ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
Dimensions of sexuality among women with type 2 diabetes mellitus: A comparative study
Meriem Marrakchi 1 , Kamilia Ounaissa 2 , Nesrine Dhieb 2 , Fatma Boukhayatia 2 , Asma Ben Brahim 2 , Rim Yahyaoui 2 , Haifa Abdelsellem 2 & Chiraz Amrouche 2
1Basic Health Center, Carthage, Tunisia; 2National Institute of Nutrition, Tunis, Tunisia
Introduction: Sexuality can include several dimensions such as thoughts, fantasies, desires, beliefs\.. But these can be influenced by biological, psychological, socio-economic factors or somatic pathologies, such as diabetes. The aim of our study was to evaluate the sexuality of women with type 2 diabetes mellitus and its different dimensions, as well as the predictive factors of female sexual dysfunction (FSD) among this population.
Methods: This is a comparative study of 30 women with type 2 diabetes mellitus (G1) compared to a control group of 30 women (G2) collected from the department of the National Institute of Nutrition. Sexual function was assessed using the “Female Sexual Function Index (FSFI)” survey. A score of less than 26.55 characterizes FSD. We compared the dimensions of sexuality according to the FSFI survey for the 2 groups.
Results: The mean age of the patients was 42.97±6.6 years. A high level of education was noted in 30% of women with diabetes and 45% of controls. The mean total FSFI score was 25.53±6.11 for G1 and 29.75±4.19 for G2. FSD was diagnosed in 53% of G1 vs 17% of G2. All dimensions of sexuality were affected according to the scores of desire, arousal, lubrication, orgasm as well as satisfaction. The mean score of all dimensions was lower for the G1 compared to G2. Sexual desire is strongly affected by the duration of diabetes (P=0.016) as well as parity (P=0.02). The advanced age of the patients is correlated with a low level of sexual arousal (P=0.04). 40% of women who had FSD wanted to consult a sexologist. Higher level of education was strongly correlated with this request (P=0.03).
Conclusion: These results justify the imperative of systematic screening and appropriate management of FSD in order to improve quality of life. The evaluation of sexuality is therefore necessary for an early treatment of these disorders in order to avoid conflicts and marital disagreements, sources of stress and therapeutic resistance.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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