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Wednesday, March 19, 2008

Diabetes and Women's Sexual Health

Sex is an important part of life and relationships. But diabetes can affect a woman's sex life. Some women with diabetes have less interest in sex because of depression. Or high blood glucose levels can make some women feel tired all the time. Or perhaps intercourse is painful because of vaginal dryness. Problems with having sex aren�t a normal part of getting older and don't happen to all women who have diabetes.
If you find that you don't enjoy sex anymore, it's normal to feel upset. You may blame yourself or your partner. Some women feel angry or depressed. These feelings can make it hard for you to talk openly with your partner. Don't give up! Find someone on your health care team to talk with. Learn about medicines or counseling that can help.Depression and Anxiety
Both depression and anxiety can take away your desire for sex. Medicine or counseling can help with both depression and anxiety disorder. If you've been feeling depressed or worried for more than two weeks, talk with your health care team.Baby Watch
Are you thinking about having a baby? Start working with your health care team before you get pregnant. Have your A-1-C, blood pressure, heart, kidneys, nerves, and eyes checked. See your dietitian to review your meal plan. Talk with your health care team about how being pregnant will affect your long term health.
If you take diabetes pills, you may need to switch to insulin to protect the baby. You may be referred to a special diabetes and pregnancy team. You will help keep yourself and your baby healthy and safe if you keep your blood glucose (sugar) in your target range before you get pregnant and until the baby arrives. That will lower your chances of having a premature baby or a baby that's larger than normal. You'll also lower the risk of having a baby with birth defects by keeping your blood glucose close to normal in the first few weeks of pregnancy. Today, more women with diabetes are able to have healthy babies. With planning and hard work, you can too.The Birth Control Files
If you don't want to get pregnant, you'll need to use some kind of birth control. Even if you don't have regular periods, you can still get pregnant. Most birth control methods are safe for women with diabetes. Talk with your health care team about your options.
Everybody Has Hormones
Some women find it hard to keep their blood glucose on track the week before and during their menstrual period. Your blood glucose levels may go up and down because of changes in hormone levels. Make a note of the days when you�re having your period in your blood glucose record book. Look for patterns and then talk with your health care team about changing your care plan before, during, or after your period to keep your blood glucose levels on target.
Here are a few tips:
Work with your health care team to keep your blood glucose levels on target during your monthly cycles Talk with your health care team about hormone replacement therapy as you get close to menopause
A New Life to Live: Menopause
Menopause (MEN-oh-paws), also called change of life, can affect your blood glucose. As your hormone levels change, you may also have hot flashes or other signs. Talk with your health care team about whether hormone replacement therapy (hormone pills or patches) is right for you. You also may need a change in your diabetes medicines because changes in hormone levels can affect blood glucose. Some women find that they gain weight during menopause. Changing your meal plan or exercise routine can help you keep your weight where you want it.

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