Prevalence of and risk factors for sexual dysfunctions in adults with type 1 or type 2 diabetes: Results from diabetes MILES ‐ Flanders

Diabetic MedicineVan Cauwenberghe J, Enzlin P, Nefs G, et al. | August 27, 2021


In both men and women with diabetes, sexual dysfunctions are common. Sexual dysfunctions were correlated with clinical factors in men. In comparison to women without sexual dysfunction, more women with sexual dysfunction reported low emotional well-being and anxiety symptoms. Sexual dysfunctions were associated with diabetes distress for both men and women.

  • Researchers enrolled a total of 756 adults with diabetes who completed an online survey including questions on sexual functioning (adapted Short Sexual Functional Scale), general emotional well-being, symptoms of anxiety, and diabetes distress.

  • Sexual dysfunction was reported in one-third of participants.

  • Erectile dysfunction (T1D:20%; T2D: 33%), and orgasmic dysfunction (T1D:22%; T2D:27%) were reported in men.

  • The results showed that sexual dysfunction was independently correlated with older age (OR=1.05, p=0.022), higher waist circumference (OR=1.04; p<0.001), and longer duration of diabetes (OR=1.04; p=0.007) in men.

  • According to the finding, more men with sexual dysfunction reported diabetes distress (20% vs. 12%, p=0.026).

  • Decreased desire (T1D:22%; T2D:15%) and decreased arousal (T1D:9%; T2D:11%) were observed in women.

  • The findings revealed that more women with sexual dysfunction showed diabetes distress (36% vs. 21%, p=0.003), impaired emotional well-being (36% vs. 25%, p=0.036) and anxiety symptoms (20% vs. 11%, p=0.026).

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