Sexual dysfunction is any problem that regularly interferes with a person’s sexual performance. Men and women with diabetes are more likely than nondiabetics to experience sexual dysfunction.

Sexual problems that may affect diabetic men include erectile dysfunction (impotence), ejaculation problems and low levels of testosterone. Diabetic women frequently experience vaginal dryness, pain during intercourse, decreased vaginal sensitivity, difficulty climaxing and decreased sexual desire or response.

Sexual dysfunction in people with diabetes often involves damage to blood vessels (diabetic angiopathy) or nerves (diabetic neuropathy). This damage usually results from poorly controlled glucose (blood sugar). Other common factors that contribute to sexual dysfunction include obesity, fatigue, depression, medications, urinary tract infections, yeast infections and overactive bladder.

Signs and symptoms vary according to the type of dysfunction the patient is experiencing. Diagnosis begins with a medical history and physical examination. The physician may order blood tests, urine tests, nerve tests or other tests depending on the patient’s gender and type of dysfunction involved.

Treating sexual dysfunction in people with diabetes includes controlling glucose. Additional treatment options depend on the individual case and may include medications, therapy or surgery.