The presence of sexual function disturbances in women is revealed with more difficulty than men. The physiological sequence of events comprises the following: wish, excitation, orgasm, satisfaction. The wish is borne in the brain, caused by external and internal stimuli, and then produces secretion of hormones and the stimulation of corresponding nervous paths.
The excitation is the emotional and physical response to the erotic wish and is mainly characterized by concentration of blood in the region of the genital organs. In this phase, the vagina is moistened. The orgasm, which is controlled by the nervous system, is characterized by a series of repeated, rhythmical twitches of the perineal and genital organs muscles.
The most frequent problem of women, regardless of whether they are diabetics or not, is the decreased sexual wish.
Chronically high blood sugar levels can cause disturbances in the physiologic sexual maturation, and can also lead to disturbances of menstruation.
Another problem that diabetic women manifest is insufficient moistening of the vagina. Together with the dryness of the vaginal mucosa, the insufficient accumulation of blood in the genital organs during intercourse causes irritation and pain at sexual contact (dyspareunia). This symptom most likely also adds to the problem of the woman in this case study.
Furthermore, high blood sugar levels increase the chance of vaginal infections (vaginitis) due to common bacteria and yeasts. These infections, with the local disturbance that they cause, obviously intervene with the physiologic sexual function and worsen the dyspareunia.
Finally, damage of the nervous system related to DM, can be incriminated for orgasmic disturbances.
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