Women with diabetes 'are less satisfied with their sex lives'
Diabetic women had sex as often as non-diabetic women but were more likely to have problemsThis could be due to nerve damage caused by higher blood sugar levels



15:27 GMT, 26 July 2012

People with diabetes must regularly check their blood sugar levels

People with diabetes must regularly check their blood sugar levels

Middle-aged and older women who have diabetes find sex more of a struggle than those without the condition, say researchers.

While diabetic men have long been known to be extra prone to sexual problems, particularly impotence, less was known about the intimate lives of women with the disease.

'It's an area that is very understudied, particularly in older women,' said Dr Alison Huang of the University of California, San Francisco, who led the new work.

Based on a survey of nearly 2,300 California women aged 40 to 80 years, Huang and her colleagues found that more than a third of those on insulin treatment said they were “moderately” or “very” sexually dissatisfied.

About a quarter of diabetic women who weren't on insulin reported similar levels of dissatisfaction, whereas less than one in five women without the disease did so. The gap remained after the researchers accounted for a variety of factors, including age, race, relationship status, overweight and estrogen treatment.

'It's not that diabetic women are not interested in sexual activity,' said Huang, whose findings are published in the journal Obstetrics & Gynecology.

'The diabetic women in the study had more sexual problems, but they were just as interested in sexual activities and had a similar level of sexual activity as women without diabetes,' she told Reuters Health.

About six per cent of the women in the study were treated for diabetes with insulin, whereas 15 per cent had the disease but did not get insulin. The rest did not have diabetes.

Among women who were sexually active, those who took insulin complained more often of problems with lubrication and orgasm than did non-diabetic women.

And women with diabetes complications such as heart and kidney disease were less likely than others to have sex at least once a month.

'I think these results do suggest that if you are a diabetic woman, preventing complications may help prevent development of sexual problems,' said Huang. She said following a diabetic diet and getting regular exercise will lower the risk of complications.

There could be many reasons why diabetic women would have more sexual problems. While the issues in diabetic men are often believed to be tied to cholesterol buildup in the arteries that supply blood to the penis, Huang said, blood flow problems are less likely to be at work in women.

Instead, the overall burden of living with a chronic disease might be taking a toll on women's sex lives as might nerve damage caused by elevated blood sugar levels.

Diabetes affects 2.8 million people in the UK. It is thought that a
further one million people have the condition but are not aware of it. Around 90 per cent have type 2 diabetes, which means not enough insulin is produced by the body for it to function properly.