Tammy Galligher is an Expert on living with diabetes long-term. To check out Tammy’s full bio, click here.
Sexual dysfunction among diabetics is generally associated with men, thanks to the countless number of television commercials. However, while not as widely talked about, sexual dysfunction also impacts many female diabetics.
Not only can this side-effect of the disease be frustrating, it can be embarrassing and an issue many are facing but reluctant to talk about or seek help for.
The cause of female dysfunction can stem from many areas, including poor blood glucose control resulting in infections, vaginal irritation as well as vascular and nerve damage. High blood sugars may result in yeast infections that can cause itching and burning of the vagina and vulva as well as painful urination and intercourse.
Vascular and nerve damage can cause vaginal dryness and interfere with arousal. Nerve damage to the bladder is referred to Neurogenic bladder, which can result in an increase of urinary tract infections as well as incontinence, making intercourse painful as well as embarrassing.
Making matters worse, certain medications can suppress the libido. Some anti-depressants, high blood pressure medications, tranquilizers and birth control, among others may cause a lack of interest in sex. Depression and anxiety can also contribute.
In addition to medical issues, there are also social issues involved as well. For pump wearers, the trickiness of where to put the pump can cause anxiety and fear of embarrassment. The need to do a blood sugar check before sexual activity may ruin the moment for others.
Low or high blood sugar can also interfere. High blood sugar may cause fatigue as well as other symptoms that can make women apathetic to sexual activity. Lows can put the kibosh on any intimacy.
While there may be medical issues that need to be discussed with your doctor, some female diabetics may be able to improve their sex lives simply through better blood sugar control and weight loss. Women with good control often have more energy, fewer complications and less anxiety. Weight loss can also result in better glucose control as well as a higher self esteem. This is a win-win situation for all involved.
(Each of the Expert columns are based on the experiences and knowledge of the individual columnists. The columns are meant to provide you with helpful information, but are not meant to be considered direct advice. Before making any decisions that could affect your health, make sure to contact a physician or the appropriate medical professional.)
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