Sexual health is more than just a matter of intimacy; it serves as a key indicator of our overall well-being. While it might not be the first thing that comes to mind during a routine check-up, the state of one’s sexual function can reveal vital clues about underlying health conditions. Just as we use heart rate or blood pressure to assess wellness, sexual health should be viewed as a “vital sign” that offers insights into various body systems.
For sexual function to be optimal, the body needs several interconnected systems to work together harmoniously. Hormones must be balanced, blood vessels need to allow proper blood flow, and nerves must effectively communicate with the genital organs. When any of these functions are compromised, sexual problems may arise, serving as early warning signs of broader health concerns. It’s time to recognize how sexual health reflects the condition of our cardiovascular, nervous, and endocrine systems.
The Link Between Diabetes and Sexual Health
One common example I see as a GP is young men with severe erectile dysfunction linked to uncontrolled diabetes. Diabetes can damage the peripheral nerves, a condition known as peripheral neuropathy, which often affects the genital area before it impacts other areas like the feet or hands. This can result in reduced sensation, difficulty maintaining an erection, and diminished sexual pleasure. In addition, diabetes can lower testosterone levels, further impacting libido and energy.
For those living with diabetes, controlling blood sugar levels is crucial not only for avoiding complications like vision problems or kidney disease but also for maintaining a healthy and satisfying sex life. I often explain to my patients that managing their diabetes can help extend their “sexspan”—the period during their lives when they can enjoy a fulfilling sexual experience.
Chronic Conditions That Affect Sexual Health
High blood pressure and high cholesterol are other examples of chronic conditions that can silently impair sexual function. These conditions can restrict blood flow, which is essential for arousal and achieving orgasm, whether one has a penis or a vulva. In older adults, these issues often go unaddressed, but they are important indicators that should be considered in any comprehensive health evaluation.
Failing to connect chronic conditions with sexual health means missing an opportunity to enhance a patient’s overall quality of life. Furthermore, medications for conditions like depression or hypertension may have sexual side effects, such as reduced libido or difficulty reaching orgasm. Addressing these issues openly allows us to manage the patient’s treatment holistically, balancing the benefits of medication with the potential impact on their sexual life.
Breaking the Stigma Around Sexual Health
Unfortunately, many people feel uncomfortable discussing sexual problems with their doctor, often due to shame or embarrassment. As a physician, it is crucial to create a safe space for these conversations. I make it a point to ask about any issues related to libido, arousal, or sexual discomfort, because these discussions can reveal important aspects of a patient’s health that might otherwise go unnoticed.
Understanding that sexual problems are often linked to physical health conditions or side effects from medication can help reduce the stigma. For instance, a patient taking an antidepressant may experience delayed orgasms not because something is “wrong” with them, but because the medication affects neurotransmitters. Being open about these effects allows us to explore solutions, such as adjusting dosages or trying additional treatments to manage the symptoms.
A Comprehensive Approach to Sexual Health
The good news is that there are numerous treatment options available for sexual health concerns across all genders. For women, there are FDA-approved medications that address low libido, and treatments for menopause-related symptoms. For men, testosterone therapy can safely boost libido when used appropriately. There are also devices and therapies to assist with sexual pain or difficulties achieving orgasm. By integrating these treatments into routine care, we can improve both sexual health and overall quality of life.
Sex is a vital part of life, and addressing it as part of routine medical care can uncover significant health issues. When we include sexual health in regular check-ups, it becomes possible to detect and treat conditions early, ultimately enhancing well-being. Let’s view sexual health as a crucial measure of overall health and make it an essential part of our conversations about wellness.
Sex is a vital part of life, and addressing it as part of routine medical care can uncover significant health issues.
This article was written by Dr. P. A. Anthony, Clinica Santa Cecilia Medical Director and General Practitioner. Call us today at +34 95 252 1024 to set up your appointment with Dr. Anthony.