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27 April 2019 : Clinical Research  

Sexual Dysfunctions in Obese Women Before and After Bariatric Surgery

Dita Pichlerova1ABCDEF, Petr Bob1CDEG*, Jana Zmolikova2B, Jitka Herlesova3B, Radek Ptacek1G, Matthew K. Laker1E, Jiri Raboch1G, Tomas Fait4B, Petr Weiss5B

DOI: 10.12659/MSM.913614

Med Sci Monit 2019; 25:3108-3114


BACKGROUND: Obesity and associated comorbidities increase the probability of sexual disorders. The present study evaluated sexual satisfaction levels in obese women prior to and following bariatric surgery, utilizing the validated Female Sexual Function Index (FSFI) to also evaluate the sexual satisfaction in obese and non-obese women.

MATERIAL AND METHODS: 60 obese women (mean initial BMI of 43.7±5.9 kg/m²; mean age of 41.7±10.8 years) were administered the questionnaire on sexual function (FSFI) preceding bariatric surgery (laparoscopic adjustable gastric banding, 22 women; gastric plication, 33 women; and biliopancreatic diversion, 5 women), 6 months and 12 months after the procedure, i.e., following substantial weight reduction (final mean BMI of 35.5±5.5 kg/m²). The control group comprised 60 non-obese women (mean BMI of 22.2±1.9kg/m²; mean age of 36.4±10.7 years).

RESULTS: Our findings indicate that baseline sexual function in the preoperative obese females was significantly lower than in non-obese women, with p<0.01 in each domain. Data gathered at the 6- and 12-month points following the procedure indicated no significant difference. Before the procedure, 31 obese subjects (51.6%) exceeded the cutoff for FSD, at the 6-month evaluation point, 17 women (39.5%) exceeded the cutoff, and at 12 months postoperatively, 18 subjects (41.9%) exceeded the cutoff, indicative of FSD. Among the non-obese controls, only 9 subjects (15%) exceeded the cutoff threshold.

CONCLUSIONS: These findings show that substantive weight reduction resulting from bariatric surgery results in reduced sexual dysfunction in female subjects.

Keywords: Bariatric Medicine, Body Mass Index, Obesity, Abdominal, Sexual Dysfunctions, Psychological, Women's Health Services, Bariatric Surgery, Comorbidity, Obesity, Obesity, Morbid, Orgasm, Sexual Dysfunction, Physiological, Surveys and Questionnaires, Weight Loss

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750