Diabetes
Many men and women with diabetes complain about
sexual problems. Usually these symptoms occur at later stages of the disease.
However, occasionally sexual problems are some of the first symptoms, and some
men having trouble with their erections become diagnosed with diabetes.
Since late-stage diabetes can affect the
functioning of nerves as well as of small blood vessels, both of these changes
may interfere with sexual function. Other problems may be changes in eye-sight,
reduced sensation in feet, reduced kidney function, etc.
General suggestions related to sexual problems and their
management
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The most important way to reduce the symptoms in your
various organs (eyes, kidneys, sexual organs, etc.) is to keep your
blood-sugar well regulated. |
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If you have not already done so, see your doctor regularly in
order to find the best treatment options for you. There are many good
medications available. It is also important that your doctor know about any new
symptoms you may be experiencing. |
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If you feel reduced interest in sex, remember that you still
can have a loving relationship with your partner without sexual activity. There
are many ways of expressing your love and fondness, without having sex,
including cuddling and kissing each other. |
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If you feel very tired, try to plan intimate time with your
partner at times when you are most rested. |
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If the diabetes is not well controlled, many women are prone
to vaginal infections. If left untreated, these infections can lead to pain
during intercourse. Try to keep your blood-sugar well regulated, and seek
medical care as soon as you think that you may have a vaginal infection. Some of
the symptoms are irritation, itching, a burning sensation when urinating, an
excessive or disagreeable discharge, and pain during intercourse. |
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Women with decreased vaginal lubrication can use water-soluble lubricants (K-Y jelly, Astroglide, etc.), sold over the counter in
most pharmacies. |
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Some men with poorly controlled diabetes experience erectile
problems. It is important to know that erectile function often
improves when better blood-sugar control is achieved. |
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Some men who have lost their erectile ability are still able to
experience orgasms and to ejaculate. If erectile function is severely affected
there are several ways to help you have better erections. Several medications
are now available on the market; vacuum devices have been useful for many; and
penile implants are available for severe erectile dysfunction. |
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Sexual counseling or sex therapy can be helpful. |
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Remember that
erectile dysfunction does not prevent you from being sexually active and giving
towards the one you love. This may be a good time to explore alternative ways of
being loving and intimate with your partner. |
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Dry orgasms (retrograde ejaculation) happen in some men.
Usually this is due to the ejaculate not flowing out through the urethra, but
rather being emptied (flowing "backwards") into the bladder. This
condition is not dangerous. Most men
with dry orgasm claim that the sensation during orgasm is unchanged. |
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If you are in the reproductive age, discuss the best method of
birth control with your doctor. Sometimes birth control pills may disturb the
diabetic control, and other methods (diaphragm, intrauterine device, cervical
cap, condoms, etc.) may be a better solution for you. |
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If you have diabetes and wish to become pregnant, it is
important to attempt optimal control of your blood-sugar even
before conception. Your gynecologist should follow you closely throughout your
pregnancy and adjust your medication if necessary. |
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Some women with diabetes have more complications during
pregnancy and delivery than women without the disease. Babies often tend to be
larger, and sometimes your gynecologist will choose to induce labor a few weeks
before your actual due-date. |
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Male fertility may be affected by an inability to achieve
erections, retrograde ejaculation, and endocrine abnormalities. |
References
Bancroft, J. (1989) Human sexuality and its problems. Churchill
Livingstone, ISBN: 0-443-03455-9
Milsten, R. & Slowinski, J. (1999) The sexual male. Problems
and solutions. Norton, ISBN: 0-393-04740-7
Schover, L.R. & Jensen, S.B. (1988) Sexuality and chronic
illness. A comprehensive approach. The Guilford Press, ISBN: 0-89862-715-X
Sipski, M.L. & Alexander, C.J. (1997) Sexual function in
people with disability and chronic illness. Aspen Publishers, Inc., ISBN:
0-8342-0886-5
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