Sexual dysfunction and sexual health concerns in women with diabetes

This article aims to investigate the prevalence of female sexual dysfunction and sexual health problems in women with diabetes. We explore the causes, natural history and available treatments. We have examined evidence from clinical and non‐clinical studies for sexual dysfunction in women with diabetes and report this information alongside our own large, self‐reported study of sexual health problems. Sexual dysfunction is more prevalent in diabetic women compared to controls. Problems identified include reduced vaginal lubrication, inability to achieve orgasm, dyspareunia and reduction in libido. Other sexual health concerns include genito‐urinary infection, problems of self‐image, depression and mood‐related issues, plus a range of reproductive and contraceptive worries. In conclusion, sexual health problems are common in women with diabetes. Women should be encouraged to talk about sexual health issues, and specialist advice and therapies should be made available to those who need it. Psychological factors have a more profound effect on sexual functioning in women with diabetes compared to men where physical sexual dysfunction (erectile dysfunction) is the dominant problem.