RESUMO
Sexual dysfunction in Diabetes is an under-investigated problem, especially in women. The research barriers surrounding the issue of female sexual dysfunction are manifold and difficult to surpass, especially in the context of the Asian Subcontinent, where a multitude of sociocultural factors suppress the expression of distress. Early screening, diagnosis, and counselling can help in managing female sexual dysfunction in Diabetes Mellitus and positively impact the lives of many women. This study was undertaken to find the prevalence of sexual dysfunction among diabetic women of reproductive age group, its relation to BMI, duration of Diabetes and microvascular complications, and to find its sociodemographic associations. MATERIAL: A descriptive, observational study was carried out over a period of 1 year. 250 purposively sampled women attending the diabetic outpatient department of a tertiary care hospital were enrolled. All were known diabetic, between the ages of 30 and 44 years. A detailed history was obtained with the aid of a case record form which included the FSFI (Female Sexual Function Index), and a demographic questionnaire, after proper explanation in their own local vernacular as per their literacy level. Available medical records were used for finding the duration of diabetes, and associated diabetes related microvascular complications. OBSERVATION: Prevalence of FSD among the study population was 73.6%. A significant association was found between age and sexual dysfunction (p<0.05). It was found to be more among the Hindus, compared to the Muslims (p<0.05). There was a significant association with BMI (>25kg/m2), increasing duration of Diabetes, and the presence of microvascular complications (p<0.05). In fact, all patients with microvascular complications were experiencing some degree of sexual dysfunction. No association was found with socioeconomic status, literacy, addiction, occupation or type of family. CONCLUSION: Female sexual health issues in Diabetes are a neglected area, both in the clinic as well as in research, yet sexual health problems in this group may be more common than previously recognised. Low FSFI scores are associated with increasing age, higher BMI and increasing duration of Diabetes. Future studies may identify appropriate ways to probe and explore the related issues for early screening, and help establish the role of newer treatments.