Sexuality in the older female with diabetes mellitus--a review of the literature.

Sexuality is an important topic across the life continuum. Research has shown that sexuality or intimacy declines with age. This has been attributed to several factors, including but not limited to age-related changes, changes in vasculature, hormones, endocrine function, chronic disease, and psychosocial effects. Limited research has been provided on the effect diabetes mellitus may have on sexual function, especially in relation to older adults. This article will review the literature as it pertains to sexuality in the older, adult female with a specific focus on the effect of diabetes mellitus in this population. Factors that may preclude women from discussing such problems with their heath care providers will be presented. Strengths and weaknesses in the literature will also be discussed, including further research needed and nursing implications.