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Sexual Problems in Women With Diabetes Decreased Vaginal Lubrication Decreased vaginal lubrication is caused by nerve damage to cells that line the vagina and low blood flow. Decreased vaginal lubrication can lead to discomfort during sexual intercourse. Discomfort is likely to decrease sexual response or desire. Vascular damage caused by poorly controlled diabetes restricts the blood flow to the vagina, which causes vaginal dryness and interferes with arousal. Decreased or Absent Sexual Response Diabetes can all cause sexual problems in women. It is estimated that 30 percent of women with diabetes may experience decreased or absent sexual response. Decreased desire for sex, inability to become or remain aroused, lack of sensation, or inability to reach orgasm can result. Infections and irritation Chronic high blood sugars promote yeast infections and vaginal irritation. Medication High blood pressure medication can cause decreased libido. Neurogenic bladder Women with nerve damage to the bladder may have incontinence problems that make sex difficult and/or embarrassing. Combat diabetes related sexual problems If you experience sexual problems or notice a change in your sexual response, talk to your doctor about it. Your doctor might be able to change your medications, or lower the dosage of your medications. Prescription or over-the-counter vaginal lubricant creams may also be useful.
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