In contrast with research regarding the effects of diabetes on male se
xuality our understanding of how diabetes affects a woman's sexuality
is minimal, Little progress has been accomplished in the past 30 years
. Both the etiology and prevalence of sexual dysfunction in women with
diabetes are equally unclear. Understanding the effects that diabetes
may-have an a woman's sexual health, including her menstrual cycle, p
regnancy, contraceptive issues, fertility and sexual dysfunction in ad
ulthood, is a challenging endeavor This review addresses some of the a
spects of a woman's sexuality that can directly or indirectly affect s
exual functioning in her adult life. Research to identify the impact o
f diabetes on sexual dysfunction in women has been fraught with method
ological problems, Most studies are descriptive, poorly controlled, an
d lack objective data collection, making definitive conclusions regard
ing cause and effect extremely difficult. A review of the current avai
lable published evidence for and possible causes of sexual dysfunction
in the literature is provided.