ARFP

Autumn Road Family Practice

904 Autumn Road, #200

Little Rock, AR 72211

Sexual Health for Women

Why is sexual health important?

Sexuality is an important part of out life.  It is more than the act of sex.

Having diabetes can affect a person's sexuality.  It may be hard to tell someone that you have diabetes for fear you will loose that relationship.  It can affect family roles.  For example, if a woman is not able to work at her usual job or at home, she may feel she is not doing his part as a wife or mother.  If the diabetes meal plan means a change in the family food habits, the person with diabetes may feel unhappy or guilty.

Diabetes can also cause problems with sexual function.

How does diabetes affect sexual health?

Some women who have nerve damage form the diabetes may have trouble having an orgasm or find it takes longer.  Some will have dryness in the vagina, especially after menopause.  This can cause pain with sex.  Lubricants like K-Y Jelly can help.

Women with diabetes will have more vaginal yeast infections.  This will cause pain, itching and a discharge.  Untreated vaginal infections can cause higher blood sugar.

How does diabetes affect my menstrual periods?

Some women find they have more irregular periods if their blood sugar is out of range.

Blood sugar levels can change around the time of your period.  Estrogen and progesterone hormones can interfere with the action of insulin.  Just before the period these hormones go up  and this can cause higher blood sugar levels.  During your period these hormones go down and this can lead to lower blood sugar.  You may need to adjust your meal plan or your medications or your activity around your period to compensate for this.

How does diabetes affect menopause?

At menopause your estrogen and progesterone levels get lower and you stop having periods.  This can cause your blood sugar levels to change.

Menopause will cause other changes in your body.  Most women will have hot flashes, and a fast heart eat at times.  It is important not to confuse this with low blood sugar reactions.  Test your blood sugar before you treat for a hypoglycemic reaction.

You might also notice mood changes with menopause.  The hormone changes can affect your calcium and bones.

Is pregnancy safe for women with diabetes?

Yes, but it will require much more intensive monitoring of your blood sugar and overall health.  You might want to see your gynecologist for some suggestions even before you become pregnant.