Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Raszeja Hospital , Poznan , Poland.
J Sex Marital Ther. 2019;45(7):643-651. doi: 10.1080/0092623X.2019.1610121. Epub 2019 May 14.
The aim of the study was to analyze the relationship between the presence of type 1 diabetes and sexual dysfunction among young women. The study group consisted of 230 women, including 70 healthy and 160 with diabetes mellitus type 1 (DM1). All the participants voluntarily filled anonymous questionnaire. The results regarding sexual function were obtained using a Female Sexual Function Index (FSFI) questionnaire. Statistical analysis was performed for sexually active people. In the study group, 180 women declared sexual activity: 62 healthy (88%) and 118 with DM1 (82.5%). Women with DM1 in comparison with healthy women were older, had higher BMI, weight, and had more pack-years of cigarette smoking. Women with DM1 had lower results in FSFI and more often achieved scores below the clinical cutoff point. In a multiple linear regression model, the presence of diabetes predicted lower FSFI results. DM1 is independently associated with the presence of impaired sexual function. Sexual dysfunctions are more common among young women with DM1 than in healthy controls. The relationship is significant despite of the age, duration of diabetes, body weight, and presence of angiopathy.
本研究旨在分析 1 型糖尿病与年轻女性性功能障碍之间的关系。研究组包括 230 名女性，其中 70 名健康，160 名患有 1 型糖尿病（DM1）。所有参与者均自愿填写匿名问卷。使用女性性功能指数（FSFI）问卷获得性功能相关结果。仅对有性行为的人进行统计学分析。在研究组中，有 180 名女性报告有性行为：62 名健康女性（88%）和 118 名患有 DM1 的女性（82.5%）。与健康女性相比，患有 DM1 的女性年龄更大，BMI、体重更高，且吸烟更多。患有 DM1 的女性 FSFI 评分更低，且更常低于临床临界值。在多元线性回归模型中，糖尿病的存在预示着 FSFI 结果更低。DM1 与性功能受损独立相关。与健康对照组相比，患有 DM1 的年轻女性性功能障碍更为常见。尽管存在年龄、糖尿病病程、体重和血管病变，这种关系仍然具有统计学意义。
