Sex and diabetes in women

Although diabetes can be responsible for sexual problems in women, they are far from irreversible. As the causes appear to be more psychological than metabolic, a return to fulfilled sexuality requires first and foremost an improvement in physical and mental well-being [1,2,3,4,5,6,7].

The effects of diabetes on female sexuality 

Numerous studies show that women with diabetes are more concerned by the development of sexual disorders as their non-diabetic counterparts [1,2,3,4,5,6]. It has been estimated that nearly a third of women with diabetes experience this type of discomfort [1,3,4,5,6].

The causes appear to be multifactorial, with nevertheless an important psychological component. Anxiety and depression play a particularly important role in disrupting the female libido [1,2,3,4,5,6,7].

Moreover, accentuate sexual dysfunction in women:

• hormonal changes
• increased risk of urinary tract infections 
• neurotoxic effects due to hyperglycemia
• dryness of the vaginal mucosa directly linked to diabetes

some complications also cause vaginal disorders [1,2,3,4,5,6,7].

Impact of diabetes on a woman's sex life

Neuropathy, a neural disorder that affects many people living with diabetes, can affect a woman's sensitivity to genital stimulation. The onset of angiopathy can make this condition worse, eventually leading to a decreased or complete lack of vaginal lubrication and potentially painful penetration [1,2,3,5,6,7].

From a psychological point of view, these sexual concerns can considerably affect and negatively impact the quality of life of women living with diabetes [1,2,3,4,5,6,7]. A woman's image of her own body and her self-confidence, which are important factors in a sexual relationship, may also be negatively impacted, particularly if there are also weight problems [1,2,3,6,7].

Prevention and treatment

A return to a fulfilling sex life necessarily requires comprehensive management of diabetes. It will allow you to regain both a balance in your blood glucose levels and physical and mental well-being [1,2,5,7].

This is why we will always advise you to refer you to the competent medical body in the field (diabetologist, gynecologist, psychologist, or nutritionist), without neglecting the rigorous hygieno-dietetic measures. The use of lubricants, regular physical activity, and even the use of so-called “relaxation” methods, such as meditation or sophrology, can allow you to reconnect with your body and relax [2,7].

By adopting a healthier lifestyle, you will not only regain control over your diabetes by limiting the risk of complications; but also on your morale. Improvement of your general wellbeing will help you face and overcome many difficulties of a sexual nature, in order to develop fully in your intimate life [1,2,5,7].