Analytical diabetes and sex
Posted on December 4th, 2009 in Diabetes, Gender Life | No Comments »
Diabetes is a chronic systemic endocrine diseases, the basic pathological changes of the absolute or relative lack of insulin caused by sugar, protein, fat, water and electrolyte substances such as metabolic disorders. Mainly characterized by high blood sugar, typical symptoms of “more than three a little”, that is, polyuria, polydipsia, food, and often accompanied by weight loss. Its causes are diverse, the pathogenesis is also more complicated. In most cases, probably in genetically susceptible individuals to various environmental factors, result of the interaction.
Diabetes and sexual
Diabetes can be a normal sex life, sex life process does not increase the diabetes. However, when severe diabetic complications, then the health of the spouse to be understanding of the patient can not be forced to act, or adverse effects may occur.
Impotence male impotence incidence of diabetes up to 40% to 60%, the symptoms gradually worsened. Initially only penile erection will not be strong, you can ejaculation, there is an orgasm, but also a normal sex drive. With the extended duration of diabetes may eventually develop into complete impotence. Impotence caused by diabetes, with the following factors:
Early blood testosterone and gonadotropins to normal, after the occurrence of pituitary and testicular pathological changes in a corresponding reduction in sex hormones;
Diabetic patients with renal insufficiency or liver dysfunction, neurological degeneration, including the autonomic control of penile erection, the penis because of neuropathy affect the tactile feel, reduced erectile response, peripheral arterial, affecting blood supply to the penis, can also cause impotence; vascular sclerosis, when it comes to penis erection will be affected by a small artery function; the spirit and the influence of drugs.
In addition, impotence can be a symptom of diabetes earlier, hence the phenomenon should be related to impotence diabetes checks. If confirmed to have diabetes should be actively treated, carefully controlled diet, regular application of hypoglycemic drugs. Diabetes under control, impotence symptoms can also be improved. If did not receive effective treatment, accompanied by loss of libido, and diabetes has been controlled by checking at this time should take into account the spirit of factors, the need to eliminate anxiety, his wife to give co-ordination and comfort.
Duration of diabetes for too long, even though there blood sugar under control, but the impotence persists, not only in sexual intercourse, that is, in the early morning when the phenomenon of non-penile erection, which is already organic impotence impotence may be related to neuropathy, vascular damage or other related endocrine disorders, should go to the hospital detailed examination, symptomatic treatment. Organic impotence may, by surgical implantation of penile prosthesis in order to achieve the purpose of sexual life.
Retrograde ejaculation by about 1% a 2% of diabetic patients in retrograde ejaculation, or orgasm, when semen from the urethra outside the mouth are not fired, but a counter-current to the bladder, which dominated the patient’s autonomic damage to the bladder neck, bringing the ejaculation, when the should be in closed state into an open bladder neck.
Women with diabetes who have no male sexual function problems obviously, the psychological pressure of small, mainly for the lack of orgasm, it was statistical occurrence rate as high as 35.2%. The reason for the autonomic nervous system damage. In addition, female patients a slight degree of vaginal lubrication reduced sensitivity to autonomic nerve damage to the vagina weaken, and prone to vaginal infections, infection can cause painful intercourse caused by low sexual desire. Husband and wife can be used, such as vaginal dryness vaginal lubricants to provide lubrication and increase sexual pleasure. If vaginal fungal infection, can be partially used nystatin to eliminate the local inflammation. Treatment with hypoglycemic drugs, diet, infection control and other comprehensive adjustments, also allows the gradual recovery of sexual function.
Women with diabetes should be actively treated diabetes, when the disease under control after the sexual dysfunction can also be improved. At the same time rational use of drugs, a thorough treatment of vaginitis. Appeared atrophic vaginitis female patients may be appropriate to oral estrogen, such as Nylestriol films and so on can also be used vaginal lubricants.
The relationship between diabetes and birth
Diabetic women, pregnancy issues should be carefully considered. The relationship between diabetes and pregnancy, there are two cases: one is diabetic pregnancy, that is, pre-pregnancy diabetes or impaired glucose tolerance have been women who appeared pregnant, postpartum diabetes, no change or increase; the other is gestational diabetes, that is, pre-pregnancy without diabetes or impaired glucose tolerance, diabetes mellitus after pregnancy, postpartum return to normal.
Diabetic women, if pregnant, have to go to the hospital the doctor to do a comprehensive and detailed pre-pregnancy and prenatal care to understand the current severity of diabetes, and whether the time of pregnancy and childbirth, mode, etc. This is very necessary, this must not lightly.
If the pregnant woman accompanied by diabetic nephropathy, coronary atherosclerosis, proliferative retinopathy fundus when abortion should be made early in order to interrupt her pregnancy. If accompanied by high blood pressure, preferably also the termination of pregnancy. Under such circumstances, the mother and infant health at risk.
