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Sexual dysfunction in women with type 1 diabetes: Long-term findings from the DCCT/ EDIC study cohort

Authors :
Enzlin, P
Rosen, R
Wiegel, M
Brown, J
Wessells, H
Gatcomb, P
Rutledge, B
Chan, KL
Cleary, PA
Source :
Enzlin, P; Rosen, R; Wiegel, M; Brown, J; Wessells, H; Gatcomb, P; et al.(2009). Sexual dysfunction in women with type 1 diabetes: Long-term findings from the DCCT/ EDIC study cohort. Diabetes Care, 32(5), 780-785. doi: 10.2337/dc08-1164. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/0568r0n2
Publication Year :
2009
Publisher :
eScholarship, University of California, 2009.

Abstract

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. © 2009 by the American Diabetes Association.

Details

Language :
English
Database :
OpenAIRE
Journal :
Enzlin, P; Rosen, R; Wiegel, M; Brown, J; Wessells, H; Gatcomb, P; et al.(2009). Sexual dysfunction in women with type 1 diabetes: Long-term findings from the DCCT/ EDIC study cohort. Diabetes Care, 32(5), 780-785. doi: 10.2337/dc08-1164. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/0568r0n2
Accession number :
edsair.od.......325..b0da45940355f67e1e7b1f14d22fbd8f
Full Text :
https://doi.org/10.2337/dc08-1164.