{Reference Type}: Journal Article
{Title}: Prevalence and predictors of female sexual dysfunction among sexually active women in the diabetes prevention program outcomes study.
{Author}: Gupta P;Doherty L;Temprosa M;Pop-Busui R;Gadde KM;Singh P;Owora AH;Wessells H;Sarma AV; ;
{Journal}: Neurourol Urodyn
{Volume}: 43
{Issue}: 4
{Year}: 2024 Apr 19
{Factor}: 2.367
{DOI}: 10.1002/nau.25436
{Abstract}: <B>OBJECTIVE: </B>To determine the burden and identify correlates of female sexual dysfunction (FSD) among women with prediabetes (PreD) and type 2 diabetes (T2D) enrolled in the Diabetes Prevention Program (DPP) Outcomes Study (DPPOS).<BR><B>METHODS: </B>The DPPOS visit included the Female Sexual Function Index (FSFI) to determine sexual function. Of 1464 participants, 1320 (90%) completed the (FSFI) and 426 were sexually active. A backward selection multivariable logistic regression model estimated the odds of FSD for sociodemographic, clinical, and diabetes-related covariates.<BR><B>RESULTS: </B>One hundred and eighty-five (43%) had a score of ≤26.55 and met the criteria for FSD. After adjustment for DPP treatment and age, urinary incontinence (UI) (odds ratio [OR] = 1.91, 95% confidence interval [CI] = 1.15-3.17) and hysterectomy (OR = 1.89, 95% CI = 1.01-3.53) were associated with increased odds of FSD. Increased body mass index was protective for FSD (OR = 0.93 per kg/m2, 95% CI = 0.89-0.96). Michigan Neuropathy Screening Instrument-based peripheral neuropathy (mean±SD scores 1.1±1.3 vs. 0.9±1.1, p < 0.0001) and Electrocardiogram (ECG)-based autonomic dysfunction measures (mean ± SD heart rate levels 64.3 ± 6.8 vs. 65.6 ± 10.2, p = 0.008) were associated with FSD. There were no differences in diabetes rates between women who did (66.5%) and did not (66%) have (p = 0.7).<BR><B>CONCLUSIONS: </B>FSD is prevalent in women with PreD and T2D. Our findings suggest that FSD is associated with neuropathic complications commonly observed in PreD and T2D.