Skip to main content
SpringerLink
Log in

Sexual Dysfunction in Turkish Men and Women with Type 2 Diabetes Mellitus

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

Sexual dysfunction (SD) is a common health problem for many men and women all over the world. This study was conducted to determine sexual dysfunction among Turkish men and women with type 2 diabetes mellitus (DM). Eighty men and eighty women were included in the sampling. This study inclusion criterion were: awareness of the illness, literate, married, the age range of the diabetic women 18–45, and not pregnant, the age range of the diabetic men 18–65 years, DM diagnosed at least 1 year, able to read the Turkish language, agreed to participate in the study. The data was completed using a questionnaire form, the index of female sexual function (IFSF), and the international index of erectile function (IIEF). The prevalence of male sexual dysfunction was 65.0 %; the prevalence of female sexual dysfunction was 68.8 %. The scores obtained from the subscale of the IFSF were lower for women with SD. There were also significant differences between the two groups in all domains (lubrication, sexual desire, intercourse satisfaction, clitoral sensation, overall satisfaction) except for the orgasmic function domain (p = 0.000). Scores obtained from the subscale of the IIEF were lower in men with SD, and between the two groups significant differences were found in the domains of erectile function (p = 0.000) and sexual desire (p = 0.010). We also found statistically significant differences between the income level (p = 0.003), family size (p = 0.002), therapy (p = 0.017) and SD in women. Differences for men were found between the age and SD (p = 0.018).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Fatemi, S.S., Taghavi, S.M.: Evaluation of sexual function in women with type 2 diabetes mellitus. Diab. Vasc. Dis. Res. 6(1), 38–39 (2009)

    Article  PubMed  Google Scholar 

  2. El-Rufaie, O.E.F., Bener, A., Abuzeid, M.S.O., Ali, T.A.: Sexual dysfunction among type II diabetic men: a controlled study. J. Psychosom. Res. 43(6), 605–612 (1997)

    Article  PubMed  Google Scholar 

  3. Ziaei-Rad, M., Vahdaninia, M., Montazeri, A.: Sexual dysfunction in patients with diabetes: a study from Iran. Reprod. Biol. Endocrinol. 8(1), 50 (2010)

    Article  PubMed  Google Scholar 

  4. Owiredu, W.K.B.A., Amidu, N., Alidu, H., Sarpong, C., Gyasi-Sarbong, C.K.: Determinants of sexual dysfunction among clinically diagnosed diabetic patients. Reprod. Biol. Endocrinol. 9(1), 70 (2011)

    Article  PubMed  Google Scholar 

  5. De Berardis, G., Franciosi, M., Belfiglio, M., Di Nardo, B., Greenfield, S., Kaplan, S.H., Pellegrini, F., Sacco, M., Tognoni, G., Valentini, M., Nicolucci, A.: Erectile dysfunction and quality of life in type 2 diabetic patients. Diabetes Care 25(2), 284–291 (2002)

    Article  PubMed  Google Scholar 

  6. Doruk, H., Akbay, E., Cayan, S., Bozlu, M., Acar, D.: Effect of diabetes mellitus on female sexual function and risk factors. Arch. Androl. 51(1), 1–6 (2005)

    Article  PubMed  Google Scholar 

  7. Erol, B., Tefekli, A., Özbey, İ., Salman, F., Dincag, N., Kadioğlu, A., Tellaloğlu, S.: Sexual dysfunction in type 2 diabetic females: a comparative study. J. Sex Marital Ther. 28(Suppl 1), 55–62 (2002)

    Article  PubMed  Google Scholar 

  8. Abu Ali, R.M., Al Hajeri, R.M., Khader, Y.S., Shegem, N.S., Ajlouni, K.M.: Sexual dysfunction in Jordanian diabetic women. Diabetes Care 31(8), 1580–1581 (2008)

