Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus

Rossella Mazzilli, Norina Imbrogno, Jlenia Elia, Michele Delfino, Olimpia Bitterman, Angela Napoli, Fernando Mazzilli Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Unit of Diabetology and Endocrinology, University of Rome Sapienza, Rome, Italy Background: The aim of...

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Autores principales:	Mazzilli R, Imbrogno N, Elia J, Delfino M, Bitterman O, Napoli A, Mazzilli F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/b23b732be2084f6992a8d1e32cfce40e
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spelling	oai:doaj.org-article:b23b732be2084f6992a8d1e32cfce40e2021-12-02T06:15:11ZSexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus1178-7007https://doaj.org/article/b23b732be2084f6992a8d1e32cfce40e2015-02-01T00:00:00Zhttp://www.dovepress.com/sexual-dysfunction-in-diabetic-women-prevalence-and-differences-in-typ-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007 Rossella Mazzilli, Norina Imbrogno, Jlenia Elia, Michele Delfino, Olimpia Bitterman, Angela Napoli, Fernando Mazzilli Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Unit of Diabetology and Endocrinology, University of Rome Sapienza, Rome, Italy Background: The aim of this work was to evaluate the impact of diabetes on female sexuality and to highlight any differences between sexuality in the context of type 1 and type 2 diabetes mellitus (DM). Methods: The subjects selected were 49 women with type 1 DM, 24 women with type 2 DM, and 45 healthy women as controls. Each participant was given the nine-item Female Sexual Function Index questionnaire to complete. The metabolic profile was evaluated by body mass index and glycosylated hemoglobin assay. Results: The prevalence of sexual dysfunction (total score ≤30) was significantly higher in the type 1 DM group (25/49, 51%; 95% confidence interval [CI] 18–31) than in the control group (4/45, 9%; 95% CI 3–5; P=0.00006); there were no significant variations in the type 2 DM group (4/24, 17%; 95% CI 3–4) versus the control group (P=0.630, not statistically significant). The mean total score was significantly lower in the type 1 DM group (30.2±6.9) versus the control group (36.5±4.9; P=0.0003), but there was no significant difference between the type 2 DM group and the control group (P=0.773). With regard to specific questionnaire items, the mean values for arousal, lubrication, dyspareunia, and orgasm were significantly lower only in the type 1 DM group versus the control group. The mean values for desire were reduced in type 1 and type 2 DM groups versus control group. Conclusion: Type 1 DM is associated with sexual dysfunction. This may be due to classic neurovascular complications or to the negative impact of the disease on psychosocial factors. Larger and ideally longitudinal studies are necessary to better understand the relationship between DM and sexual dysfunction. Keywords: diabetes mellitus, female sexuality, Female Sexual Function IndexMazzilli RImbrogno NElia JDelfino MBitterman ONapoli AMazzilli FDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2015, Iss default, Pp 97-101 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Mazzilli R Imbrogno N Elia J Delfino M Bitterman O Napoli A Mazzilli F Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
description	Rossella Mazzilli, Norina Imbrogno, Jlenia Elia, Michele Delfino, Olimpia Bitterman, Angela Napoli, Fernando Mazzilli Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Unit of Diabetology and Endocrinology, University of Rome Sapienza, Rome, Italy Background: The aim of this work was to evaluate the impact of diabetes on female sexuality and to highlight any differences between sexuality in the context of type 1 and type 2 diabetes mellitus (DM). Methods: The subjects selected were 49 women with type 1 DM, 24 women with type 2 DM, and 45 healthy women as controls. Each participant was given the nine-item Female Sexual Function Index questionnaire to complete. The metabolic profile was evaluated by body mass index and glycosylated hemoglobin assay. Results: The prevalence of sexual dysfunction (total score ≤30) was significantly higher in the type 1 DM group (25/49, 51%; 95% confidence interval [CI] 18–31) than in the control group (4/45, 9%; 95% CI 3–5; P=0.00006); there were no significant variations in the type 2 DM group (4/24, 17%; 95% CI 3–4) versus the control group (P=0.630, not statistically significant). The mean total score was significantly lower in the type 1 DM group (30.2±6.9) versus the control group (36.5±4.9; P=0.0003), but there was no significant difference between the type 2 DM group and the control group (P=0.773). With regard to specific questionnaire items, the mean values for arousal, lubrication, dyspareunia, and orgasm were significantly lower only in the type 1 DM group versus the control group. The mean values for desire were reduced in type 1 and type 2 DM groups versus control group. Conclusion: Type 1 DM is associated with sexual dysfunction. This may be due to classic neurovascular complications or to the negative impact of the disease on psychosocial factors. Larger and ideally longitudinal studies are necessary to better understand the relationship between DM and sexual dysfunction. Keywords: diabetes mellitus, female sexuality, Female Sexual Function Index
format	article
author	Mazzilli R Imbrogno N Elia J Delfino M Bitterman O Napoli A Mazzilli F
author_facet	Mazzilli R Imbrogno N Elia J Delfino M Bitterman O Napoli A Mazzilli F
author_sort	Mazzilli R
title	Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
title_short	Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
title_full	Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
title_fullStr	Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
title_full_unstemmed	Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
title_sort	sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/b23b732be2084f6992a8d1e32cfce40e
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Sexual dysfunction in diabetic women: prevalence and differences in type 1 and type 2 diabetes mellitus

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