Afshari Poorandokht, Yazdizadeh Shiva, Abedi Parvin, Rashidi Homayra
Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Endocrinology Department, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Adv Med. 2017;2017:4838923. doi: 10.1155/2017/4838923. Epub 2017 Apr 6.
Diabetic patients are at the greater risk of retinopathy, nephropathy, neuropathy, and sexual dysfunction compared to the general population. The aim of this study was to evaluate the sexual dysfunction in type 2 diabetes reproductive age women in Iran. This was a case-control study carried out on 130 women with type 2 diabetes and 130 healthy women. The type 2 diabetes diagnosis was confirmed with abnormal fasting blood sugar, abnormal random blood sugar test, and abnormal level of HbA1C. Eligible women were requested to complete a demographic questionnaire and female sexual function index (FSFI). The chi-square test, independent -test, and Multivariate Analysis of Covariance (MANCOVA) were used for analyzing data. Results of this study showed that diabetic women had significantly lower sexual desire, arousal, lubrication, and orgasm and more pain compared to the healthy women ( < 0.05). Also diabetic women had lower sexual satisfaction compared to the healthy women ( = 0.002). The total score of sexual function was significantly lower in the diabetic women compared to the healthy women (21.25 ± 7.04 versus 22.43 ± 7.6, = 0.004). Results of this study showed that the score of all dimensions of sexual function in diabetic patients was lower than that in healthy women. Education and counseling about controlling diabetes and sexual function among diabetic women in reproductive age are recommended.
与普通人群相比，糖尿病患者患视网膜病变、肾病、神经病变和性功能障碍的风险更高。本研究的目的是评估伊朗2型糖尿病育龄女性的性功能障碍情况。这是一项病例对照研究，研究对象为130名2型糖尿病女性和130名健康女性。通过空腹血糖异常、随机血糖检测异常和糖化血红蛋白水平异常来确诊2型糖尿病。符合条件的女性被要求填写一份人口统计学调查问卷和女性性功能指数（FSFI）。采用卡方检验、独立样本t检验和协方差多元分析（MANCOVA）对数据进行分析。本研究结果显示，与健康女性相比，糖尿病女性的性欲、性唤起、阴道润滑和性高潮明显较低，疼痛更多（P<0.05）。此外，与健康女性相比，糖尿病女性的性满意度较低（P = 0.002）。糖尿病女性的性功能总分明显低于健康女性（21.25±7.04对22.43±7.6，P = 0.004）。本研究结果表明，糖尿病患者性功能各维度的得分均低于健康女性。建议对育龄期糖尿病女性进行有关控制糖尿病和性功能方面的教育与咨询。