    Article  PubMed  Google Scholar 

  9. Erbil, N.: Prevalence and risk factors for female sexual dysfunction among Turkish women attending a maternity and gynecology outpatient clinic. Sex. Disabil. 29(4), 377–386 (2011)

    Article  Google Scholar 

  10. Kaplan, S.A., Reis, R.B., Kohn, I.J., Ikeguchi, E.F., Laor, E., Te, A.E., Martins, A.C.P.: Safety and efficacy of sildenafil in postmenopauzal women with sexual dysfunction. J. Urol. 53(3), 481–486 (1999)

    Article  Google Scholar 

  11. Rosen, R.C., Riley, A., Wagner, G., Osterloh, I.H., Kirkpatrick, I., Mishra, A.: The international index of erectile function (IIEF). A multidimensional scala for assessment of erectile dysfunction. J. Urol. 49(6), 822–830 (1997)

    Article  Google Scholar 

  12. Isidori, A.M., Pozza, C., Esposito, K., Giugliano, D., Morano, S., Vignozzi, L., Corona, G., Lenzi, A., Jannini, E.A.: Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction. J. Sex. Med. 7(3), 1139–1146 (2010)

    Article  PubMed  Google Scholar 

  13. Fisher, L., Mullan, J.T., Arean, P., Glasgow, R.E., Hessler, D., Masharani, U.: Diabetes distress and can not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analysis. Diabetes Care 33(1), 23–28 (2010)

    Article  PubMed  Google Scholar 

  14. Schiel, R., Müller, U.A.: Prevalence of sexual disorders in a selection-free diabetic population (JEVIN). Diabetes Res. Clin. Pract. 44, 115–121 (1999)

    Article  PubMed  Google Scholar 

  15. Erol, B., Tefekli, A., Sanli, O., Ziylan, O., Armağan, A., Kendirci, M., Eryasar, D., Kadioğlu, A.: Does sexual dysfunction correlate with deterioration of somatic sensory system in diabetic women? Int. J. Impot. Res. 15, 198–202 (2003)

    Article  PubMed  Google Scholar 

  16. Yilmaz, C.A., Eryilmaz, H.Y.: Kadin cinsel fonksiyon sorgulama indeksinin (IFSF) geçerlilik/güvenilirlik çalişmasi (The validity/reliability study of female sexual function index (IFSF). Androloji Bulteni 18, 275–276 (2004). (in Turkish)

    Google Scholar 

  17. Chedraui, P., Perez-Lopez, F.R., Miguel, G.S., Avila, C.: Assessment of sexuality among middle-aged women using the female sexual function index. Climacteric 12(3), 213–221 (2009)

    Article  PubMed  Google Scholar 

  18. Garcia, S., Moreno, S., Aponte, H.: Prevalence of sexual dysfunction in female outpatients and personel at a Colombian hospital: correlation with hormonal profile. J. Sex. Med. 5(5), 1208–1213 (2008)

    Article  PubMed  Google Scholar 

  19. Gonzales, M., Viafara, G., Caba, F., Molina, E.: Sexual function, menopause and hormone replacement theraphy (HRT). Maturitas 48(4), 411–420 (2004)

    Article  Google Scholar 

  20. Nobre, P.J., Pinto-Gouveia, J.: Emotions during sexual activity: differences between sexually functional and dysfunctional men and women. Arch. Sex. Behav. 35(4), 491–499 (2006)

    Article  PubMed  Google Scholar 

  21. Ter Kuile, M.M., Brauer, M., Laan, E.: The female sexual function ondex (FSFI) and the female sexual distress scale (FSDS): psychometric properties within a Dutch population. J. Sex Marital Ther. 32(4), 289–304 (2006)

    Article  PubMed  Google Scholar 

  22. Giuliano, F.A., Leriche, A., Jaudinot, E.O., De Gendre, A.S.: Prevalence of erectile dysfunction among 7,689 patients with diabetes or hypertension, or both. Urology 64(6), 1196–1201 (2004)

