In women, the psychological adaptation and relationship to cardiovascular disease and diabetes may be more strongly correlated with sexual dysfunction than the severity of the condition itself.

“what's interesting about the last two is that the the condition itself isn't as clearly correlated as the psychological um ad adaptation or relationship to the dis da is for women so for example if someone had a heart attack or has heart disease and they're female it's more about how they see themselves and their interest or enthusiasm in becoming re-engaged with activity then clearly the severity of card cardiac disease and that might just be we don't have good research or it might be different in women and same thing is to with diabetes like in man it's clear like the higher aan see the more sexual dysfunction Nur neurovascular disease Etc but in women it's more about the impact of diabetes that so far in the research do they are they depressed because they have diabetes is it impacting like they don't like wearing the monitor so they're embarrassed to have sex or like you know things like that or their their feet are numb and it turn just makes them negative rather than their their blood sugar control”