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      Prevalence of sexual dysfunction in saudi women with Type 2 diabetes: Is it affected by age, glycemic control or obesity?

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          Abstract

          Objective:

          Sexual dysfunction (SD), as a diabetes mellitus (DM)-related complication, is common among patients having diabetes. This study aimed to ascertain the prevalence of SD in Saudi women with type 2 DM and to determine whether age, glycemic control, and obesity are associated with SD or not.

          Methods:

          A total of 275 Saudi women with type 2 diabetes took part in this cross-sectional study and filled out the Female Sexual Function Index through a fill-coded questionnaire in primary care clinics in King Khalid University Hospital, Riyadh, in the period between January 2013 and May 2013. The level of glycosylated hemoglobin and the body mass index were assessed to evaluate the DM control status and obesity among the patients.

          Results:

          SD was reported by 88.7% of the Saudi women with type 2 diabetes. The results showed a significant association between the presence of SD and the increase in age of patients at 92% in the age group above 50 years. Glycemic control did not show a significant association with SD. The obesity factor showed a slight increase in SD by weight, but it was not statistically significant.

          Conclusion:

          The prevalence of SD among the Saudi women having type 2 diabetes is high and increases with age. No association was found between SD and glycemic control.

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          Most cited references20

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          7. Approaches to Glycemic Treatment.

          (2016)
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            Determinants of female sexual dysfunction in type 2 diabetes.

            Studies assessing sexual dysfunction in type 2 diabetic women are scanty. This study was designed to evaluate the prevalence and correlates of female sexual function in a quite large population of diabetic women. A total of 595 women with type 2 diabetes completed a questionnaire of self-report measures of sexual dysfunction and were analyzed in this study. Their age was 57.9+/-6.9 (mean and s.d.), duration of diabetes was 5.2+/-1.5 years and mean hemoglobin A1c (HbA1c) level was 8.3+/-1.3%. Female sexual dysfunction (FSD) was assessed by the Female Sexual Function Index instrument with a cut-off score of 23. The overall prevalence of FSD among the diabetic women was 53.4%, significantly higher in menopausal women (63.9%), as compared with nonmenopausal women (41.0%, P<0.001). There was no association between HbA1c, duration of diabetes, hypertension, or cigarette smoking status and FSD; on the contrary, age, metabolic syndrome and atherogenic dyslipidemia were significantly associated with FSD. Both depression and marital status were independent predictors of FSD, while physical activity was protective. Further studies are needed to elucidate in full the mechanisms underlying the evident differences between male and female sexual function. In the meantime, evaluation of female sexuality should become a routine evaluation in women with type 2 diabetes, such as other diabetic complications.
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              Sexual Dysfunction in Jordanian Diabetic Women

              OBJECTIVE—To estimate the prevalence of female sexual dysfunction (FSD) in diabetic and nondiabetic Jordanian women. RESEARCH DESIGN AND METHODS—Data were collected from 1,137 married women using the Arabic translation of the Female Sexual Function Index questionnaire. RESULTS—Prevalence of sexual dysfunction in diabetic women 50 years of age or older was 59.6 vs. 45.6% in nondiabetic women (P = 0.003). Diabetic women had more dysfunction of desire, arousal, lubrication, and orgasm than nondiabetic women. Glycemic control, smoking, dyslipidemia, hypertension, autonomic neuropathy, and peripheral neuropathy did not have a significant effect on FSD. Age, BMI, duration of diabetes, and the presence of coronary artery disease, nephropathy, and retinopathy had negative effects on FSD. CONCLUSIONS—Prevalence of FSD among Jordanian women was found to be significantly higher in diabetic compared with nondiabetic women.
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                Author and article information

                Journal
                Pak J Med Sci
                Pak J Med Sci
                Pakistan Journal of Medical Sciences
                Professional Medical Publications (Pakistan )
                1682-024X
                1681-715X
                May-Jun 2017
                : 33
                : 3
                : 732-737
                Affiliations
                [1 ]Turki A. AlMogbel, MBBS, ABFM. Buraydah Diabetes Center, King Fahad Specialist Hospital, Buraydah, Saudi Arabia
                [2 ]Hussein S. Amin, MRCP(UK). Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
                [3 ]Saad M. AlSaad, MBBS, SBFM. Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
                [4 ]Turky H. AlMigbal, MBBS, SBFM. Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
                Author notes
                Correspondence: Dr. Turki Abdullah AlMogbel, Consultant Diabetologist, Buraydah Diabetes Center, King Fahad Specialist Hospital, P.O.Box 1092, Buraydah 51431, K.S.A. E-mail: dr.turkialmogbel@ 123456gmail.com
                Article
                PJMS-33-732
                10.12669/pjms.333.12166
                5510136
                28811804
                200db06e-2410-48ce-b297-68db9940cd64
                Copyright: © Pakistan Journal of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 18 December 2016
                : 17 April 2017
                : 20 April 2017
                Categories
                Original Article

                diabetes mellitus,type 2,diabetologist,family medicine,primary health care,sexual dysfunction,prevalence,glycosylated hemoglobin,saudi arabia

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