It has so far sexual health of men and women in real terms little is known about the psychological and neurophysiological. Reports indicate that about 35% of women and 16% of men are not interested in sex. It is widely believed that sexual intent and desire is the most advanced central function of the cerebral cortex is that it combines the ideas, feelings, attitudes or values of the result, these factors in any case the balance, which will determine whether hidden sexual desire further before the development of arousal and sexual expression, whether self or with a sexual partner. Sexual desire can be selectively distributed consciously or control, be less inclined to interrupt or deny, and even ambivalence that want to become a close and the fear of the expression of the inner struggle to achieve sexual relations, the results just before the Zhenqian the last moment, because of a high degree of depression and withdrawal. It is not known, diabetes, women's sexuality and non-diabetic women's sexuality differs. In theory, diabetes should not affect the cerebral cortex, but generally agreed that patients may have a negative impact on self-concept. Diabetic women vulnerable to see themselves as defective or unsound and, therefore, no longer yearning for romance, marriage, or a combination, they are conscious or unconscious control or suppress their sexual expression, as a defensive measure in order to prevent possible injury or reject it. In this case, negative thoughts or feelings can block sexual desire, arousal or sexual expression. In the various branches of the medical field, the most difficult physical and psychological factors, the clinical phenomenon is the mutual overlap, there is a clear organic pathology, but also potentially serious psychological factors such as the inner conflict. This dilemma can be seen in diabetic patients often complained of being sexual. Doctors need to distinguish between their respective roles: (1) Diabetes disease itself. (2) The prevalence of medical concepts (and sometimes the concept of premature conclusions) such as "This is certainly caused by diabetes." (3) organic complications of diabetes, vaginitis, cystitis, drug overdose and so on. (4) cognitive factors such as physical or sexual ignorance, emotional factors (such as a sense of body image problems, he considered himself a patient, is weak, there is a defect), sexual inhibition, clinical depression or other psychological problems, and interpersonal problems and marital conflict, fear of intimacy (using illness as an excuse for a close family). (5) The joint work of all the factors. Of course, (4), listed in a variety of cognitive factors, may also occur in a problem among non-diabetic women. Then in diabetes, in the end is what factors do play a decisive role? To answer this question the differential diagnosis of essential, not only complex, but also spent a lot of time and effort. But not with anxiety for the diabetic women received adequate sex education, if their physical condition is still healthy, doctors should dispel their concerns, told them there is no serious problem, which is the first step. Followed by collection of history to them suggested some reading lists, in order to enhance their knowledge about sex education, which has guided self-education, enough to reverse the symptoms caused by mild anxiety, or to forget how serious she was diabetic, or she sexual dysfunction how serious. Specific issues will relate to: the onset of symptoms; its occurrence and the relationship between the onset of diabetes; her personal disease, medication and dietary control of the response; her pre-diabetes now and in the sense of body image; for her the concerns of the injection site; dress and activities (swimming, etc.) change; shy of their own body; and other members of the family history of diabetes and its outcome; right through kissing, touching, or sexual intercourse with your spouse a special fear; on pregnancy, disability and death concerns. Important, there are also positive or negative early sexual experiences; sexual fear and sexual fantasies; religious beliefs on sexual function and so on; her current sexual and marital relations, the existence of marital conflict and whether they put them into the bedroom within the . Prior to sexual activity or process, whether economic, family or work problems affected her sexual pleasure or feelings? Must pay attention to whether the clinical cure of depression, and active treatment of depression, because depression itself can cause low sexual desire. The physical factors that diabetic women may be quite obvious but often caused by a temporary nature can be corrected to avoid, for example; ketone poisoning, blood glucose control is not good, irregular menstruation (fear of pregnancy), candida vaginitis. Vaginal intercourse can cause temporary pain, or vaginal spasms, and vaginitis, after cure, they disappear. Expectations of pain may cause symptoms to persist. Late complications of diabetes such as nerve or blood vessel pathological changes are irreversible and can result in reduced vaginal lubrication and cause painful intercourse or vaginal spasm. Through careful physical examination and neurological examination can be diagnosed. The use of artificial lubricant (or saliva), often help these symptoms disappear. Select female upper, you can also make sexual intercourse even more comfortable. Diabetes and female sexuality in some relations between the papers, there were often conflicting point of view. It is worth emphasizing that this patient population with their different characteristics related to. Each doctor may be different from their professional perspective and observe the characteristics of the problem. In this way, an endocrinologist, usually only to see the most complex diabetic patients (mostly inpatient), they account for about 15-20% of diabetic patients as a whole, while the remaining majority of "normal" or stable patients, mainly in the physician and general medical treatment there. Sex therapy clinic to see patients, there is light to heavy, but in the whole diabetic women to seek treatment for only a small part of it. Some people participating in couples therapy in patients with diabetes about the statistics of 4-5%, such as the orgasmic disorder. Some diabetic female patients with no symptoms themselves, but sexual dysfunction, accompanied by her husband to come forward for treatment. About diabetes on female sexuality, sexual response and accurate impact need to make more in-depth surveys and studies, but also the need for the same large sample of healthy women matched to investigate and to be controlled comparative studies.
