A large number of papers have been published on the disorders that occur in men. Typically, patients struggle with erectile problems and early ejaculation. The risk of disorders is influenced by the duration of diabetes, inadequate metabolic control and the coexistence of other chronic diseases. ,

Unfortunately, less attention is paid to problems occurring in women. The most common disorders in women are sexual frigidity, painful intercourse and vaginismus. These disorders occur in 27 per cent of patients and in 15 per cent of healthy women. The occurrence of the disorders is not dependent on the degree of metabolic control of diabetes. However, an association between the presence of depressive symptoms and marital relationship quality assessment and sexual dysfunction was shown.

Women reporting disorders have a negative attitude towards the disease, are often dissatisfied with their treatment and believe that treatment has a negative impact on their daily life. Unlike men, in whom the disorders are caused by somatic as well as psychogenic factors, in women the disorders have a primarily psychogenic basis. It is worth considering a possible fear of unwanted pregnancy or lowered self-esteem due to the illness.

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In addition to psychogenic causes, disorders may be caused by impaired mucus secretion or the occurrence of soreness during intercourse due to inflammation of the reproductive tract or bladder atony and overflow.

In recent years, the treatment of type I as well as type II diabetes has improved considerably. Much attention is paid to the prevention and treatment of acute and chronic complications of this condition, and it is worth adding to these efforts the treatment and prevention of sexual dysfunction. Although the number of sexual disorders in affected women has been steadily decreasing since 2000, the situation still needs to improve.