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Copyright (c) 2021 Franklin José Espitia De La Hoz
This work is licensed under a Creative Commons Attribution 4.0 International License.
Sexual dysfunctions in women with type 2 diabetes, prevalence and characterization, in the Eje Cafetero, Colombia, 2015-2018
Corresponding Author(s) : Franklin José Espitia De La Hoz
Ciencia e Innovación en Salud,
2021
Abstract
Background: The deterioration of sexual functioning in women is one of the main complications of diabetes. Materials and methods: an observational study that analyzed the sexual function of 417 participants. Women over 18 years of age with type 2 diabetes, sexually active in the last 6 weeks, residing in the Eje Cafetero (Colombia) were included. They were recruited from the external consultation, in three private clinics. The Female Sexual Function Index validated in Spanish was carried out. Socio-demographic variables, sexual and reproductive health history, sexual behavior, frequency of global sexual dysfunction, and type of sexual dysfunction were measured. Descriptive statistics of the information were performed. Results: The mean age was 35.19 ± 8.76 years. The prevalence of sexual dysfunction in all the participants was 77.93%. The Female Sexual Function Index score in affected women was 22.59 ± 8.43 points. Sexual difficulties characterized sexual desire (77.93%), lubrication (74.58%) and arousal (73.1%). 41.48% had one sexual dysfunction, 26.85% two and 31.65% 3 or more sexual dysfunctions, with a median of 3 sexual dysfunctions per woman. Conclusions: in women from the Coffee Region with type 2 diabetes, there is a high prevalence of sexual dysfunctions, which exceeds half of the population; characterized mainly by disorders of desire and lubrication. Immediate interventions are urgently needed in order to establish an adequate diagnostic and therapeutic plan.
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- Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. DOI:
- 1016/j.diabres.2019.107843
- Chatterjee S, Khunti K, Davies MJ. Type 2 diabetes. Lancet. 2017 Jun 3;389(10085):2239-2251. doi: 10.1016/S0140-6736(17)30058-2 DOI: 10.1016/S0140-6736(17)30058-2
- Lin S, Rocha VM, Taylor R. Artefactual inflation of type 2 diabetes prevalence in WHO STEP surveys. Trop Med Int Health. 2019 Apr;24(4):477-483. DOI: 10.1111/tmi.13213
- Stechova K, Mastikova L, Urbaniec K, Vanis M, Hylmarova S, Kvapil M, et al. Sexual Dysfunction in Women Treated for Type 1 Diabetes and the Impact of Coexisting Thyroid Disease. Sex Med. 2019 Jun;7(2):217-226. DOI: 10.1016/j.esxm.2019.03.001
- Gandhi J, Dagur G, Warren K, Smith NL, Sheynkin YR, Zumbo A, et al. The Role of Diabetes Mellitus in Sexual and Reproductive Health: An Overview of Pathogenesis, Evaluation, and Management. Curr Diabetes Rev. 2017;13(6):573-581. DOI: 10.2174/1573399813666161122124017
- Flotynska J, Uruska A, Michalska A, Araszkiewicz A, Zozulinska-Ziolkiewicz D. Sexual Dysfunction Is a More Common Problem in Young Women with Type 1 Diabetes than in Healthy Women. J Sex Marital Ther. 2019;45(7):643-651. DOI: 10.1080/0092623X.2019.1610121
- Basit A, Fawwad A, Qureshi H, Shera AS; NDSP Members. Prevalence of diabetes, pre-diabetes and associated risk factors: second National Diabetes Survey of Pakistan (NDSP), 2016-2017. BMJ Open. 2018 Aug 5;8(8):e020961. DOI: 10.1136/bmjopen-2017-020961
- Rahmanian E, Salari N, Mohammadi M, Jalali R. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: a systematic review and meta-analysis. Diabetol Metab Syndr. 2019 Aug 27;11:73. DOI: 10.1186/s13098-019-0469-z
- Mehdipour-Rabori R, Alinejad Dehsheakhi M, Nouhi E, Nematollahi M. Comparison of the Relationship Between Sexual Function, Marital Adjustment, and Life Satisfaction in Diabetic and Non-Diabetic Women. Int J Community Based Nurs Midwifery. 2020 Oct;8(4):324-332. DOI: 10.30476/ijcbnm.2020.84993.1244
- Espitia-De La Hoz FJ. Prevalence and characterisation of sexual dysfunctions in women, in 12 colombian cities, 2009-2016. Rev Colomb Obstet Ginecol. 2018; 69(1):9-21. DOI: 10.18597/rcog.3035
- Parish SJ, Cottler-Casanova S, Clayton AH, McCabe MP, Coleman E, Reed GM. The Evolution of the Female Sexual Disorder/Dysfunction Definitions, Nomenclature, and Classifications: A Review of DSM, ICSM, ISSWSH, and ICD. Sex Med Rev. 2021 Jan;9(1):36-56. DOI: 10.1016/j.sxmr.2020.05.001
- Abu Ali RM, Al Hajeri RM, Khader YS, Shegem NS, Ajlouni KM. Sexual dysfunction in Jordanian diabetic women. Diabetes Care. 2008; 31:1580–1. DOI: 10.2337/dc08-0081.
