Obesity, Overweight, Female Sexual Function, and Penile-Vaginal Intercourse Frequency

Costa, Rui Miguel; Brody, Stuart

doi:10.1080/0092623x.2015.1069434

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…Alternatively, the impact of BMI on coital frequency may account for our result. It is possible that low coital frequency, which has been commonly reported in obese women [ 51 ], may translate to a greater desire and arousal, leading to a better FSF. Besides, the present finding could also be partly explained by a lesser degree of obesity (median BMI of 31.3 kg/m 2 in obese group) in our women, compared with previous reports involving a majority of women from Western clinical setting with a more severe degree of obesity and related comorbid conditions [ 46 , 47 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Fecundability in reproductive aged women at risk of sexual dysfunction and associated risk factors: a prospective preconception cohort study

Loy

Cheung

et al. 2021

BMC Pregnancy Childbirth

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Background Female sexual dysfunction (FSD) is a prevalent problem, affecting up to 41% of reproductive aged women worldwide. However, the association between female sexual function (FSF) and fecundability in women attempting to conceive remains unclear. We aimed 1) to examine the association between FSF in reproductive-aged preconception Asian women and fecundability, as measured by time-to-pregnancy in menstrual cycles, and 2) to examine lifestyle and behavioral factors associated with FSF. Methods From the Singapore PREconception Study of long-Term maternal and child Outcomes (S-PRESTO) prospective cohort, we evaluated FSF using the 6-item Female Sexual Function Index (FSFI-6) and ascertained time-to-pregnancy within a year of baseline assessment. We estimated fecundability ratio (FR) and 95% confidence interval (CI) using the discrete-time proportional hazards model, accounting for left-truncation and right censoring. We used multivariable logistic and linear regression models to identify potential factors related to FSF. Results Among 513 participants, 58.9% had low FSF as defined by a total FSFI-6 score at or below the median value of 22. Compared to women with high FSF, those with low FSF had a 27% reduction in fecundability (FR 0.73; 95% CI 0.54, 0.99), with adjustment for age, ethnicity, education, parity and body mass index. Overall, the FRs generally reduced with decreasing FSFI-6 scores. Physical activity, obesity, absence of probable depression and anxiety were independently associated with reduced odds of low FSF and increased FSFI-6 scores, after adjusting for sociodemographic characteristics. Conclusions Low FSF is associated with a longer time-to-pregnancy. Early evaluation and optimization of FSF through increased physical activity and optimal mental health may help to improve female fecundity. The finding of obese women having improved FSF remains uncertain which warrants further investigations on plausibly mechanisms. In general, the current finding highlights the importance of addressing FSF in preconception care service for general women, which is currently lacking as part of the fertility promotion effort in the country.

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Section: Discussionmentioning

confidence: 99%

Fecundability in reproductive aged women at risk of sexual dysfunction and associated risk factors: a prospective preconception cohort study

Loy

Cheung

et al. 2021

BMC Pregnancy Childbirth

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“…Sexual satisfaction is defined as the affective response arising from one's evaluation of his or her sexual relationship, including the perception that one's sexual needs are being met, fulfilling one's own and one's partner's expectations, and a positive evaluation of the overall sexual relationship (4). The relationship between sexual function/satisfaction and amount of body fat in females is still obscure (5) The distinction between the terms overweight and obese is based upon structured weight classifications that are determined using a formula that yields a body mass index (BMI), commonly referred to as BMI. BMI formula is based on a person's weight and height, and it is not a direct measure of body fat or obesity.…”

Section: Introductionmentioning

confidence: 99%

Obesity and sexual dysfunction in women

Gaber

Farrag

2022

ijhs

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Background; Both overweight and obesity have been identified as risk factors for sexual dysfunction in men, but the relationship between sexual function and amount of body fat in females is still obscure. There are few reported studies in women assessing the relationship between female sexual function index (FSFI) and body weight. Objectives; To determine the sexual function of overweight and obese women. Subjects and methods; The study- included overweight and obese women were randomly chosen. Result; There was statistically significant relation between obesity and arousal, lubrication, orgasm and total FSFI score. Conclusion; Body mass index and obesity may affect sexual function in women. This effect can be seen in all sexual function parameters (libido, arousal, lubrication, satisfaction and orgasm) decreased with rising BMI, although definitive conclusions need to be studied further. Given that obesity can affect sexual function in a variety of its dimensions, and obesity and overweight are related to physical health, healthcare providers try to preserve physical health and improve sexual satisfaction by proposing BMI reduction, which is considered one of the most important factors in mental health so provide the basis for women’s health.

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“…In men, the link between obesity and erectile dysfunction is widely investigated and largely supported by cross-sectional and prospective studies [37,40,41]. Conversely, in women the relationship between sexual function and overweight/obesity is still largely unclear [39,[42][43][44][45]. Some studies showed that female obesity is associated with specific sexual dysfunctions such as loss of desire, poor sexual function, lack of interest in a sexual relationship, and higher sexual dissatisfaction [46][47][48].…”

Section: Introductionmentioning

confidence: 99%

What is the “weight” of body mass index on sexual functioning in women? A mediation model

et al. 2020

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Purpose It is well known that body mass index (BMI) affects how individuals perceive their well-being and that obese individuals tend to report poorer levels of subjective health status. The aim of this study was to compare subjects with and without FSD and to examine the direct and indirect impact of BMI on female sexual dysfunction (FSD) in overweight/obese and normal-weight women. Methods A cross-sectional study was conducted on 186 overweight/obese and 233 normal-weight women. FSD assessed with the Female Sexual Function Index (FSFI) was investigated in relation to body satisfaction assessed with the Body Uneasiness Test (BUT-A) and self-esteem assessed with the Rosenberg Self-Esteem scale (RSE). Results No difference in the prevalence of FSD was found between overweight/obese (44.4%) and normal-weight women (55.6%), even though significant between-group differences in body image were found. Structural Equation Modelling (SEM) showed that BMI contribute to FSD only through the mediating role of body dissatisfaction and self-esteem. Conclusions The present results support the notion that sexual functioning is not related directly to BMI in women but to a more complex interactions of body weight, satisfaction with one’s own body image, and levels of self-esteem. Clinicians should take into account that for women having a good sexual life seems not related to body weight but to the way their body weight is perceived within the context of self-image. Level of evidence Level III, case–control analytic study.

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Obesity, Overweight, Female Sexual Function, and Penile-Vaginal Intercourse Frequency

Cited by 5 publications

References 32 publications

Fecundability in reproductive aged women at risk of sexual dysfunction and associated risk factors: a prospective preconception cohort study

Fecundability in reproductive aged women at risk of sexual dysfunction and associated risk factors: a prospective preconception cohort study

Obesity and sexual dysfunction in women

What is the “weight” of body mass index on sexual functioning in women? A mediation model

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