Diyabet ve Cinsel Sağlık

Özet

Günümüzde diyabet, sıklığı ve yarattığı sorunlar nedeniyle tüm dünyada önemi gittikçe artan bir sağlık sorunu haline gelmiştir. Diyabetli bireylerde, diyabetle ilişkili komplikasyon gelişme riski yüksek olup sık karşılaşılan komplikasyonlardan biri de cinsel işlev bozukluklarıdır. Diyabet ile gelişen vasküler ve nörolojik komplikasyonlar, cinsel işlevde ve cinsel yaşam kalitesinde bozulmalara yol açmaktadır. Diyabetik kadınlarda en sık karşılaşılan cinsel işlev bozuklukları içerisinde uyarılma, istek, orgazm, ağrı, doyum ve lubrikasyon bozuklukları yer alırken diyabetik erkeklerde en sık karşılaşılan cinsel işlev bozuklukları içerisinde erektil disfonksiyon, ejakülasyon bozuklukları ve hipogonadizm yer almaktadır.

Referanslar

T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. Türkiye diyabet programı 2015-2020. (2. Baskı). Ankara: Kuban Matbaacılık Yayıncılık; 2014. p. 9-10.
International Diabetes Federation. About diabetes. (11/07/2023 tarihinde https://idf.org/about-diabetes/introduction/ adresinden ulaşılmıştır).
Centers for Disease Control and Prevention. National Diabetes Statistics Report. (11/07/2023 tarihinde https://www.cdc.gov/diabetes/data/statistics-report/index.html adresinden ulaşılmıştır).
International Diabetes Federation. IDF Diabetes Atlas 10th edition 2021. (11/07/2023 tarihinde https://diabetesatlas.org/data/en/country/203/tr.html adresinden ulaşılmıştır).
International Diabetes Federation. Complications. (11/07/2023 tarihinde https://idf.org/about-diabetes/diabetes-complications/ adresinden ulaşılmıştır).
Karakaş Uğurlu G, Uğurlu M. Diyabet hastalığı olan kadınlarda cinsel işlev bozukluklarının sıklığı ve diyabetik ve demografik faktörlerle ilişkisi: bir meta-analiz ve meta-regresyon çalışması. Ankara Medical Journal. 2020;20(4): 798-813. doi: 10.5505/amj.2020.86547
Saltan NK. Evli diyabetik kadınlarda cinsel yaşam kalitesi ve etkileyen faktörler. Yüksel Lisans Tezi, Hitit Üniversitesi Sağlık Bilimleri Enstitüsü; 2021.
Dedemoğlu Ş. Tip 1 diabetes mellitus olan hastaların cinsellik algılarının ve cinsel bakım gereksinimlerinin belirlenmesi. Yüksel Lisans Tezi, Akdeniz Üniversitesi Sağlık Bilimleri Enstitüsü; 2019.
Cichocka E, Jagusiewicz M, Gumprecht J. Sexual dysfunction in young women with type 1 diabetes. International Journal of Environmental Research and Public Health. 2020;17(12): 4468. https://doi.org/10.3390/ijerph17124468
Barnard KD, Naranjo D, Johnson N, et al. Diabetes and female sexual health: an ongoing challenge. Practical Diabetes. 2019;36(5): 165-169. https://doi.org/10.1002/pdi.2238
Meeking DR, Fosbury JA, Cummings MH. Sexual dysfunction and sexual health concerns in women with diabetes. Practical Diabetes. 2013;30(8): 327-331.
Maiorino MI, Bellastella G, Esposito K. Diabetes and Sexual Disorders. In: Bonora E, DeFronzo R (eds.) Diabetes Complications, Comorbidities and Related Disorders. Endocrinology. Springer, Cham; 2020. p. 473-494. https://doi.org/10.1007/978-3-030-36694-0_16
Peak TC, Gur S, Hellstrom WJ. Diabetes and sexual function. Current Sexual Health Reports. 2016;8: 9-18. https://doi.org/10.1007/s11930-016-0065-2
Andlib N, Sajad M, Kumar R, et al. Abnormalities in sex hormones and sexual dysfunction in males with diabetes mellitus: A mechanistic insight. Acta Histochemica. 2023;125(1): 151974. https://doi.org/10.1016/j.acthis.2022.151974
Barnard‐Kelly K, Meeking D, Cummings M, et al. Diabetes and male sexual health: an unmet challenge. Practical Diabetes. 201;36(6): 201-206. https://doi.org/10.1002/pdi.2246
Pedersen MB, Giraldi A, Kristensen E, et al. Prevalence of sexual desire and satisfaction among patients with screen-detected diabetes and impact of intensive multifactorial treatment: results from the ADDITION-Denmark study. Scandinavian Journal of Primary Health Care. 2015;33(1): 3-10. https://doi.org/10.3109/02813432.2014.1002295
Asefa A, Nigussie T, Henok A, et al. Prevalence of sexual dysfunction and related factors among diabetes mellitus patients in Southwest Ethiopia. BMC Endocrine Disorders. 2019;19: 1-8. https://doi.org/10.1186/s12902-019-0473-1
