RELATIONSHIP BETWEEN SEXUAL DYSFUNCTION AND SEXUAL SELF-CONCEPT IN PATIENTS WITH DIABETES MELLITUS: A SCOPING REVIEW
Abstract
Background: An often-occurring complication of diabetes mellitus is sexual dysfunction, often linked to poor blood sugar control. Despite its significant impact on patients' lives, issues related to sexual desire, education, and timely detection and management of sexual problems have historically been overlooked in diabetes interventions. This neglect may affect individuals' sexual self-concept and overall well-being. The purpose of this study is to investigate the relationship between sexual dysfunction and sexual self-concept in diabetics. Design: This research employs a scoping review design. Data Sources: A comprehensive literature search was conducted using databases such as Web of Science, Open Alex, Crossref, Google Scholar, PubMed, Scopus, and Semantic Scholar. Articles published between January 2018 and October 2023 were included. Review Methods: The analysis followed the Arksey and O'Malley model and PRISMA guidelines. 26 quantitative articles were reviewed, including 24 cross-sectional studies and 2 observational studies, all using quantitative methodologies. Results: Sexual dysfunction is prevalent among diabetes type 1 and type 2 in both men and women, influenced by physiological factors and glycemic control. Men may experience issues like diminished libido, premature ejaculation, and difficulty achieving orgasm, while women may face reduced sexual desire, arousal difficulties, and dyspareunia. Factors contributing to sexual dysfunction include age, duration of diabetes, glycemic control, comorbidities, medication use, psychological factors, and lifestyle elements like physical activity and stress levels. Sexual dysfunction in people with diabetes has a significant impact on sexual self-concept, which includes feelings, views, and beliefs about sexual relationships. Conclusion: There hasn't been any specific research conducted on diabetic patients concerning the correlation between sexual dysfunction and sexual self-concept, highlighting the need for dedicated studies to address this association and raise awareness.Downloads
References
Alikamali, M., Khodabandeh, S., & Motesaddi, M. (2019). Sexual dysfunction in males and females with type 2 diabetes referring to healthcare centers of Zarand, Kerman: A cross-sectional study. Shiraz E Medical Journal, 20(8). https://doi.org/10.5812/semj.84268 DOI: https://doi.org/10.5812/semj.84268
Asefa, A., Nigussie, T., Henok, A., & Mamo, Y. (2019). Prevalence of sexual dysfunction and related factors among diabetes mellitus patients in Southwest Ethiopia. BMC Endocrine Disorders, 19(1), 1–8. https://doi.org/10.1186/s12902-019-0473-1 DOI: https://doi.org/10.1186/s12902-019-0473-1
American Diabetes Association. (2022). Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes. American Diabetes Association, 45 (Suppl),17–38. https://diabetesjournals.org/care/article/45/Supplement_1/S17/138925/2-Classification-and-Diagnosis-of-Diabetes. Diakses tanggal 6 Setembe 2023 DOI: https://doi.org/10.2337/dc22-S002
American Diabetes Association. (2022). Glycemic Targets : Standards of Medical Care in Diabetes — 2022. 45(January), 83–96. https:// doi.org/https://doi.org/10.2337/dc22-S006 DOI: https://doi.org/10.2337/dc22-S006
Bekele, F., Fantahun, L., Garbessa, B., & Dekosa, F. (2022). Men’s sexual desire, and why women often don’t recognize it? Prevalence of erectile dysfunction and associated factors among diabetes mellitus patients attending Mettu Karl Comprehensive Specialized Hospital: A cross-sectional study. SAGE Open Medicine, 10. https:// doi.org /10. 1177/20503121221141803 DOI: https://doi.org/10.1177/20503121221141803
Byomantara, I. G. M. S., & Hidayat, F. (2023). Kejadian Disfungsi Ereksi pada Pria yang Menyandang Diabetes Melitus di Puskesmas Wilayah Jakarta Barat. Syntax Idea, 5(8), 747-757.
