Evidence map›Paper›PMID 30954495›Full record

ArticleSexual medicine2019

Sexual Dysfunction in Women Treated for Type 1 Diabetes and the Impact of Coexisting Thyroid Disease.

Katerina Stechova, Lenka Mastikova, Krzysztof Urbaniec, Miroslav Vanis, Simona Hylmarova, Milan Kvapil, Zlatko Pastor

Open access · goldAbstract read
In one paragraph

Article in Sexual medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Addressing Sexual Dysfunction in Women With Type 1 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Katerina StechovaDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic. Electronic address: katerina.stechova@fnmotol.cz.
Lenka MastikovaDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic; Department of Clinical Hematology, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic.
Krzysztof UrbaniecDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic; Czech Technical University in Prague, Czech Republic.
Miroslav VanisDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic; Czech Technical University in Prague, Czech Republic.
Simona HylmarovaDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic.
Milan KvapilDepartment of Internal Medicine, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic.
Zlatko PastorDepartment of Gynecology and Obstetrics, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic.
Charles University · CZPrague University of Economics and Business · CZCzech Technical University in Prague · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMore sexual problems are reported among people treated for diabetes; however, this situation is less explored in women than in men.

aimTo analyze the presence and causal links of female sexual dysfunction (FSD) among Czech women treated for type 1 diabetes.

methods40 women completed a national version of the Female Sexual Function Index (FSFI), Female Sexual Distress Scale-revised (FSDS-R), and Beck's Depression Inventory-II (BDI-II). A metabolic and endocrine analysis was done using blood samples. Data were statistically analyzed using SPSS v.24 and the R environment.

main outcome measuresPatient details (personal information, diabetes-related data, and sex history), sexual performance (the FSFI and FSDS-R scores), and level of depression (the BDI-II score) were measured.

resultsFSD was present in 58% of the participants (based on the FSFI score), and 38% women declared significant sexual distress (according to their FSDS-R score). Even though only 4 women fulfilled the criteria for depression, we observed a strong association between BDI-II and FSFI (for total FSFI score P = .012, ρ = -0.394) resp. FSDS-R scores (P < .001, ρ = 0.552). Although we were not able to establish a clear direct connection between FSD and metabolic control, BDI-II scores were closely correlated with glycosylated hemoglobin (P = .009, ρ = 0.407). The duration of diabetes (based on FSDS-R: P = .046) but neither age nor the presence of chronic diabetic microvascular complications was associated with a higher FSD occurrence. We also observed an association between FSD and the presence of autoimmune hypothyroidism, even when successfully treated (FSDS-R: P = .009; FSFI: P = .067).

conclusionFSD is more common in women with type 1 diabetes than in healthy women, and coexisting thyroid autoimmune disease seems to exacerbate FSD. Women suffering from type 1 diabetes, and particularly those with additional endocrinopathies, should be actively screened for FSD. Stechova K, Mastikova L, Urbaniec K, et al. Sexual Dysfunction in Women Treated for Type 1 Diabetes and the Impact of Coexisting Thyroid Disease. Sex Med 2019;7:217-226.

Indexed as

Autoimmune Thyroid DiseaseBDI-IIDiabetesFemale Sexual DysfunctionFSDS-RFSFIInsulinInsulin PumpLife QualitySexarche

Identifiers

PMID30954495
PMCPMC6523036
OpenAlexW2928242342

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.