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07/03/06 11:25 PM

"Usually I can tell my BS are high becasue I get itchy vaginally and rectally..maybe because I sit alot at work? I also have had no sex for atleast ten years..no interest but when I try to relieve the pressure manually occassionally get climax /relief but most often just go numb...Is this dangerous? BS runs no lower than 187 and sometimes to 385..Before no sex, I would get exploding headaches trying and little feeling..more pain than the effort worth..certaintly no pleasure. Do others have this?"
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Expert Answers (1)

07/03/06 11:25 PM

Dear dLife Member,
The concerns you share are common concerns of people with diabetes. In fact, as many as 25% to 43% of women with diabetes experience some form of reproductive or sexual dysfunction. High blood sugars lead to vaginal infections (usually yeast) and vaginal dryness. Many women also report decreased sex drive. This can be due to hormone imbalances or depression.

Although it may seem uncomfortable to speak with your doctor about this subject, I highly recommend you bring it up. The best approach is matter-of-fact. Once you mention your concerns, you may be surprised how willing your doctor is to talk about it. Often doctors want to help, but don’t get asked.

Definitely, get tested for a possible vaginal infection, since itching is a common symptom of this. Regarding the numbness, mention this to your doctor and ask if it would be useful to evaluate your nerve function.

A concern I have is that you mention you know your blood sugars are high when you experience the itching. Do you test your blood sugars regularly, every day? If not, you should begin doing so rather than waiting until you experience symptoms. The type of diabetes you have (type 1 or 2) will determine how often and when you should be testing. Ask your doctor for a testing schedule.

The blood sugars you report indicate that your diabetes is not in control. You may want to ask your doctor to refer you to a certified diabetes educator to help you with balancing eating habits and exercise with your medications. Lastly, you may want to read a great book, called “Secrets of Living and Loving with Diabetes”, by Janis Roszler, William H. Polonsky and Steven V. Edelman. You can read an excerpt on dLife. It has a lot of great advice on maintaining a healthy sex life with diabetes.

Best of health and happiness to you,

-Missy Porteous, MS, RD, CDE

Financial Disclosure
Answered By: Missy Porteous
Accreditations: MS, RD, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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