You can practice by stopping the flow of urine when you urinate. Then let the muscles relax and feel the contrast. If sex is still difficult or painful, try tensing and relaxing these muscles before or during sex. You can also try different positions. These include sitting or kneeling over your partner or lying on your side and facing your partner.
Some diabetes complications can impair sexual function.
Your diabetes-care team may be able to help or refer you to other health professionals who could help. Women with severe nerve damage may lose some skin sensation around the genital area. This can lessen sexual pleasure. Sometimes gentle touch or a hand-held vibrator on or around the clitoris can help a woman with this problem reach orgasm more easily. Some women with diabetes have a problem called neurogenic bladder, which means poor bladder control.