- Fatemi SS, Taghavi SM. Evaluation of sexual function in women with type 2 diabetes mellitus. Diab Vasc Dis Res. 2009; 6:38–9. DOI: 10.3132/dvdr.2009.07
- Cichocka E, Jagusiewicz M, Gumprecht J. Sexual Dysfunction in Young Women with Type 1 Diabetes. Int J Environ Res Public Health. 2020 Jun 22;17(12):4468. DOI: 10.3390/ijerph17124468
- Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26(2):191-208. DOI: 10.1080/009262300278597
- Espitia De La Hoz FJ, De León Ospina DD. Evaluación de la función sexual en mujeres con
- cáncer de mama, en el Quindío. Rev Avances en Salud; 2019. (3)2:8-17. DOI: 10.21897/25394622.1754
- Espitia De La Hoz FJ. Evaluación de la prevalencia de disfunción sexual en mujeres médicos, del Eje Cafetero colombiano, en etapa de climaterio. Arch Med (Manizales) 2017; 17(1):70-7. DOI: 10.30554/archmed.17.1.1897.2017
- Espitia De La Hoz FJ. Prevalencia y factores asociados al deseo sexual hipoactivo en hombres del Quindío. Rev Urolog Colomb. 2020; 30(1): 48-58. DOI: 10.1055/s-0040- 1714724
- Espitia-De La Hoz FJ. Prevalencia de disfunción sexual en mujeres del Eje Cafetero. Rev Cienc Biomed 2016; 7(1):15-23.
- Wallner LP, Sarma AV, Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. J Sex Med. 2010; 7(2 Pt 2):881-7. DOI: 10.1111/j.1743-6109.2009.01510.x
- Esposito K, Maiorino MI, Bellastella G, Giugliano F, Romano M, Giugliano D. Determinants of female sexual dysfunction in type 2 diabetes. Int J Impot Res. 2010; 22(3):179-84. DOI: 10.1038/ijir.2010.6
- Elyasi F, Kashi Z, Tasfieh B, Bahar A, Khademloo M. Sexual Dysfunction in Women with Type 2 Diabetes Mellitus. Iran J Med Sci. 2015; 40(3):206-13. https://pubmed.ncbi.nlm.nih.gov/25999619/
- Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis GN. Sexual dysfunction in diabetic women. Hormones (Athens). 2017; 10(3):196-206. DOI: 10.14310/horm.2002.1309
- Abu Ali RM, Al Hajeri RM, Khader YS, Shegem NS, Ajlouni KM. Sexual dysfunction in Jordanian diabetic women. Diabetes Care. 2008; 31(8):1580-1. DOI: 10.2337/dc08-0081
- Park K, Ahn K, Chang JS, Lee SE, Ryu SB, Park YI. Diabetes induced alteration of clitoral hemodynamics and structure in the rabbit.J Urol 2002; 168:1269-72. https://pubmed.ncbi.nlm.nih.gov/12187280/
- Kamaralzaman S, Sidi H, Yau M, Budin SB, Sani A, Mohamed H. Sexual function of Malay women with type 2 diabetes mellitus: a preliminary study. Asian J Psychiatry 2010; 11:64-71. https://researchonline.jcu.edu.au/15925/
References
Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. DOI:
1016/j.diabres.2019.107843
Chatterjee S, Khunti K, Davies MJ. Type 2 diabetes. Lancet. 2017 Jun 3;389(10085):2239-2251. doi: 10.1016/S0140-6736(17)30058-2 DOI: 10.1016/S0140-6736(17)30058-2
Lin S, Rocha VM, Taylor R. Artefactual inflation of type 2 diabetes prevalence in WHO STEP surveys. Trop Med Int Health. 2019 Apr;24(4):477-483. DOI: 10.1111/tmi.13213
Stechova K, Mastikova L, Urbaniec K, Vanis M, Hylmarova S, Kvapil M, et al. Sexual Dysfunction in Women Treated for Type 1 Diabetes and the Impact of Coexisting Thyroid Disease. Sex Med. 2019 Jun;7(2):217-226. DOI: 10.1016/j.esxm.2019.03.001
Gandhi J, Dagur G, Warren K, Smith NL, Sheynkin YR, Zumbo A, et al. The Role of Diabetes Mellitus in Sexual and Reproductive Health: An Overview of Pathogenesis, Evaluation, and Management. Curr Diabetes Rev. 2017;13(6):573-581. DOI: 10.2174/1573399813666161122124017
Flotynska J, Uruska A, Michalska A, Araszkiewicz A, Zozulinska-Ziolkiewicz D. Sexual Dysfunction Is a More Common Problem in Young Women with Type 1 Diabetes than in Healthy Women. J Sex Marital Ther. 2019;45(7):643-651. DOI: 10.1080/0092623X.2019.1610121
