The increasing incidence of diabetes has inevitably led to an increase in diabetic complications. In addition to diabetic fundopathy, diabetic nephropathy, and diabetic foot, which are well known, diabetic complication of sexual dysfunction is also a very common diabetic complication. Diabetes complicating sexual dysfunction is equally common in men and women, but probably due to the influence of traditional Chinese thinking, female diabetic patients often avoid talking about their abnormal sexual function during consultation and pay much less attention to it than male patients. In this article, we will briefly introduce the diagnosis, treatment and diet of female diabetic patients with concurrent sexual dysfunction so that we can have a preliminary understanding of the disease.
I. What is female diabetic sexual dysfunction?
The second International Consensus Conference on Sexual Medicine in 2004 revised the definition of FSD, as follows: hypoactive sexual desire refers to the reduction or loss of sexual excitement and sexual fantasy, and the extent of this reduction is greater than that caused by factors such as ageing; subjective sexual arousal disorder is the reduction or loss of the feeling of sexual arousal caused by any form of sexual stimulation; pubic sexual arousal disorder refers to any form of sexual stimulation A disorder of vaginal arousal is any form of sexual stimulation that causes a decrease in vaginal engorgement and vaginal lubrication, and also a decrease in sexual arousal during genital touching; a subjective arousal disorder combined with a disorder of vaginal arousal is a disorder of vaginal arousal aggravated by a subjective decrease in the sensation of sexual arousal; a persistent disorder of vaginal arousal is a spontaneous arousal of the vagina for hours or days in the absence of sexual desire, and this arousal is not relieved by the onset of orgasm; an orgasmic disorder is Orgasmic disorder is the absence of orgasm or the delayed onset of orgasm despite high sexual desire and arousal; painful intercourse is the persistent and recurrent pain that occurs during the initial or complete entry of the penis into the vagina or during intercourse; vaginal cramping is the persistent and recurrent pain that occurs when the penis, fingers, or other objects enter the vagina despite the woman’s desire to have intercourse; sexual aversion is the extreme fear or aversion to Sexual aversion is an extreme fear or aversion to any form of sexual activity.
What are the chances of sexual dysfunction in women with diabetes?
Sexual dysfunction is very common in women. In 1992, the National Health and Social Life Survey in the United States found that the incidence of FSD was 43%. In 2004, an international study of 27,500 men and women between the ages of 40 and 80 found that 39% of women had sexual activity disorders. The impact of diabetes on female sexual function is particularly significant and relates to all aspects of sexual function, capable of causing low sexual desire, impaired sexual arousal, reduced vaginal lubrication, orgasmic disorders, and difficulties with intercourse. In Poland, Nowosielski et al. investigated the sexual function status of 242 diabetic women aged between 18-55 years old, in which the prevalence of FSD reached 32.65%, and the risk of FSD was greater in type 2 diabetic patients than in type 1. The study also found no significant correlation between the duration of diabetes, diabetic complications, glycemic control and the occurrence of diabetic FSD.
Third, what should women with diabetes do if they have sexual dysfunction? Is it treatable?
Doctors should consciously pay attention to the sexual function of female diabetic patients when treating them, so as to detect the abnormal sexual function of the patients early and enable them to receive timely and effective targeted treatment. The treatment of diabetic FSD includes lifestyle changes, blood sugar control, psychological treatment, and reasonable Chinese and Western medicine medication.
For diabetic FSD with depression, appropriate psychological counseling can be provided, and antidepressant drugs can also be used. Western medical treatment can also use hormone replacement therapy such as estrogen replacement therapy and androgen replacement therapy. Sildenafil (commonly known as Viagra), a commonly used PDE-5 inhibitor, can be used to treat female sexual arousal and orgasm disorders.
While a number of Western medicine drugs are currently available for the treatment of this condition, they have limited effectiveness, while Chinese medicine has shown specific efficacy in treating female diabetic sexual dysfunction. The pathogenesis of diabetes mellitus is kidney deficiency and heat stasis, so the method of nourishing the kidney and liver and clearing heat stasis is commonly used in clinical practice.
While using comprehensive treatment methods for sexual dysfunction, diabetic FSD patients should also pay attention to dietary regimen.
Fourth, sexual dysfunction patients’ healthy diet considerations.