    Article  PubMed  Google Scholar 

  23. Awad, H., Salem, A., Gadalla, A., Wafa, A.E., Mohamed, O.A.: Erectile function in men diabetes type 2: correlation with glycemic control. Int. J. Impot. Res. 22, 36–39 (2010)

    Article  PubMed  Google Scholar 

  24. Romeo, J.H., Seftel, A.D., Madhun, Z.T., Aron, D.C.: Sexual function in men with diabetes type 2: association with glycemic control. J. Urol. 163(3), 788–791 (2000)

    Article  PubMed  Google Scholar 

  25. Zdravko, A., Kamenov, V., Tsanka, G., Yankova, M.: Erectile dysfunction in diabetic men is libked more to microangiopathic complications and neuropathy than to acroangiopathic disturbances. J. Mens Health 4, 64–73 (2007)

    Google Scholar 

  26. Hackett, G.: The burden and extent of comorbid conditions in patients with erectile dysfunction. Int. J. Clin. Pract. 63(8), 1205–1213 (2009)

    Article  PubMed  Google Scholar 

  27. Malavige, L.S., Levy, J.C.: Erectile dysfunction in diabetes mellitus. J. Sex. Med. 6(5), 1232–1247 (2009)

    Article  PubMed  Google Scholar 

  28. Giugliano, F., Maiorino, M., Bellastella, G., Giugliano, M., Esposito, K.: Determinants of erectile dysfunction in type 2 diabetes. Int. J. Impot. Res. 22, 204–209 (2010)

    Article  PubMed  Google Scholar 

  29. Guay, A.T.: Sexual dysfunction in the diabetic patient. Int. J. Impot. Res. 13(Suppl 5), 47–50 (2001)

    Article  Google Scholar 

  30. Ozerdogan, N., Sayiner, F.D., Kosgeroglu, N., Unsal, A.: 40–65 yas grubu kadinlarda cinsel fonksiyon bozukluğu prevalansi, depresyon ve diğer ilişkili faktorler. Maltepe Universitesi Hemsirelik Bilim ve Sanati Dergisi 2(2), 46–59 (2009)

    Google Scholar 

  31. Delgado, P.L., Brannan, S.K., Mallinckrodt, C.H., Tran, P.V., McNamara, R.K., Wang, F., Watkin, J.G., Detke, M.J.: Sexual functioning assessed in 4 double-blind placebo-and paroxetine-controlled trials of duloexetine for major depressive disorder. J. Clin. Psychiatry 66(6), 686–692 (2005)

    Article  PubMed  Google Scholar 

  32. Williams, V.S., Baldwin, D.S., Hogue, S.L., Fehnel, S.E., Hollis, K.A., Edin, H.M.: Estimating the prevalence and impact of antidepressant-induced sexual dysfunction in 2 European countries: a cross-sectional patient survey. J. Clin. Psychiatry 67(2), 204–210 (2006)

    Article  PubMed  Google Scholar 

  33. Enzlin, P., Mathieu, C., Bruel, A.V.D., Bosteels, J., Vanderschueren, D., Demyttenaere, K.: Sexual dysfunction in women with type 1 diabetes: a controlled study. Diabetes Care 25(4), 672–677 (2002)

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors are grateful to all patients for their participation in this study. We would also like to thank the director of the college for her support and cooperation and Paula Maria Knauer for the editorial support.

Conflict of interest

The authors report no conflict of interest.

Author information

Authors and Affiliations

  1. Nursing Department, Karadeniz Technical University Faculty of Health Sciences, 61080, Trabzon, Turkey

    Sevilay Hintistan & Dilek Cilingir

Authors
  1. Sevilay Hintistan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dilek Cilingir
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sevilay Hintistan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hintistan, S., Cilingir, D. Sexual Dysfunction in Turkish Men and Women with Type 2 Diabetes Mellitus. Sex Disabil 31, 31–41 (2013). https://doi.org/10.1007/s11195-012-9271-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-012-9271-7

Keywords

Search

Navigation