World Health Organization. Sexual health and well-being. 11/07/2023 tarihinde https://www.who.int/teams/sexual-and-reproductive-health-and-research-(srh)/areas-of-work/sexual-health adresinden ulaşılmıştır).
Kang WH, Mohamad Sithik MN, Khoo JK, et al. Gaps in the management of diabetes in Asia: A need for improved awareness and strategies in men's sexual health. Journal of Diabetes Investigation. 2022; 13(12): 1945-1957. https://doi.org/10.1111/jdi.13903
Sansone A, Mollaioli D, Ciocca G, et al. Sexual dysfunction in men and women with diabetes: A reflection of their complications?. Current Diabetes Reviews. 2022;18(1): 1-8. https://doi.org/10.2174/1573399817666210309104740
Pontiroli AE, Cortelazzi D, Morabito A. Female sexual dysfunction and diabetes: a systematic review and meta-analysis. The Journal of Sexual Medicine. 2013;10(4):1044–1051. https://doi.org/10.1111/jsm.12065
Yacan L, Erol O. Evaluation of sexual function among women with or without diabetes. Sexuality and Disability. 2019;37: 77-90. https://doi.org/10.1007/s11195-018-9541-0
Sulamış, N. Tip 2 diyabetli kadınlarda beden algısının cinsel yaşama etkisi. Yüksel Lisans Tezi, İstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü; 2021.
Celik S, Bal MD, Kelleci M. Comparison of sexual functions in women with and without type 1 diabetes. Revista da Associação Médica Brasileira. 2023;69: 216-221. https://doi.org/10.1590/1806-9282.20220293
Ventura AD, Browne JL, Pouwer F, et al. Emotional well-being factors associated with sexual dysfunction in adults with type 1 or type 2 diabetes: results from diabetes MILES—Australia. International Journal of Sexual Health. 2018;30(3): 237-249. https://doi.org/10.1080/19317611.2018.1470591
Rahmanian E, Salari N, Mohammadi M, et al. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: a systematic review and meta-analysis. Diabetology & Metabolic Syndrome. 2019;11: 1-17. https://doi.org/10.1186/s13098-019-0469-z
Panwar P, Navriya SC, Tendulkar P, et al. Major sexual function domains affected in the diabetic females: A cross-sectional study from North India. Indian Journal of Endocrinology and Metabolism. 2022;26(5): 478-482. doi: 10.4103/ijem.ijem_68_22
Van Cauwenberghe J, Enzlin P, Nefs G, et al. Prevalence of and risk factors for sexual dysfunctions in adults with type 1 or type 2 diabetes: results from Diabetes MILES‐Flanders. Diabetic Medicine. 2022;39(1): e14676. https://doi.org/10.1111/dme.14676
Paningbatan J, Aragon J, Landicho-Kanapi MP, et al. Prevalence of sexual dysfunction and its associated factors among women with diabetes mellitus type 2 at Makati Medical center outpatient department. Journal of the ASEAN Federation of Endocrine Societies. 2018;33(2): 165-173. doi: 10.15605/jafes.033.02.09
Buskoven ME, Kjørholt EK, Strandberg RB, et al. Sexual dysfunction in women with type 1 diabetes in Norway: A qualitative study of women’s experiences. Diabetic Medicine. 2022;39(7): e14856. https://doi.org/10.1111/dme.14856
Haugstvedt A, Jørgensen J, Strandberg RB, et al. Sexual dysfunction in women with type 1 diabetes in Norway: a cross‐sectional study on the prevalence and associations with physical and psychosocial complications. Diabetic Medicine. 2022;39(1): e14704. https://doi.org/10.1111/dme.14704
Elyasi F, Kashi Z, Tasfieh B, et al. Sexual dysfunction in women with type 2 diabetes mellitus. Iranian Journal of Medical Sciences. 2015;40(3): 206-213.
Celik S, Golbası Z, Kelleci M, et al. Sexual dysfunction and sexual quality of life in women with diabetes: The study based on a diabetic center. Sexuality and Disability. 2015;33: 233-241. https://doi.org/10.1007/s11195-014-9383-3
Kaplan Serin E, Duman M, Yilmaz S. Sexual life quality and marital adjustment in women with and without diabetes. Sexuality and Disability. 2020;38: 625-635. https://doi.org/10.1007/s11195-020-09663-y
Winkley K, Kristensen C, Fosbury J. Sexual health and function in women with diabetes. Diabetic Medicine. 2021;38(11): e14644. https://doi.org/10.1111/dme.14644
Vatansever BT, Tekin S, Karabayraktar T, et al. Diyabetik Erkeklerde erektil disfonksiyon risk faktörlerinin değerlendirilmesi. Ankara Medical Journal. 2015;15(2): 59-66. https://doi.org/10.17098/amj.66012
