Campbell L V, Redelman M J, Borkman M, McLay J G, Chisholm D J
Diabetes Centre, St Vincent's Hospital, Darlinghurst, NSW.
Med J Aust. 1989 Nov 20;151(10):550-2. doi: 10.5694/j.1326-5377.1989.tb101279.x.
The aetiology and management of diabetic impotence is well-documented; the effects of diabetes on female sexuality are not so clear. In this study, 48 diabetic women were assessed clinically and answered detailed sexual questionnaires during a semistructured interview with a sexual counsellor. Twenty-four of the women reported one-or-more sexual dysfunctions: decreased libido, slow arousal, inadequate lubrication, anorgasmia or dyspareunia. There was no significant relationship between the presence of dysfunction and recent glycaemic control, the duration of diabetes, the presence of clinical complications or of neuropathy alone, or the attitude to sexuality. The sexual dysfunction(s) were present at the onset of diabetes in the majority of those so affected (17 of 24 patients), or were attributed to other causes in the remainder. It is suggested that sexual dysfunction in diabetic women should be treated actively as in "normal" women, since diabetes is not the major aetiological factor.
糖尿病性阳痿的病因和治疗方法已有详尽记载；而糖尿病对女性性功能的影响却尚不明确。在本研究中，48名糖尿病女性接受了临床评估，并在与性咨询师的半结构化访谈中回答了详细的性调查问卷。其中24名女性报告了一种或多种性功能障碍：性欲减退、性唤起缓慢、润滑不足、性高潮缺失或性交困难。性功能障碍的存在与近期血糖控制情况、糖尿病病程、临床并发症的存在与否、单纯神经病变的存在与否，或对性的态度之间均无显著关联。大多数受影响的女性（24名患者中的17名）在糖尿病发病时就存在性功能障碍，其余患者则归因于其他原因。建议对糖尿病女性的性功能障碍应像对“正常”女性一样积极治疗，因为糖尿病并非主要病因。
