Professional Activity

Professional activity had sex-specific associations with sexual functioning. Among women, professional activity significantly influenced overall sexual functioning and arousal. Within the T1D group, longer working hours were linked to sexual disturbance only among women. Among men, professional activity showed a significant interaction with group for the pleasure subscale, but follow-up contrasts did not identify reliable pairwise differences. Longer work hours plus diabetes-management burden may reduce sexual satisfaction and orgasm through fatigue, distress, overstimulation, and sympathetic arousal.