Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Sexual Dysfunction and Sexual Quality of Life in Women with Diabetes: The Study Based on a Diabetic Center


This study was conducted on a cross-sectional basis for the purpose of determining the prevalence of sexual dysfunction (SD) and sexual quality of life in women with diabetes and, showing the correlation of them with some variables associated with diabetes. The study recruited 423 women with diabetes, through a diabetic center for control from January to December 2012. The data was collected with Socio-demographic and Disease Associated Properties Form, Women Sexual Function Index (FSFI) and Sexual Quality of Life Questionnaire-Women (SQLQ). The mean age of the women, who participated in the study, was 50.0 (SD = 11.3) and, their mean marital period was 30.0 (SD = 11.8). 83 % of the women had type 2 and, 17 % of them had type 1 diabetes and, their mean duration of disease is 11.4 (SD = 7.2). 60.5 % of the women expressed that their sexual desire decreased and, 61.7 % of them expressed that their frequency of sexual intercourse reduced after the diagnosis of their disease. According to the total FSFI scores, 80.4 % of the women had SD. The frequency of SD in women with type 2 diabetes (85.6 %) was significantly higher than that in women with type 1 diabetes (%55.6) (p < 0.001). The sexual quality of life of women with SD (62.7 ± 21.2) was significantly lower than that of those without SD (89.6 ± 9.9) (p < 0.001). According to these study results, SD was prevalent in women with diabetes, particularly those with type 2 diabetes and also their sexual quality of life was low in parallel with this.

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

Fig. 1


  1. 1.

    Rubin, R., Ciechanowski, P., Egede, L., et al.: Recognising and treating depression in patients with diabetes. Curr. Diab. Rep. 4(2), 119–125 (2004)

  2. 2.

    Phillips, A., Wright, J.: Achieving treatment concordance. (Diabetes: evidence-based management 9). Pract. Nurs. 20(7), 353–357 (2009)

  3. 3.

    Lutfey, K., Link, C., Rosen, R., Wiegel, M., McKinlay, J.: Prevalence and correlates of sexual activity and function in women: results from the Boston Area Community Health (BACH) survey. Arch. Sex. Behav. 38, 514–527 (2008)

  4. 4.

    Shifren, J.L., Monz, B.U., Russo, P.A., Segreti, A., Johannes, C.B.: Sexual problems and distress in United States women: prevalence and correlates. Obstet. Gynecol. 112(5), 970–978 (2008)

  5. 5.

    Ogbera, A.O., Chinenye, S., Akinlade, A., Eregie, A., Awobusuyi, J.: Frequency and correlates of sexual dysfunction in women with diabetes mellitus. J. Sex. Med. (2009). doi:10.1111/j.1743-6109.2009.01396.x

  6. 6.

    Diabetes UK Sex and diabetes. www.diabetes.org.uk/Guide-to-diabetes/Living_with_diabetes/Sex-and-diabetes. Accessed 15 Aug 2014

  7. 7.

    Enzlin, P., Rosen, R., Wiegel, M., Brown, J., Wessells, H., Gatcomb, P., et al.: Sexual dysfunction in women with type 1 diabetes: long-term findings from the diabetes control and complications trial = epidemiology of diabetes interventions and complications study cohort. Diabetes Care 32, 780–785 (2009)

  8. 8.

    Nappi, R., Saloni, A., Traish, A.M., van Lunsen, R.H.W., Vardi, Y., Kadioglu, A., Goldstein, I.: Clinical biologic physiologies of women sexual dysfunktion. J. Sex. Mex. Med. 2, 4–25 (2005)

  9. 9.

    Wingrad, C., Fulton, D., Husain, S.: Altered penile reactivity and erection in the Zucker obese- diabetic rat. J. Sex. Med. 4, 348–363 (2007)

  10. 10.

    Giraldi, A., Kristensen, E.: Sexual dysfunction in women with diabetes mellitus. J. Sex. Res. 47(2–3), 199–211 (2010)

  11. 11.

