PREVALENCE OF SEXUAL DYSFUNCTION AMONG WOMEN OF REPRODUCTIVE AGE GROUP WITH TYPE 2 DIABETES MELLITUS AT THE ENDOCRINOLOGY AND DIABETES UNIT, LADY READING HOSPITAL, PESHAWAR
DOI:
https://doi.org/10.54112/pjicm.v5i02.107Keywords:
Type 2 Diabetes Mellitus, Sexual Dysfunction, Female Sexual Function Index, Reproductive Age Women, Diabetes ComplicationsAbstract
ABSTRACT
Background: Sexual dysfunction in women is a commonly overlooked complication of type 2 diabetes mellitus (T2DM), impacting physical and emotional well-being. It is particularly relevant among women of reproductive age, where quality of life and relational health may be significantly affected. Objective: To determine the prevalence of sexual dysfunction among women of reproductive age with T2DM and explore associated demographic and clinical factors. Study Design: Cross-sectional study. Setting: Conducted at a tertiary care center (Department of Diabetes and Endocrinology, Lady Reading Hospital, Peshawar, Pakistan). Duration of Study: 19 October 2024 to 19 April 2025. Methods: A total of 245 women aged 18 to 45 years with T2DM were enrolled. Data were collected using a structured demographic questionnaire and the validated Female Sexual Function Index (FSFI), which evaluates six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Statistical analysis was performed to determine prevalence and assess associations (p<0.05 considered significant). Results: The overall prevalence of sexual dysfunction was 62.0%. Dysfunction was significantly higher among uneducated women (61.8%, p<0.05), those residing in rural areas (65.8%, p<0.05), women with a diabetes duration >5 years (59.9%, p<0.05), and those with obesity (19.1%, p<0.05). Conclusion: Sexual dysfunction was found to be prevalent in 62% of women of reproductive age with T2DM. Lower education, rural residence, longer duration of diabetes, and obesity were significantly associated with increased risk. These findings emphasize the need for routine sexual health screening and counseling in diabetic care for women.
References
Arokiasamy P, Salvi S, Selvamani Y. Global burden of diabetes mellitus. Handbook Glob Health. 2020:1-44. https://doi.org/10.1007/978-3-030-05325-3_28-1
Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94(3):311-21. https://doi.org/10.1016/j.diabres.2011.10.029
Zamanzadeh V, Zirak M, Maslakpak MH, Parizad N. Distance education and diabetes empowerment: A single-blind randomized control trial. Diabetes & Metabolic Syndrome: Clin Rese Rev.. 2017;11:S247-51. https://doi.org/10.1016/j.dsx.2016.12.039
Maiorino MI, Bellastella G, Esposito K. Diabetes and sexual dysfunction: current perspectives. Diabetes, metabolic syndrome, and obesity: Targets Therapy. 2014:95-105.
https://doi.org/10.2147/DMSO.S36455
Rahmanian E, Salari N, Mohammadi M, Jalali R. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: a systematic review and meta-analysis. Diabetol Metab Syndr. 2019;11:1-7. https://link.springer.com/article/10.1186/s13098-019-0469-z
Sansone A, Mollaioli D, Ciocca G, Limoncin E, Colonnello E, Jannini EA. Sexual dysfunction in men and women with diabetes: a reflection of their complications?. Cur Diab Rev. 2022;18(1):1-8. https://doi.org/10.2174/1573399817666210309104740
Faselis C, Katsimardou A, Imprialos K, Deligkaris P, Kallistratos M, Dimitriadis K. Microvascular complications of type 2 diabetes mellitus. Curr Vasc Pharmacol. 2020;18(2):117-24. https://doi.org/10.2174/1570161117666190502103733
Giugliano F, Maiorino M, Bellastella G, Gicchino M, Giugliano D, Esposito K. Determinants of erectile dysfunction in type 2 diabetes. Int J Impot Res. 2010;22(3):204-9. https://doi.org/10.1038/ijir.2010.1
Dimitropoulos K, Bargiota A, Mouzas O, Melekos M, Tzortzis V, Koukoulis G. Sexual functioning and distress among premenopausal women with uncomplicated type 1 diabetes. J Sex Med. 2012;9(5):1374-81. https://doi.org/10.1111/j.1743-6109.2012.02664.x
Copeland KL, Brown JS, Creasman JM, Van Den Eeden SK, Subak LL, Thom DH, et al. Diabetes mellitus and sexual function in middle-aged and older women. Obstet Gynecol. 2012 ;120(2 Part 1):331-40. https://doi.org/10.1097/AOG.0b013e31825ec5fa
Rosen, C., Brown, J., Heiman, S., Leiblum, C., Meston, R., Shabsigh, D., et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208. https://doi.org/10.1080/009262300278597
Neijenhuijs KI, Hooghiemstra N, Holtmaat K, Aaronson NK, Groenvold M, Holzner B, et al. The Female Sexual Function Index (FSFI)—a systematic review of measurement properties. J Sex Med. 2019;16(5):640-60. https://doi.org/10.1016/j.jsxm.2019.03.001
Sebtain A. Sexual dysfunction in female patients with type 2 diabetes mellitus presenting to a tertiary care hospital. Journal of Postgraduate Medical Institute. 2022;36(1):32-5. https://doi.org/10.54079/jpmi.36.1.3000
Masood SN, Saeed S, Lakho N, Masood Y, Rehman M, Memon S. Frequency of sexual dysfunction in women with diabetes mellitus: A cross-sectional multicenter study. J Diabetol. 2021;12(3):357-362. https://doi.org/10.4103/JOD.JOD_31_21
Kamrul-Hasan ABM, Alam MS, Zarin N, Aalpona FT, Mustari M, Akter F. Sexual dysfunction in women with type 2 diabetes mellitus: A single-centre cross-sectional study from Bangladesh. Arch Endocrinol Metab. 2023;67(5):e000635. https://doi.org/10.20945/2359-3997000000635
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