Department of Urology, Yeditepe University Medical Faculty, Istanbul, Turkey.
Fertil Steril. 2010 Oct;94(5):1840-3. doi: 10.1016/j.fertnstert.2009.10.060. Epub 2010 Jan 13.
To compare the factors affecting sexual function in premenopausal women with type 2 diabetes using the female sexual function index (FSFI).
Cross-sectional study.
Premenopausal women with type 2 diabetes and healthy volunteers in an academic research environment.
PATIENT(S): Sixty-two type 2 diabetic women were compared with 50 controls. The FSFI scores of the patients were compared according to age, duration of diabetes, marriage, socioeconomic status, parity, menstruation regularity, body mass index (BMI), and smoking.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Female sexual function index scores.
RESULT(S): The mean FSFI score in diabetics was lower than in controls. Menstrual irregularity and duration of diabetes affected female sexual function unlike age, BMI, socioeconomic status, duration of marriage, or parity. Regularly menstruating women had higher FSFI scores (27.1 ± 6.7) than irregularly menstruating women (20.7 ± 7.4). Type 2 diabetics were divided into three groups according to duration of diabetes. The women having diabetes longer than 10 years had the worse sexual function. Also, smoking affected inversely female sexual well being.
CONCLUSION(S): Menstrual disturbance, smoking, and longer duration of diabetes (more than 10 years) impair FSFI scores in premenopausal women with type 2 diabetes.
使用女性性功能指数（FSFI）比较 2 型糖尿病绝经前女性性功能的影响因素。
横断面研究。
学术研究环境中，2 型糖尿病绝经前女性和健康志愿者。
将 62 名 2 型糖尿病女性与 50 名对照进行比较。根据年龄、糖尿病病程、婚姻、社会经济地位、产次、月经规律、体重指数（BMI）和吸烟情况比较患者的 FSFI 评分。
无。
女性性功能指数评分。
糖尿病患者的平均 FSFI 评分低于对照组。月经不规律和糖尿病病程影响女性性功能，而年龄、BMI、社会经济地位、婚姻持续时间或产次则不影响。月经规律的女性 FSFI 评分（27.1±6.7）高于月经不规律的女性（20.7±7.4）。根据糖尿病病程将 2 型糖尿病患者分为三组。糖尿病病程超过 10 年的女性性功能更差。此外，吸烟也会对女性的性健康产生负面影响。
月经失调、吸烟和病程较长（超过 10 年）会损害 2 型糖尿病绝经前女性的 FSFI 评分。