Das, S., Gantait, K., Halder, R., Molla, K., Chakraborty, P. P., & Gupta, A. P. (2021). Sexual Dysfunction in Men with Type 2 Diabetes Mellitus: Prevalence and Severity—An Observational Study. Bengal Physician Journal, 8(2), 34–37. https://doi.org/10.5005/jp- journals-10070-7053 DOI: https://doi.org/10.5005/jp-journals-10070-7053
Decroli Eva. 2019. Diabetes Mellitus Tipe II. Fakultas Kedokteran Universitas Andalas Padang. De Silva, N. L., Athukorala, T., Gamage, J. L., Katulanda, G., de Silva, P., Sumanatilleke,M.,& Somasundaram, N. (2022). Sexual dysfunction among men with diabetes; a cross-sectional study at a specialised diabetes clinic in Sri Lanka. BMC Endocrine Disorders,22(1), 1–9. https://doi.org/10.1186/s12902-022-01108-1 DOI: https://doi.org/10.1186/s12902-022-01108-1
Derosa, G., Romano, D., D’Angelo, A., & Maffioli, P. (2023). Female Sexual Dysfunction in Subjects with Type 2 Diabetes Mellitus. Sexuality and Disability, 41(2), 221–233. https://doi.org/10.1007/s11195-023-09781-3 DOI: https://doi.org/10.1007/s11195-023-09781-3
F, D., CJ, G., ML, G., M, H., & J, F. (2021). Sexual Dysfunction in Women with Diabetes: Prevalence and Associated Factors in The Diabetes Center in Cotonou - Benin. Diabetes & Its Complications, 5(1), 1–4. https://doi.org/10.33425/2639-9326.1086 DOI: https://doi.org/10.33425/2639-9326.1086
Flotynska, J., Uruska, A., Michalska, A., Araszkiewicz, A., & Zozulinska-Ziolkiewicz, D. (2019). Sexual Dysfunction Is a More Common Problem in Young Women with Type 1 Diabetes than in Healthy Women. Journal of Sex and Marital Therapy, 45(7), 643– 651. https:// doi.org/ 10.1080/0092623X.2019.1610121 DOI: https://doi.org/10.1080/0092623X.2019.1610121
Gebreegziabhier, G., Mekonnen, MS., Wtsadik, DA., & Nigus, G. (2020). Prevalence of erectile dysfunction and associated factors among men with diabetes mellitus, Northern Ethiopia, 2020. Diabetes Updates, 6(2), 1–7. https: //doi. org/ 10. 15761 /du.1000148 DOI: https://doi.org/10.15761/DU.1000148
Gupta, M., Shukla, R., Verma, S., Kalhan. (2022). Sexual dysfunction in women with type 2 diabetes mellitus: An observational study. Journal Diabetology, 13(2), 139–144. 10.4103/jod.jod_108_21 DOI: https://doi.org/10.4103/jod.jod_108_21
Gupta, M., Tiwari, A., Chandra, KP., Awasthi, R., Chaudhary, S., Gupta, N., Agarwal, V., Chaubery, SK., Ansari, S., Pandey, AK., Kumar, D., & Awasthi, A. (2022). Assessment of erectile dysfunction and other sexual dysfunction in men with type 2 diabetes mellitus: A multicenter observational study in North India. Clinical Epidemiology and Global Health, 18(September), 101136. https://doi.org/10.1016/j.cegh.2022.101136 DOI: https://doi.org/10.1016/j.cegh.2022.101136
Hameed, A., Ahmad, M., Shaikh, S., & Abid, A. (2023). Prevalence of Erectile Dysfunction among Type-2 Diabetes Mellitus & Availability of Treatment Options in Pakistan. 8(2), 351–354. DOI: https://doi.org/10.33140/IJDMD.08.02.08
Hasbullah, Alamsyah, & Samsir. (2019). Study fenomenologi disfungsi seksual pada pria diabetes mellitus. Journal of Islamic Nursing, 4(2), 1-12. http: //doi.org/10.24252 / join. v4i2. 10707. DOI: https://doi.org/10.24252/join.v4i2.10707
Haugstvedt, A., Jørgensen, J., Strandberg, R. B., Nilsen, R. M., Haugstvedt, J. F., Pop-Busui, R., & Søfteland, E. (2022). 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, 39(1), 1–10. https: //doi. org/ 10.1111 / dme. 14704 DOI: https://doi.org/10.1111/dme.14704
International Diabetes Federation (IDF). International Diabetic Federation Diabetic Atlas 10th edition. IDF; 2021.
Kamrul-Hasan, A. B. M., Alam, M. S., Zarin, N., Aalpona, F. T. Z., Mustari, M., Akter, F., Jannat, N., Azad, U., Chanda, P. K., Rafi, A., & Selim, S. (2023). Sexual dysfunction in women with type 2 diabetes mellitus: A single-centre cross-sectional study from Bangladesh. Archives of Endocrinology and Metabolism, 67(5), 1–10. https://doi.org/10.20945/2359-3997000000635 DOI: https://doi.org/10.20945/2359-3997000000635
Mekonnen, E. G., Yeshita, H. Y., & Geremew, A. B. (2021). Sexual dysfunction among men with diabetes mellitus attending chronic out-patient department at the three hospitals of Northwest Amhara region, Ethiopia: Prevalence and associated factors. PLoS ONE, 16(8 August). https: //doi.org /10.1371/ journal.pone.0256015 DOI: https://doi.org/10.1371/journal.pone.0256015
Mirdehghan, M., Injinari, N., Vakili, M., & Namiranian, N. (2023). Evaluation of Sexual Dysfunction and Related Factors in Iranian Men with Type 2 Diabetes: A Cross-Sectional Study. Iranian Journal of Diabetes and Obesity, 98, 0–2. https ://doi. Org /10.18502/ijdo.v15i1.12208 DOI: https://doi.org/10.18502/ijdo.v15i1.12208
Mohan, Gurinder, Gurbir Singh Mann, Tejinder Sikri,. (2023). Sexual Dysfunction in Diabetes Mellitus – An Observational Cohort Study. Apollo Medicine, Volume 20 Issue 20.10.4103/am.am_36_23.http://journals.lww.com/apmd.
