Sexual dysfunction means a “loss of the ability to achieve and maintain an appropriate response to sexual stimulation in order to experience a satisfying orgasm.” This definition applies to both men and women.

It includes loss of libido (reduced sexual desire), but may also refer to the inability to achieve orgasm or to erectile dysfunction (when the penis does not become sufficiently firm). Libido varies from person to person. Therefore, it is important to distinguish between a disease-related loss of libido and a natural variation characterized by a lower level of sexual desire. Reduced libido may also occur temporarily during certain phases of life.

The causes are diverse

Reported rates of sexual dysfunction among men and women with diabetes vary considerably. This is because statistical analyses cannot always take into account all the factors associated with sexual dysfunction.

These factors include, for example, the duration of diabetes, the quality of diabetes control, possible complications, and certain medications. In addition, there are factors that can independently or additionally contribute to sexual dysfunction.

Psychological well-being and, not least, harmony within a relationship play an important role. Concerns about health—such as fear of diabetes-related complications—as well as worries about job security or ongoing work-related stress can also have a negative impact.

People often find it difficult to accurately assess both the demands they place on themselves and the expectations of others. This applies not only to professional performance but also to sexual performance.

Individuals who tend to overburden themselves may eventually feel like failures in two areas of life—at work and in the bedroom. Psychological and social factors should also be considered when there is a desire to have children but pregnancy does not occur.

For this reason, it is important to encourage anyone affected to seek a confidential conversation with their doctor.