Common problems and responses to sexual life in women with diabetes

The physical and emotional problems associated with diabetes can affect a person’s sex life. The effects may not be as pronounced in women compared to men. If patients feel overwhelmed by sex, here are ways to help ease discomfort and eliminate tension.

FAQ

  • Dryness: For women with diabetes, vaginal dryness is the most common sexual problem. Elevated blood sugar can lead to hardening of the blood vessels in the vaginal wall. The vagina is not sufficiently lubricated, creating discomfort during intercourse. Improvement is seen with prescription or over-the-counter vaginal lubricants.
  • Decreased sensation: High blood sugar also affects the microscopic blood vessels that supply blood to the nerves. If the nerves in the vagina do not work as they normally do, the patient may experience reduced vaginal pleasure and therefore have difficulty getting excited or reaching orgasm.
  • Vaginal infections: If blood sugar is not controlled, patients are more likely to develop vaginitis or urinary tract infections. The itching, burning and tingling sensations that come with it can make intercourse uncomfortable. Once an infection develops, patients should seek early medical attention.
  • Depression: The process of managing your diabetes can make you feel anxious or depressed. Type 2 diabetes can also lead to weight gain, which can affect your self-esteem. Physical therapy, medication, or a combination of both can help.

How do I cope?

If diabetes is making you less sexually satisfied, try these ways to improve:

  • Control your blood sugar: This can help a lot with many sexual problems. When blood sugar is well controlled, symptoms of vaginal dryness, vaginitis, and decreased libido are significantly better. Good control of blood sugar can even repair some nerve damage.
  • Consult your doctor: Don’t be embarrassed. Your doctor can help you identify the source of the problem and suggest treatment. It is possible that some problems are not related to diabetes. Some medications such as antidepressants and antihypertensives can also affect sex. If talking to your family doctor about your sex life makes you feel uncomfortable, see a specialist.
  •     Talk to your partner: The sexual problems that come with diabetes can take a toll on your relationship, especially if the person is the only one dealing with these problems. In order to maintain a good relationship with your spouse or partner, it is important for the patient to tell each other how he or she is feeling. Being open and honest with your partner can help ease tensions for both partners. This can even lead to a closer relationship.