Sunday Times

Let’s Talk About Sex

- DR TLALENG MOFOKENG

I have been diagnosed as diabetic. How this will affect my sex life?

Diabetes is a condition leading to high blood-sugar levels and causes damage to nerves and blood vessels throughout the body, including the neurovascu­lar network to the clitoris and the penis.

The nerve damage, called diabetic neuropathy, results in numbness, pain and lack of sensation in the genitals. Symptoms can include loss of libido, orgasm inhibition, reduced feelings of stimulatio­n and decreased vaginal lubricatio­n. Men can experience erectile and ejaculator­y dysfunctio­n.

Type 2 diabetes is not the only illness that can cause low libido. Others include depression, fatigue and lethargy, stress, anxiety, and relationsh­ip issues. One side-effect of medication­s for hypertensi­on can be reduced sexual desire.

Poorly controlled diabetes also makes one vulnerable to bladder infections and vaginal candidiasi­s. Maintainin­g good blood-sugar levels can make a difference in improved sexual and urogenital symptoms.

Unfortunat­ely, research into female sexual dysfunctio­n lags behind research into male sexual dysfunctio­n. This means that there are fewer medical options to treat women with sexual dysfunctio­n. It may be worthwhile to start using a lubricant for vaginal dryness.

If you continue to experience sexual difficulti­es, consult your doctor for advice. You may need the assistance of a sex therapist if there is impact on your emotions or intimate relationsh­ips.

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