Sexological Clinic, Mental Health Services, Psychiatric Center Rigshospitalet, 2100, Copenhagen, Denmark.
J Sex Res. 2010 Mar;47(2):199-211. doi: 10.1080/00224491003632834.
Diabetes mellitus (DM) is an increasing health concern throughout the world. DM is categorized as either type 1 (DM-1) or type 2 (DM-2), where DM-1 represents a lack of insulin production, and DM-2 is characterized by a relative lack of insulin (i.e., decreased sensitivity to the effect of insulin). DM has long been considered a risk factor for sexual dysfunction in men and women, although the evidence in women is less clear. This review attempts to give an overview of female sexual dysfunction in women with DM. Although women with DM are at higher risk of developing sexual dysfunction than women without DM, there is great variability in results across studies, with the incidence of sexual dysfunction in women with DM generally linked less to organic factors and more to psychological factors, especially coexisting depression. This review hypothesizes several presumed causes for such variation in findings across studies and uses these explanations as the basis for a discussion of differences between men's and women's sexuality.
糖尿病（DM）是全球日益关注的健康问题。DM 分为 1 型（DM-1）或 2 型（DM-2），其中 DM-1 表示胰岛素生产不足，DM-2 的特征是相对缺乏胰岛素（即，对胰岛素作用的敏感性降低）。DM 长期以来一直被认为是男性和女性性功能障碍的一个危险因素，尽管女性的证据不太明确。本综述试图概述患有 DM 的女性的性功能障碍。尽管患有 DM 的女性发生性功能障碍的风险高于没有 DM 的女性，但研究结果存在很大差异，患有 DM 的女性性功能障碍的发生率通常与器质性因素的关系较小，与心理因素的关系较大，特别是共存的抑郁症。本综述假设了造成这种研究结果差异的几个假定原因，并使用这些解释作为讨论男性和女性性行为差异的基础。
