All about sexual health and diabetes in women

Although diabetes can be the root cause of sexual health problems in women, these are far from irreversible. Since the causes are generally more psychological than metabolic, the restoration of satisfying sexual health principally requires an enhancement in physical and mental wellness [1,2,3,4,5,6,7].

The effects of diabetes on female sexual health

A plethora of studies highlight that women with diabetes are more prone to developing sexual disorders compared to women not living with diabetes [1,2,3,4,5,6]. It's estimated that nearly a third of women with diabetes encounter such discomfort [1,3,4,5,6].

The causes appear to be multifactorial, with a significant psychological element. Anxiety and depression are particularly instrumental in disrupting female libido [1,2,3,4,5,6,7].

Furthermore, the following factors can exacerbate sexual dysfunction in women: 

• hormonal changes
• increased risk of urinary tract infections
• neurotoxic effects due to hyperglycaemia
• dryness of the vaginal mucosa directly linked to diabetes
• certain complications causing vaginal disorders [1,2,3,4,5,6,7].

Impact of diabetes on a woman's sex life

Neuropathy, a neural condition prevalent amongst those living with diabetes, can impair a woman's sensitivity to genital stimulation. The onset of angiopathy can worsen this issue, leading to a decrease or total absence of vaginal lubrication and potentially painful penetration [1,2,3,5,6,7].

From a psychological standpoint, these sexual health issues can greatly influence and negatively impact the quality of life for women with diabetes [1,2,3,4,5,6,7].

A woman's self-perception and self-confidence, vital elements in a sexual relationship, may also suffer, particularly if weight issues are present [1,2,3,6,7].

Prevention and treatment

A return to a fulfilling sex life requires comprehensive management of diabetes. This will facilitate the restoration of balanced blood glucose levels and physical and mental wellness [1,2,5,7].

Hence, we strongly recommend seeking help from relevant medical professionals in the field (diabetologist, gynaecologist, psychologist, or dietitian), s. Utilising lubricants, maintaining regular physical activity, and employing relaxation techniques, such as meditation or sophrology, can help you reconnect with your body and relax [2,7].

By adopting a healthier lifestyle, you'll not only regain control over your diabetes by minimising the risk of complications but also improve your morale. Enhancement of your overall well-being will help you tackle and surmount many sexual health issues, allowing you to thrive in your intimate life [1,2,5,7].