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Open Access 01-08-2015 | Review article

Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature

Authors: Michał Robert Janik, Ilona Bielecka, Krzysztof Paśnik, Andrzej Kwiatkowski, Ludmiła Podgórska

Published in: Obesity Surgery | Issue 8/2015

Abstract

Background

The aims of the present study were to compare sexual quality of life and prevalence of female sexual dysfunction (FSD) after surgical weight loss with controls seeking bariatric surgery, and to perform a literature review.

Methods

Female Sexual Function Index (FSFI) and Sexual Quality of Life–Female (SQoL-F) questionnaires were sent within 12–18 months postoperatively via e-mail to 153 women who had undergone weight loss surgery (postoperative group). The control group comprised of 23 women who were asked to complete the questionnaires during their preoperative evaluation (preoperative group). The total FSFI cutoff score for a diagnosis of FSD was ≤ 26.55.

Results

The median (Q1, Q3) FSFI score did not differ significantly between the preoperative (26.9 [24.3, 30.7]) and postoperative groups (26.9 [22.6, 30.0]). There was no difference in the prevalence of FSD between groups. However, median scores in FSFI domains of desire and arousal were significantly higher in the postoperative group. There were no differences in the other FSFI domains. The median SQoL-F was significantly higher in the postoperative group.

Conclusions

The FSFI score did not predict the SQoL-F score. The prevalence of FSD was comparable in the two groups. The higher SQoL-F score in the postoperative group may be the result of an improvement in self-esteem, which in turn leads to greater interest in sex and more intense feelings of desire and arousal.

Organisation for Economic Co-operation and Development [Internet]. Paris: OECD Obesity update June 2014; ©2014 [cited 2014 June 26]. Available from: http://www.oecd.org/els/health-systems/Obesity-Update-2014.pdf.

Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.PubMedCrossRef

Esposito K, Ciotola M, Giugliano F, Bisogni C, Schisano B, Autorino R, et al. Association of body weight with sexual function in women. Int J Impot Res. 2007;19(4):353–7.PubMedCrossRef

Terranova L, Busetto L, Vestri A, Zappa MA. Bariatric surgery: cost-effectiveness and budget impact. Obes Surg. 2012;22(4):646–53.PubMedCrossRef

Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugerman HJ, Livingston EH, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142(7):547–59.PubMedCrossRef

Ricci C, Gaeta M, Rausa E, Macchitella Y, Bonavina L. Early impact of bariatric surgery on type II diabetes, hypertension, and hyperlipidemia: a systematic review, meta-analysis and meta-regression on 6,587 patients. Obes Surg. 2014;24(4):522–8.PubMedCrossRef

Basson R, Berman J, Brunett A, Derogatis L, Ferguson D, Fourcroy J, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000;163(3):888–93.PubMedCrossRef

Bond DS, Vithiananthan S, Leahey TM, Thomas JG, Sax HC, Pohl D, et al. Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery. Surg Obes Relat Dis. 2009;5(6):698–704.PubMedCentralPubMedCrossRef

Assimakopoulos K, Panayiotopoulos S, Iconomou G, Karaivazoglou K, Matzaroglou C, Vagenas K, et al. Assessing sexual function in obese women preparing for bariatric surgery. Obes Surg. 2006;16(8):1087–91.PubMedCrossRef

10.

Fried M, Yumuk V, Oppert JM, Scopinaro N, Torres AJ, Weiner R, et al. Interdisciplinary European guidelines on metabolic and bariatric surgery. Obes Facts. 2013;6(5):449–68.PubMedCrossRef

11.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Mar Ther. 2000;26(2):191–208.CrossRef

12.

Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. J Sex Mar Ther. 2005;31(5):385–97.CrossRef

13.

Assimakopoulos K, Karaivazoglou K, Panayiotopoulos S, Hyphantis T, Iconomou G, Kalfarentzos F. Bariatric surgery is associated with reduced depressive symptoms and better sexual function in obese female patients: a one-year follow-up study. Obes Surg. 2011;21(3):362–6.PubMedCrossRef

14.

Bond DS, Wing RR, Vithiananthan S, Sax HC, Roye GD, Ryder BA, et al. Significant resolution of female sexual dysfunction after bariatric surgery. Surg Obes Relat Dis. 2011;7(1):1–7.PubMedCentralPubMedCrossRef

15.

Legro RS, Dodson WC, Gnatuk CL, Estes SJ, Kunselman AR, Meadows JW, et al. Effects of gastric bypass surgery on female reproductive function. J Clin Endocrinol Metab. 2012;97(12):4540–8.PubMedCentralPubMedCrossRef

16.

Olivera CK, Herron DM, Kini SU, Vardy MD, Ascher-Walsh CJ, Garely AD, et al. Long-term quality of life and pelvic floor dysfunction after bariatric surgery. Am J Obstet Gynecol. 2012;207(5):431.e1–4.CrossRef

17.

Hernández Hernández JR, López-Tomassetti Fernández E, Caballero Díaz Y, Molina Cabrillana J, Morales García D, Núñez Jorge V. Remission of female sexual dysfunction in morbidly obese female patients with the Scopinaro procedure. Surg Obes Relat Dis. 2013;9:987–90.PubMedCrossRef

18.

Sarwer DB, Spitzer JC, Wadden TA, Mitchell JE, Lancaster K, Courcoulas A, et al. Changes in sexual functioning and sex hormone levels in women following bariatric surgery. JAMA Surg. 2014;149(1):26–33.PubMedCrossRef

19.

Sarwer DB, Spitzer JC, Wadden TA, Rosen RC, Mitchell JE, Lancaster K, et al. Sexual functioning and sex hormones in persons with extreme obesity and seeking surgical and nonsurgical weight loss. Surg Obes Relat Dis. 2013;9:997–1007.PubMedCrossRef

20.

Yaylali GF, Tekekoglu S, Akin F. Sexual dysfunction in obese and overweight women. Int J Impot Res. 2010;22(4):220–6.PubMedCrossRef

21.

Kadioglu P, Yetkin DO, Sanli O, Yalin AS, Onem K, Kadioglu A. Obesity might not be a risk factor for female sexual dysfunction. BJU Int. 2010;106(9):1357–61.PubMedCrossRef

22.

Hayes RD, Bennett C, Dennerstein L, Gurrin L, Fairley C. Modeling response rates in surveys of female sexual difficulty and dysfunction. J Sex Med. 2007;4(2):286–95.PubMedCrossRef

Title: Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature
Authors: Michał Robert Janik
Ilona Bielecka
Krzysztof Paśnik
Andrzej Kwiatkowski
Ludmiła Podgórska
Publication date: 01-08-2015
Publisher: Springer US
Published in: Obesity Surgery / Issue 8/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-015-1721-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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