Maiorino MI, Bellastella G, Esposito K. Diabetes and sexual dysfunction: current perspectives. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2014;7: 95-105.
Kouidrat Y, Pizzol D, Cosco T, et al. High prevalence of erectile dysfunction in diabetes: a systematic review and meta‐analysis of 145 studies. Diabetic Medicine. 2017;34(9): 1185-1192. https://doi.org/10.1111/dme.13403
Shindel AW, Lue TF. Sexual Dysfunction in Diabetes. In: Endotext. MDText.com, Inc., South Dartmouth (MA); 2000.
Tamrakar D, Bhatt DS, Sharma VK, et al. Association between erectile dysfunction and type 2 diabetes mellitus. Journal of Nepal Health Research Council. 2021;19(2): 378-383. https://doi.org/10.33314/jnhrc.v19i2.3394
Khodarahimi S, Mazraeh N, Bougar MR, et al. Hypogonadism and Sexual functioning in males with and without Diabetes Type II. Sexologies. 2022;31(2): 138-144. https://doi.org/10.1016/j.sexol.2021.04.005
Bahar A, Elyasi F, Moosazadeh M, et al. Sexual dysfunction in men with type II diabetes. Caspian Journal of Internal Medicine. 2020;11(3): 295-303. doi: 10.22088/cjim.11.3.295
Anderson D, Laforge J, Ross MM, et al. Male sexual dysfunction. Health Psychology Research. 2022;10(3): 37533. doi: 10.52965/001c.37533
Desai A, Chen R, Cayetano A, et al. Understanding and treating ejaculatory dysfunction in men with diabetes mellitus. Andrology. 2023;11(2): 379-398. https://doi.org/10.1111/andr.13262
Mostafa T, Abdel-Hamid IA. Ejaculatory dysfunction in men with diabetes mellitus. World Journal of Diabetes. 2021;12(7): 954-974. doi: 10.4239/wjd.v12.i7.954
Fedder J, Kaspersen MD, Brandslund I, et al. Retrograde ejaculation and sexual dysfunction in men with diabetes mellitus: a prospective, controlled study. Andrology. 2013;1(4): 602-606. https://doi.org/10.1111/j.2047-2927.2013.00083.x
Majzoub A, Arafa M, Al-Said S, et al. Premature ejaculation in type II diabetes mellitus patients: association with glycemic control. Translational Andrology and Urology. 2016;5(2): 248-254. doi: 10.21037/tau.2016.03.11
Özcan L, Polat EC. Diyabet ve cinsel yaşam. Okmeydanı Tıp Dergisi. 2015;31(Ek sayı): 57-62. doi:10.5222/otd.2015.057
Zheng R, Cao L, Cao W, et al. Risk factors for hypogonadism in male patients with type 2 diabetes. Journal of Diabetes Research. 2016: 1-8. https://doi.org/10.1155/2016/5162167
Agarwal PK, Singh P, Chowdhury S, et al. A study to evaluate the prevalence of hypogonadism in Indian males with Type-2 diabetes mellitus. Indian journal of endocrinology and metabolism. 2017;21(1): 64-70. doi: 10.4103/2230-8210.196008
Martin Martins J, Pina Jorge MD, Martins Maia C, et al. Primary and secondary hypogonadism in male persons with diabetes mellitus. International Journal of Endocrinology. 2021: 1-9. https://doi.org/10.1155/2021/8799537
Madhu SV, Aslam M, Aiman AJ, et al. Prevalence of hypogonadism in male Type 2 diabetes mellitus patients with and without coronary artery disease. Indian Journal of Endocrinology and Metabolism. 2017;21(1): 31-37. doi:10.4103/2230‑8210.195999
Gölbaşı Z, Evcili F. Hasta cinselliğinin değerlendirilmesi ve hemşirelik: engeller ve öneriler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(3): 182-189.
Ayaz S. Sexuality and nursing process: a literature review. Sexuality and Disability. 2013;31: 3-12. doi: 10.1007/s11195-012-9280-6
Phillips A, Phillips S. Recognising female sexual dysfunction as an essential aspect of effective diabetes care. Applied Nursing Research. 2015;28(3): 235-238. https://doi.org/10.1016/j.apnr.2015.04.007
Fennell R, Grant B. Discussing sexuality in health care: A systematic review. Journal of Clinical Nursing. 2019;28(17-18): 3065-3076. https://doi.org/10.1111/jocn.14900
Yin J, Rämgård M, Wangel AM. Sexual health in diabetes care is a ‘hot topic’–a qualitative study with diabetes specialist nurses. Journal of Clinical Nursing. 2023;32(19-20): 7568-7577. https://doi.org/10.1111/jocn.16832

Sayfalar

449-462

Gelecek

19 Mart 2024

Lisans

Lisans

Nasıl Atıf Yapılır

1.
Yılmaz Karabulutlu E, Çayır Yılmaz M. Diyabet ve Cinsel Sağlık. Içinde: Karabulutlu Ö, editör. Her Yönüyle Cinsel Sağlık [Internet]. Türkiye: Akademisyen Yayınevi Kitap DOI Portalı; 2024 [a.yer 13 Temmuz 2026]. ss. 449-62. Erişim adresi: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3000/chapter/13854