    Rawa, B., Adibah, H.I., Norhayati, M.N., Hatta, S.: Prevalence and associated factors of women sexual dysfunction among diabetics in Kelantan. Int. Med. J. 17(3), 179–185 (2010)

  12. 12.

    Taloyan, M., Wajngot, A., Johansson, S.E., Tovi, J., Sundquist, J.: Ethnic differences in dissatisfaction with sexual life in patients with type 2 diabetes in a Swedish town. BMC Publ. Health 10(536), 2–7 (2010)

  13. 13.

    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)

  14. 14.

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

  15. 15.

    Corona, G., Mannucci, E., Mansani, R., et al.: Organic, relational and psychologicalfactors in erectile dysfunction in men with diabetes mellitus. Eur. Urol. 46, 222–228 (2004)

  16. 16.

    Rosen, R., Brown, C., Heiman, J.: The female sexual function index (FSFI): a multidimensional selfreport instrument for the assessment of female sexual function. J. Sex Marital Ther. 26(2), 191–208 (2000)

  17. 17.

    Aygin, D., Aslan, F.E.: The Turkish adaptation of the female sexual function index. Turkiye Klinikleri J. Med. Sci. 25(3), 393–399 (2005)

  18. 18.

    Symonds, T., Boolell, M., Quırk, F.: Development of questionnaire on sexual quality of life in women. J. Sex Marital Ther. 31, 385–397 (2005)

  19. 19.

    Tugut, N., Golbası, Z.: Cinsel Yaşam Kalitesi Ölçeği - Kadın Türkçe versiyonunun geçerlik ve güvenirlik çalışması. Cumhuriyet Tıp Dergisi 32, 172–180 (2010)

  20. 20.

    Schiavi, R.C., Hogan, B.: Sexual problems in diabetes mellitus: psychological aspects. Diabetes Care 2(1), 9–17 (1979)

  21. 21.

    Schiavi, R.C., Stimmel, B.B., Mandeli, J., Rayfield, E.J.: Diabetes mellitus and male sexual function: a controlled study. Diabetologia 36(8), 745–751 (1993)

  22. 22.

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

  23. 23.

    Erol, B., Tefekli, A., Ozbey, I., Salman, F., Dinccag, N., Kadıoglu, A., Tellaloglu, S.: Sexual dysfunction in type 2 diabetic females: a comparative study. J. Sex Marital Ther. 28(1), 55–62 (2002)

  24. 24.

    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, 1580–1581 (2008)

  25. 25.

    Mezones-Holguin, E., Blümel, J.E., Huezo, M., Vargas, R., Castro, J., Cordova, W., et al.: Impact of diabetes mellitus on the sexuality of peruvian postmenopausal. Gynecol. Endocrinol. 24(8), 470–474 (2008)

  26. 26.

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

  27. 27.

    Esposito, K., Maiorino, M.I., Bellastella, G., Giugliano, F., Romano, M., Giugliano, D.: Determinants of female sexual dysfunction in type 2 diabetes. Int. J. Impot. Res. 22(3), 179–184 (2010)

  28. 28.

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

  29. 29.

    Bal, M.D., Yilmaz, D.S., Celik, S.G., Dinçağ, N., Beji, N.K., Yalçın, O.: Does the diabetes of type 2 affect the sexual functions of women? J. Sex Marital Ther. (2013). doi:10.1080/0092623X.2013.842193

  30. 30.

    Hindistan, S., Cilingir, D.: Sexual dysfunction in Turkish men and women with type 2 diabetes mellitus. Sex. Disabil. 31(1), 31–41 (2013)

  31. 31.

    Kucuk, L., Kaya, H., Kucukk, M., Yogun, O., Buzlu, S.: The relationship between depression and perception of sexuality in patients with type II diabetes: in Turkey. Sex. Disabil. 31(1), 43–52 (2013)

  32. 32.

    Duman, N.B.: Frequency of sexual dysfunction and its causative factors among diabetic women in Turkey. Pak. J. Med. Sci. 30(3), 558–563 (2014). doi:10.12669/pjms.303.4638

  33. 33.

