 [9.5] vs. 21 [8.5], P = 0.02). Women with DM attempted sex less frequently than those in the control group. Poor mental health status which was found to be associated with SD was noted more in women with DM than those in the control group.
Conclusions:
SD is high in women with and without DM. A possible determinant of SD in women with DM is psychological morbidity.
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