Basit A, Fawwad A, Qureshi H, Shera AS; NDSP Members. Prevalence of diabetes, pre-diabetes and associated risk factors: second National Diabetes Survey of Pakistan (NDSP), 2016-2017. BMJ Open. 2018 Aug 5;8(8):e020961. DOI: 10.1136/bmjopen-2017-020961
Rahmanian E, Salari N, Mohammadi M, Jalali R. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: a systematic review and meta-analysis. Diabetol Metab Syndr. 2019 Aug 27;11:73. DOI: 10.1186/s13098-019-0469-z
Mehdipour-Rabori R, Alinejad Dehsheakhi M, Nouhi E, Nematollahi M. Comparison of the Relationship Between Sexual Function, Marital Adjustment, and Life Satisfaction in Diabetic and Non-Diabetic Women. Int J Community Based Nurs Midwifery. 2020 Oct;8(4):324-332. DOI: 10.30476/ijcbnm.2020.84993.1244
Espitia-De La Hoz FJ. Prevalence and characterisation of sexual dysfunctions in women, in 12 colombian cities, 2009-2016. Rev Colomb Obstet Ginecol. 2018; 69(1):9-21. DOI: 10.18597/rcog.3035
Parish SJ, Cottler-Casanova S, Clayton AH, McCabe MP, Coleman E, Reed GM. The Evolution of the Female Sexual Disorder/Dysfunction Definitions, Nomenclature, and Classifications: A Review of DSM, ICSM, ISSWSH, and ICD. Sex Med Rev. 2021 Jan;9(1):36-56. DOI: 10.1016/j.sxmr.2020.05.001
Abu Ali RM, Al Hajeri RM, Khader YS, Shegem NS, Ajlouni KM. Sexual dysfunction in Jordanian diabetic women. Diabetes Care. 2008; 31:1580–1. DOI: 10.2337/dc08-0081.
Fatemi SS, Taghavi SM. Evaluation of sexual function in women with type 2 diabetes mellitus. Diab Vasc Dis Res. 2009; 6:38–9. DOI: 10.3132/dvdr.2009.07
Cichocka E, Jagusiewicz M, Gumprecht J. Sexual Dysfunction in Young Women with Type 1 Diabetes. Int J Environ Res Public Health. 2020 Jun 22;17(12):4468. DOI: 10.3390/ijerph17124468
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26(2):191-208. DOI: 10.1080/009262300278597
Espitia De La Hoz FJ, De León Ospina DD. Evaluación de la función sexual en mujeres con
cáncer de mama, en el Quindío. Rev Avances en Salud; 2019. (3)2:8-17. DOI: 10.21897/25394622.1754
Espitia De La Hoz FJ. Evaluación de la prevalencia de disfunción sexual en mujeres médicos, del Eje Cafetero colombiano, en etapa de climaterio. Arch Med (Manizales) 2017; 17(1):70-7. DOI: 10.30554/archmed.17.1.1897.2017
Espitia De La Hoz FJ. Prevalencia y factores asociados al deseo sexual hipoactivo en hombres del Quindío. Rev Urolog Colomb. 2020; 30(1): 48-58. DOI: 10.1055/s-0040- 1714724
Espitia-De La Hoz FJ. Prevalencia de disfunción sexual en mujeres del Eje Cafetero. Rev Cienc Biomed 2016; 7(1):15-23.
Wallner LP, Sarma AV, Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. J Sex Med. 2010; 7(2 Pt 2):881-7. DOI: 10.1111/j.1743-6109.2009.01510.x
Esposito K, Maiorino MI, Bellastella G, Giugliano F, Romano M, Giugliano D. Determinants of female sexual dysfunction in type 2 diabetes. Int J Impot Res. 2010; 22(3):179-84. DOI: 10.1038/ijir.2010.6
Elyasi F, Kashi Z, Tasfieh B, Bahar A, Khademloo M. Sexual Dysfunction in Women with Type 2 Diabetes Mellitus. Iran J Med Sci. 2015; 40(3):206-13. https://pubmed.ncbi.nlm.nih.gov/25999619/
Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis GN. Sexual dysfunction in diabetic women. Hormones (Athens). 2017; 10(3):196-206. DOI: 10.14310/horm.2002.1309
Abu Ali RM, Al Hajeri RM, Khader YS, Shegem NS, Ajlouni KM. Sexual dysfunction in Jordanian diabetic women. Diabetes Care. 2008; 31(8):1580-1. DOI: 10.2337/dc08-0081
Park K, Ahn K, Chang JS, Lee SE, Ryu SB, Park YI. Diabetes induced alteration of clitoral hemodynamics and structure in the rabbit.J Urol 2002; 168:1269-72. https://pubmed.ncbi.nlm.nih.gov/12187280/
Kamaralzaman S, Sidi H, Yau M, Budin SB, Sani A, Mohamed H. Sexual function of Malay women with type 2 diabetes mellitus: a preliminary study. Asian J Psychiatry 2010; 11:64-71. https://researchonline.jcu.edu.au/15925/