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Sexual Dysfunction in Women With Type 1 Diabetes: Long-term findings from the DCCT/ EDIC study cohort
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Sexual Dysfunction in Women With Type 1 Diabetes: Long-term findings from the DCCT/ EDIC study cohort
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Journal Article
Sexual Dysfunction in Women With Type 1 Diabetes: Long-term findings from the DCCT/ EDIC study cohort
2009
Overview
OBJECTIVE: This study aimed to investigate the prevalence and risk factors associated with sexual dysfunction in a well-characterized cohort of women with type 1 diabetes. RESEARCH DESIGN AND METHODS: The study was conducted in women enrolled in the long-term Epidemiology of Diabetes Interventions and Complications (EDIC) study, a North American study of men and women with type 1 diabetes. At year 10 of the EDIC study, 652 female participants were invited to complete a validated self-report measure of sexual function, standardized history and physical examinations, laboratory testing, and mood assessment. RESULTS: Of the sexually active women with type 1 diabetes in the EDIC study, 35% met criteria for female sexual dysfunction (FSD). Women with FSD reported loss of libido (57%); problems with orgasm (51%), lubrication (47%), and arousal (38%); and pain (21%). Univariate analyses revealed a positive association between FSD and age (P = 0.0041), marital status (P = 0.0016), menopausal status (P = 0.0019), microvasculopathy (P = 0.0092), and depression (P = 0.0022). However, in a multivariate analysis, only depression (P = 0.004) and marital status (P = 0.003) were significant predictors of FSD. CONCLUSIONS: FSD is common in women with type 1 diabetes and affects all aspects of sexual function and satisfaction. Depression is the major predictor of sexual dysfunction in women with type 1 diabetes. These findings suggest that women with type 1 diabetes should be routinely queried about the presence of sexual dysfunction and possible co-association with depression.
Publisher
American Diabetes Association
Subject
/ Analysis
/ Biological and medical sciences
/ Complications and side effects
/ Diabetes
/ Diabetes Mellitus, Type 1 - psychology
/ Diabetes. Impaired glucose tolerance
/ Diabetic Angiopathies - epidemiology
/ Diabetic Nephropathies - epidemiology
/ Diabetic Retinopathy - epidemiology
/ Diseases
/ emotions
/ Endocrine pancreas. Apud cells (diseases)
/ Etiopathogenesis. Screening. Investigations. Target tissue resistance
/ Female
/ Glycated Hemoglobin A - metabolism
/ Humans
/ insulin-dependent diabetes mellitus
/ Libido
/ Male
/ men
/ pain
/ Public health. Hygiene-occupational medicine
/ Sexual Dysfunctions, Psychological
/ Sexual Dysfunctions, Psychological - epidemiology
/ Smoking
/ Studies
/ Women
