Assessing Sexual Function in Obese Women Preparing for Bariatric Surgery

Assimakopoulos, Konstantinos; Panayiotopoulos, Spiros; Iconomou, Gregoris; Karaivazoglou, Katerina; Matzaroglou, Charalampos; Vagenas, Konstantinos; Kalfarentzos, Fotis

doi:10.1381/096089206778026442

Cited by 69 publications

(63 citation statements)

References 24 publications

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“…Women with severe obesity may, in general, have a negative self-and body image, as well as a lower sense of self-esteem when compared to nonobese women. 11,24,26 Thus, the complex interaction between selfperception and self-reported symptoms may inflate the problem of sexual dysfunction attributed to lower urinary tract dysfunction in obese women. Obese women also reported more frequent sexual dysfunction in their spouses with regard to premature ejaculation and erection problems.…”

Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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Objective: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. Design: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) X30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obese women reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (Po0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obese women compared to their age-matched nonobese controls for both the conditions (Po0.001). In an adjusted multivariate analysis, a BMI 430 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. Conclusion: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obese women.

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Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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“…It was shown that patients' quality of life, psychological status, body image, and selfesteem have been improved after bariatric surgery (29). In this review two of the studies suggested that depressive symptoms improved in women after bariatric surgery (8,15). We suggest that these changes may affect sexuality positively.…”

Section: Discussionmentioning

confidence: 69%

“…In this review, in one of the five studies examining woman sexual functions by using FSFI scale alone, it has been shown that sexual functions deteriorated in the first month postoperatively (12); and in one study it has been shown that sexual function did not change in an average of 3.15 (2.76-3.83) years postoperatively, while it has been shown to increase over time in all evaluations in other times (8,12,15,11,17). The increase of sexuality may be related to resolvement of the physical problms.…”

Section: Discussionmentioning

confidence: 89%

“…Biliopancreatic diversion with Roux-en-Y reconstruction (12,15), sleeve gastrectomy (8,12), laparoscopic adjustable gastric band (8), and gastric bypass surgery (8,11,12,15,16,17,18,19) have been performed to patients as bariatric surgery; the types of surgery haven't been specified in two studies (3,9). A total of 534 (162 males) morbidly obese patients have been included in the studies.…”

Section: Resultsmentioning

confidence: 99%

“…It is known that many complications of obesity decline in the long term after bariatric surgery (13,14). In the literature it has been shown in many studies that weight loss has positive effects on sexual function, after bariatric surgery (11,12,15,16). In addition the effects of bariatric surgery on sex hormones also suggests that sexual function is affected positively after surgery (7,8,17,18,19).…”

Section: Introductionmentioning

confidence: 99%

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Bariatrik Cerrahi Cinselliği Etkiler Mi? Sistematik Derleme

Aygin

Acar

2017

Journal of Contemporary Medicine

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Obesity affects sexual health negatively due to several reasons such as impaired body image, psychological disorders and hormonal changes. Bariatric surgery is frequently used in the treatment of obesity. Besides positive effects such as an increase in physical activity due to weight loss and hormonal changes after surgery, there are some adverse effects of bariatric surgery such as sagging and wrinkling of skin due to rapid weight loss. The purpose of this study is to determine the effects of bariatric surgery on sexual function. The literature between 2004 and 2015 was reviewed by searching Scopus, Science Direct, PubMed, Ebsco, Coochrane, Medline Complete, Ovid, Springer Link, Google Scholar, Taylor & Francis, PsychInfo databases, national thesis center and Ulakbim databases; ten studies appropriate to the criteria were included in the study. A total of 524 patients (152 males) underwent bariatric surgery were included in study. Sexual function has been found to improve in all the studies. Also weight loss has been shown to have positive effects on reproductive hormones in both sexes. Bariatric surgery has positive effects on weight-loss and consequently on sexual function and reproductive hormones.

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Changes in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery

et al. 2019

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IMPORTANCE Short-term improvements in sexual functioning are reported after bariatric surgery, but to our knowledge, little is known about the durability of these improvements. OBJECTIVE To determine the percentage of adults with impairment in sexual functioning who experience durable improvements in sexual functioning after bariatric surgery and to identify factors associated with improvements. DESIGN, SETTING, AND PARTICIPANTS The Longitudinal Assessment of Bariatric Surgery-2 is an observational cohort study conducted at 10 hospitals in 6 US clinical centers. Adults undergoing their first bariatric procedure were recruited from 2005 through 2009, data were collected through August 2014. Data analysis was conducted from 2016 to April 2018. INTERVENTIONS Participants completed assessments before the procedure and annually thereafter for 5 years. MAIN OUTCOMES AND MEASURES A self-administered questionnaire was used to assess clinically meaningful differences before and after surgery in past-month sexual satisfaction, desire, and activity and physical health limitations to sexual activity among subgroups who reported sexual functioning at less than domain-specific thresholds before surgery. RESULTS Of 2215 participants eligible for sexual function follow-up, 2036 (91.9%) completed 1 or more follow-up assessment (1431 [64.6%] at year 5), of whom 1607 (78.9%) were women. At the presurgery assessment, median (interquartile range) age was 47 (37-55) years, and the median (interquartile range) body mass index was 45.8 (41.7-51.3). Among those who were not satisfied with their sexual life before surgery (1015 of 1456 women [69.7%]; 304 of 409 men [74.3%]), 56.0% of women (95% CI, 52.5%-59.5%) and 49.2% of men (95% CI, 42.4%-55.9%) experienced clinically meaningful improvements at year 1; these percentages did not significantly differ during further follow-up. Among those who reported physical limitations to sexual activity at baseline (892 of 1490 women [59.9%] and 267 of 406 men [65.8%]), the percentage experiencing improvement in this domain decreased during follow-up, but 73.6% (95% CI, 69.3%-78.0%) of women and 67.6% (95% CI, 59.6%-75.6%) of men continued to report improvements at year 5. Greater postsurgical reduction in depressive symptoms was independently associated with improvement in 4 domains of sexual life among women (frequency of sexual desire: adjusted relative risk [aRR] per 5-point decrease in

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Assessing Sexual Function in Obese Women Preparing for Bariatric Surgery

Cited by 69 publications

References 24 publications

Sexual function in obese women: impact of lower urinary tract dysfunction

Sexual function in obese women: impact of lower urinary tract dysfunction

Bariatrik Cerrahi Cinselliği Etkiler Mi? Sistematik Derleme

Changes in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery

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