Prevalence and Clinical Correlates of Sexual Dysfunction among Primary Care Diabetes Mellitus Enrollees attending National Health Insurance Scheme (NHIS) Clinic in Uyo, South-South, Nigeria
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 19, Issue 3
Abstract
Background: Female sexual dysfunction are disorders of sexual desire, arousal, orgasm and sexual pain which lead to significant personal distress. Female sexual dysfunctions though common are often under-reported. Aim: The aim of this study was to describe the prevalence and clinical correlates of sexual dysfunction among female diabetes mellitus patients attending the National Health Insurance Scheme Clinic of a tertiary hospital in Uyo South-South Nigeria.Method: In a cross-sectional study, 162 female diabetic patients were assessed for the prevalence of sexual dysfunction as well as affected domains of sexual function between January and June 2018. They were assessed using the female sexual function index (FSFI) questionnaire. Results: A total of 108 (66.7%) respondents had sexual dysfunction. The mean age at onset of diabetes mellitus among respondents with sexual dysfunction in this study was 43.6+6.1 compared to 39.3+4.3 among those without sexual dysfunction (p=0.04). Forty-two (77.8%) respondents with sexual dysfunction had neuropathy involving the extremities compared to 12 (22.2%) without sexual dysfunction (p=0.050). Twenty-five (73.5%) respondents with sexual dysfunction were morbidly obese compared to nine (26.5%) without sexual dysfunction (p=0.018). The total FSFI score among respondents in this study was 22.6. Sexual pain was the most frequently experienced sexual dysfunction among respondents accounting for 93.5% (95% cl 93.4-99.3), the least affected domain of sexual function among respondents in this study was sexual desire accounting for 72.2% (95% cl 71.4 – 85.0). Conclusion: Diabetes mellitus was associated with sexual dysfunction among respondents in this study. Primary care providers are encouraged to explore the presence of sexual dysfunction among female diabetic patients so as to offer adequate treatment and counselling as may be required. Sexual dysfunctions are disorders in sexual desire and in the psychophysiological changes that occur during the sexual response cycle [1]. Female sexual dysfunctions (FSD) are disorders of sexual desire, arousal, orgasm and sexual pain which lead to significant personal distress [2]. Good sexual and reproductive health and wellbeing are essential if people are to have responsible, safe and satisfying sex lives [3]. Female sexual dysfunctions though common are often under-reported [4]. Sexual dysfunction causes numerous deleterious effects on victims and their families such as loss of selfesteem, poor self-concept, mental stress, disorders in interpersonal relationships as well as problems with partners thus making sexual dysfunction a quality-of-life-issue [4,5]. Diabetes mellitus (DM) is a chronic metabolic disease caused by a variable combination of two pathogenic factors namely Insulin deficiency and Insulin resistance. It is characterized by high blood sugar (glucose) levels that result from defects in insulin secretion or its action, or both [6]. Elevated levels of glucose (hyperglycaemia) produce the classical symptoms of polyuria, polydipsia and polyphagia. In diabetes mellitus, there is disordered utilization and storage of proximate nutrients (carbohydrates, protein and fats) and reduced energy production.
Authors and Affiliations
Idung Alphonsus Udo, Jombo Henry Effiong, Iyanam Victory Edet, Umoh Victor Aniedi, Ekanem Anyiekere Morgan
Keywords
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- EP ID EP621740
- DOI 10.26717/BJSTR.2019.19.003318
- Views 116
- Downloads 0
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