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Problems with women sexual fulfillment can have either physical or psychological roots. Sometimes a small physical problem can snowball into a large worry for you. Don't let things go for too longs. If you are having any problems related to sexual fulfillment, try talking to your doctor about them, to rule out any physical cause. If you don't feel comfortable talking with your doctor or other members of your health care team, perhaps you need to find a doctor or health care professional with whom you do feel comfortable discussing personal matters.

Problems with sexual fulfillment are not unique to women with diabetes. Women with diabetes don't appear to have more problems than those without diabetes. However, you may experience trouble with vaginal lubrication and yeast infections if you have a hard time keeping your blood glucose levels in control.

One of the more common complaints of women with diabetes is poor vaginal lubrication. Low sex hormone levels, such as those occurring after menopause, can cause your vagina to be dry and easily irritated.

This in turn can result in pain during sexual intercourse. First, talk to your doctor to see whether this
could be due to a hormonal problem. If so, you may want to consider estrogen replacement therapy. This often improves vaginal lubrication. It can be taken in pill form or as a patch, injection, or vaginal cream or ring. I Diabetes rarely damages the nerves that control orgasm. However, long periods of high blood glucose levels can lead to damage of other nerves that control the blood flow to sexual organs. These problems can interfere with the ability of the vagina to expand and lubricate with sexual arousal.

If you have severe nerve damage, it is possible that you have lost some sensitivity to touch around the genital area. This in turn can diminish sexual pleasure. Some women find that a gentle touch or a hand-held vibrator on or around the clitoris can help them reach orgasm more easily. Others are helped by oral stimulation from their partner.

Some women are hindered by poor bladder control. This is also called neurogenic bladder. To avoid problems brought on by this condition, be sure to empty your bladder before and within 30 minutes after intercourse. This can also help prevent bladder infection. To help prevent or lessen the problems due to the loss of sensation and neurogenic bladder, try to achieve good blood glucose control. Loss of sensation and neurogenic bladder can develop when glucose levels are left uncontrolled.
Women with end-stage kidney disease may have problems with sexual desire.

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