1. eat more high-quality protein: high-quality protein mainly refers to a variety of animal foods, such as chicken, duck, fish, lean meat, eggs, can be put forward for the human body needs to use a variety of amino acids. Some animal food itself contains some sex hormones, is conducive to improving libido.
2. Appropriate intake of fat: Investigation shows that long-term vegetarian women, the age of menarche is delayed, estrogen secretion is reduced, libido is reduced and affects fertility.
3. supplement vitamins and trace elements: research has proved that vitamins a and e are vitamins related to maintaining sexual function and delaying aging. Vitamin c has a positive effect on the recovery of sexual function, which is rich in fresh dates, hawthorn, green pepper, tomatoes and other fruit sparse.
Five, medicinal diet symptomatic treatment:
1, gold cherry seeds dog
Ingredients: 30 grams of golden cherry, 25 grams of golden hair dog backbone, 400 grams of fresh dog meat, onion, ginger, salt, sugar and other seasonings in appropriate amounts.
Method: remove impurities from cherry and dog’s backbone, wash and slice; wash and cut dog meat, put into casserole with cherry and dog’s backbone, put onion and ginger, add water 1500ml, boil with martial fire, then change to civil fire until dog meat is cooked, pick off onion and ginger, add salt, sugar and other seasonings and cook for 5 minutes. Eat dog meat in portions.
Efficacy: the party can benefit the liver and kidneys, astringent solid essence, fill the kidney essence; applicable to kidney Yang deficiency of women with low libido, orgasm disorder.
2, ginseng and lamb.
Ingredients: 20 grams of ginseng, 20 grams of astragalus, 500 grams of mutton, onion, ginger, salt, sugar and other seasonings in appropriate amounts.
Practice: the party ginseng, yellow seedlings sliced, wrapped in gauze. Lamb washed and cut into pieces, put together with the medicine package in a steam bowl, add ginger, onion, sprinkles; slip soup 500 ml, cover tightly, on the cage drawer steam 2 hours. Pick off the onion, ginger, medicine package i add paste salt and other seasonings and then steam for 10 minutes. Divided into 2 days to finish, eat meat and drink soup.
Efficacy: It can warm the middle and nourish the deficiency, strengthen the spleen and benefit the qi. Suitable for female orgasm disorder of Qi and blood deficiency.
3, Chinese wolfberry beef whip.
Materials: wolfberry 30 grams, 100 grams of beef whip, onion, ginger, salt, pepper and other seasonings each appropriate amount.
Practice: the wolfberry, bullwhip clean, sliced, put together in a casserole with onion, ginger, add water 500 ml, boil with a military fire and then change to a civilian fire cooked until the bullwhip cooked rotten, pick off the onion, ginger, add salt, cooking wine, pepper and other seasonings to taste, and then cook for 5 minutes. Eat beef whip, drink soup, 2 days to finish, can be eaten for 10 days.
Efficacy: It can tonify the kidneys and strengthen the yang, strengthen the tendons and bones. Suitable for women with low sexual function and orgasm disorder due to kidney deficiency.
Chinese wolfberry and river shrimp.
Ingredients: wolfberry 30 grams, river shrimp 100 grams, onion, ginger, salt, sprinkles, sugar and other seasonings each appropriate amount.
Practice: wash the wolfberry to remove impurities, frying to get the thick juice spare. River shrimp to remove the whiskers gun washed. Pan frying heat add cooking oil, oil heat to 80 degrees, pour into the river shrimp, ginger, scallions, wine, juice, stir-fry for a moment, frying 15 minutes, add salt, sugar and other seasonings to taste. Eat as a dish, l dose daily for 5 days.
Effect: It can nourish the kidney and strengthen the yang. Suitable for women with kidney deficiency and sperm deficiency of orgasm disorder.
4, leek fried river shrimp.
Ingredients: leek 250 grams, river shrimp 50 grams, onion, ginger, salt, sugar and other seasonings appropriate amount.
Practice: the leek washed and cut into 1 inch long, river shrimp to the mustache gun washed. Heat a pot, add cooking oil to 80 degrees, put swing, ginger fry, then put leeks, river shrimp stir-fry, add salt, sugar, wine and other seasonings to taste, stir-fry until the dish cooked shrimp can be. When the dish is eaten, 1 dose daily for 5 days.
Efficacy: The formula can strengthen the spleen and kidney, benefit the essence and strengthen Yang. It is suitable for female orgasm disorder with deficiency of kidney yang.