    Vafaeimanesh, J., Raei, M., Hosseinzadeh, F., Parham, M.: Evaluation of sexual dysfunction in women with type 2 diabetes. Indian J. Endocrinol. Metab. 18(2), 175–179 (2014). doi:10.4103/2230-8210.129107

  34. 34.

    Gregersen, N., Jensen, P.T., Giraldi, A.G.E.: Sexual dysfunction in the peri and postmenopause. Dan. Med. Bull. 53, 349–353 (2006)

  35. 35.

    Yánez, D., Castelo-Branco, C., Hidalgo, L.A., Chedraui, P.A.: Sexual dysfunction and related risk factors in a cohort of middle-aged Ecuadorian women. J. Obstet. Gynaecol. 26(7), 682–686 (2006)

  36. 36.

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

  37. 37.

    Kaya, E. Z., Zincir, H., Ozkan, F., Selçuk, A., Elmali, F.: Sexual lives of women with diabetes mellitus (type 2) and impact of culture on solution for problems related to sexual life. J. Clin. Nurs. 23(7–8):995–1004 (2014). doi:10.1111/jocn.12273

  38. 38.

    Maiorino, M.I., Bellastella, G., Esposito, K.: Diabetes and sexual dysfunction: current perspectives. Diab. Metab. Syndr. Obes. 6(7), 95–105 (2014). doi:10.2147/DMSO.S36455

  39. 39.

    Lewis, R.W., Fugl-Meyer, K.S., Bosch, R., Fugl-Meyer, A.R., Laumann, E.O., Lizza, E., Martin-Morales, A.: Epidemiology/risk factors of sexual dysfunction. J. Sex. Med. 1(1), 35–39 (2004)

  40. 40.

    Cayan, S., Akbay, E., Bozlu, M., Canpolat, B., Acar, D., Ulusoy, E.: The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish Oman. Urol. Int. 72(1), 52–57 (2004)

  41. 41.

    Sivrikaya, S.K., Unsal, A., Karabulutlu, E.Y.: Sexual dysfunction and depression in Turkish women with type 2 diabetes mellitus. Sex. Disabil. 32(1), 3–13 (2014)

  42. 42.

    Howard, J.R., O’Neill, S., Travers, C.: Factors affecting sexuality in older Australian women: sexual interest, sexual arousal, relationships and sexual distress in older Australian women. Climacteric 9(5), 355–367 (2006)

  43. 43.

    Dennerstein, L., Randolph, J., Taffe, J., Dudley, E., Burger, H.: Hor-mones, mood, sexuality, and the menopausal transition. Fertil. Steril. 77(Suppl 4), 42–48 (2002)

  44. 44.

    Fedele, D., Bortolotti, A., Coscelli, C., Santeusanio, F., Chatenoud, L., Colli, E., Lavezzari, M., Landoni, M., Parazzini, F.: Erectile dysfunction in type 1 and type 2 diabetics in Italy. Int. J. Epidemiol. 29(3), 524–531 (2000)

  45. 45.

    Newman, A.S., Bertelson, A.D.: Sexual dysfunction in diabetic women. Arch. Intern. Med. 9, 261–270 (1986)

  46. 46.

    Meeking, D.R., Fosbury, J.A., Cummings, M.H., Alexander, W., Shaw, K., Russel-Jones, L.: Sexualdysfunction and sexual health concerns in women with diabetes. Sex. Dys. 1(2), 83–87 (1998)

  47. 47.

    Ziaei-Rad, M., Vahdaninia, M., Montazeri, A.: Sexual dysfunctions in patients with diabetes: a study from Iran. Reprod. Biol. Endocrinol. 8:50 (2010). doi:10.1186/1477-7827-8-50

Download references

Conflict of interest


Author information

Correspondence to Selda Celik.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Celik, S., Golbası, Z., Kelleci, M. et al. Sexual Dysfunction and Sexual Quality of Life in Women with Diabetes: The Study Based on a Diabetic Center. Sex Disabil 33, 233–241 (2015). https://doi.org/10.1007/s11195-014-9383-3

Download citation


  • Diabetes
  • Sexual dysfunction
  • Quality of sexual life
  • Turkey
  • Women