Female Sexual Dysfunctions in Diabtes Mellitus: Prevalence Risk Factor and Diagnosis

Diabetes mellitus is a chronic metabolic disorder in almost all countries. The secondary complications may include female sexual dysfunctions (FSDs) which are characterized by decreased libido, anorgasmia, dyspareunia and psycho-physiological disturbances. 40–60% FSD cases are reported each year worldwide with increased late menopause period (4288%), insufficient vaginal lubrication (5–28%), orgasmic disorder (5%) and dyspareunia (3–12%). Etiologies of FSD are doubtful but certain physiological and psychological factors are involved in its contribution. The other risk factors for diabetes associated FSD include cardiovascular disease, hypertension, genitourinary disease, psychological disorder, cancer and other chronic diseases. Subject's history with physiological and psychological attribute is the basis for FSD diagnosis. Currently no specific treatment is available to treat FSD but its risk factors and complications may be controlled with the help of pharmacological, non-pharmacologic treatment and hormonal replacement therapy.