Janis Roszler

Sex and Diabetes


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Never
Sometimes
Most times
Always

      13. Do you know your average blood sugar level (A1C)?

      

Yes
No

      14. Have you ever checked your blood sugar level before or after sexual intercourse?

      

Yes
No

      15. If yes, do you experience hypoglycemia (low blood sugar) with this activity?

      

Yes
No

      16. Do you feel that diabetes is a cause of your sexual problem?

      

Yes
No

      17. Has your sexual problem interfered with your relationship with your partner?

      

Yes
No

      18. Has your sexual problem interfered with your job?

      

Yes
No

      19. Has your sexual problem interfered with your family?

      

Yes
No

      20. Are you feeling depressed over this problem?

      

Yes
No

       QUIZ 2:

      Have Diabetes-Related Sexual Complications Entered Your Life? (for women)

      1. Describe your desire for intercourse.

      

Poor
Fair
Stron
Very Strong

      2. Describe your partner’s desire for intercourse.

      

Poor
Fair
Strong
Very Strong

      3. Are you able to reach orgasm with intercourse?

      

Never
Sometimes
Most times
Always

      4. Are you able to reach orgasm when you are alone?

      

Never
Sometimes
Most times
Always

      5. Do you have a decreased amount of vaginal lubrication?

      

Never
Sometimes
Most times
Always

      6. Is your blood sugar under control?

      

Never
Sometimes
Most times
Always

      7. Do you know your average blood sugar level (A1C)?

      

Yes
No

      8. Have you checked your blood sugar before or after sexual intercourse?

      

Yes
No

      9. If yes, do you experience hypoglycemia (low blood sugar) with this activity?

      

Yes
No

      10. Do you have frequent vaginal and/or bladder infections?

      

Yes
No

      11. Is intercourse painful?

      

Yes
No

      12. Has your sexual problem interfered with your relationship with your partner?

      

Yes
No

      13.