Naz Masood, S., Saeed, S., Lakho, N., Masood, Y., Rehman, M., & Memon, S. (2021). Frequency of sexual dysfunction in women with diabetes mellitus: A cross-sectional multicenter study. Journal of Diabetology, 12(3), 357. https: //doi. org/10 .4103/jod.jod_31_21 DOI: https://doi.org/10.4103/JOD.JOD_31_21
Paningbatan, J., Aragon, J., Landicho-Kanapi, M. P., & Rodriguez-Asuncion, K. (2018). 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, 33(2), 165–173. https://doi.org/10.15605/jafes.033.0.09 DOI: https://doi.org/10.15605/jafes.033.02.09
Price SA, Wilson LM. Patofisiologi Konsep Klinis dan Proses-proses penyakit. Vol. 2. Edisi ke-enam. Jakarta : Penerbit Buku Kedokteran EGC; 2016. Putri, Nadia Endarianti. 2023. Pengaruh Konseling Apoteker Terhadap Peningkatan Kualitas Seksual Pasien Dm Tipe 2 Dengan Disfungsi Ereksi Di Puskesmas Puuatu Kota Kendiri. Fakultas Kedokteran Universitas Islam Sultan Agung. Semarang.
Rafika Sulastri (2023) Pengalaman Pasien Diabetes Melitus Tipe Ii Perempuan Yang Mengalami Disfungsi Seksual Di Klinik Pratama Firdaus Umy Yogyakarta. S2 thesis, Universitas Muhammadiyah Yogyakarta.
Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018.
Riazi, H., Lotfollahi, H., Omani-Samani, R., Maroufizadeh, S., & Montazeri, A. (2020). Evaluation of sexual function among infertile women and their sexual self-concept. Journal of Reproduction and Infertility, 21(4), 291–297. https: //doi. org/10. 18502/jri.v21i4.4334 DOI: https://doi.org/10.18502/jri.v21i4.4334
Saraswati, L. D., Udiyono, A., Sutrisni, D., & Fauzi, M. (2019). Sexual dysfunction among women with diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia. Kesmas,14(2),95–102. https://doi.org/10.21109/kesmas.v14i2.2722 DOI: https://doi.org/10.21109/kesmas.v14i2.2722
Sebtain, A. (2022). 2 DIABETES MELLITUS PRESENTING TO A TERTIARY. 36(1), 1–4.
Susanti, N. (2019). Bahan Ajar Epidemiologi Penyakit Tidak menular.
Samuel, O. (2022). Sexual Dysfunction among Women Living with Type 2 Diabetes Mellitus in a Nigerian Tertiary Hospital. International Journal of Current Science Research and Review, 05(08), 2998–3004.https://doi.org/10.47191/ijcsrr/v5-i8-23 DOI: https://doi.org/10.47191/ijcsrr/V5-i8-23
Shafiee Kandjani, A., Hosseinpour, M. R., Daneshamooz, H., Shoja, H., & Nikniaz, L. (2018). Sexual Dysfunction Prevalence in Women with Type 2 Diabetes Mellitus. Advances in Bioscience and Clinical Medicine, 6(4), 15. https:// doi. Org/10.7575/aiac.abcmed.v.6n.4p.15 DOI: https://doi.org/10.7575/aiac.abcmed.v.6n.4p.15
Wahyuni, K. I. (2020). DIABETES MELLITUS. Surabaya: Jakad Media Publishing.
Zamponi, V., Mazzilli, R., Bitterman, O., Olana, S., Iorio, C., Festa, C., Giuliani, C., Mazzilli, F., & Napoli, A. (2020). Association between type 1 diabetes and female sexual dysfunction. BMC Women’s Health, 20(1), 1–7. https: //doi. Org / 10 .1 186/s12905-020-00939-1 DOI: https://doi.org/10.1186/s12905-020-00939-1
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