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Obesity Surgery
Published in: Obesity Surgery 5/2019

01-05-2019 | Bariatric Surgery | Original Contributions

Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia

Authors: Sivaneswaran Lechmiannandan, Mayurran Panirselvam, Prema Muninathan, Narwani Hussin, Reynu Rajan, Hatta Sidi, Nik Ritza Kosai, C. Rajkumar Vinayak

Published in: Obesity Surgery | Issue 5/2019

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Abstract

Introduction

Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD, among obese multiethnic Malaysian women post-bariatric surgery.

Material and Methods

This is a prospective study of women undergoing bariatric surgery, between May 2017 and April 2018. FSD was diagnosed using the Malay version of Female Sexual Function Index (MVFSFI) questionnaire. Patients filled up the questionnaire before and 6 months after surgery. Association between BMI reduction and FSFI score improvement was measured using Fisher’s exact test. Outcomes between types of surgery (sleeve gastrectomy and gastric bypass) was compared.

Results

Fifty-two women completed the study. The mean age was 38.77 ± 6.7. There were 44 (84.6%) Malay patients, 7 (13.5%) Indian patients, and 1 (1.9%) Chinese patient. There was a significant reduction in mean BMI, 39.89 ± 6.9 pre-surgery to 30.32 ± 5.4 post-surgery (p value < 0.001). The rate of FSD among the obese is 75.0% pre-surgery compared to 36.0% post-surgery. There was a significant improvement in mean FSFI score pre- and post-surgery: 18.73 and 25.93 respectively and in each of all 6 domains (p value < 0.001). There was a significant association between BMI reduction and improvement in FSFI score (p = 0.019). There was no difference in outcomes between types of surgery.

Conclusion

FSD is highly prevalent among the obese multiethnic Malaysian women. Bariatric surgery has proven benefit in resolving FSD across all sexual domains and should be considered as a management option in this group of women.
Literature
1.
Ponholzer A, Roehlich M, Racz U, et al. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005;47(3):366–74.CrossRefPubMed
2.
Martins e Silva B, Rêgo LM, Galvão MA, et al. Incidence of sexual dysfunction in patients with obesity and overweight. Rev Col Bras Cir. 2013;40(3):196–202.CrossRefPubMed
3.
Sidi H, Puteh SE, Abdullah N, et al. The prevalence of sexual dysfunction and potential risk factors that may impair sexual function in Malaysian women. J Sex Med. 2007;4(2):311–21.CrossRefPubMed
4.
Kral JG. Surgical treatment of obesity. In: Bray GH, Bouchard C, James WP, editors. Handbook of obesity. New York: Marcel Dekker; 1997. p. 977–85.
5.
6.
Arias E, Martínez PR, Ka Ming Li V, et al. Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obes Surg. 2009;19(5):544–8.CrossRefPubMed
7.
8.
9.
Edwards C, Rogers A, Lynch S, et al. The effects of bariatric surgery weight loss on knee pain in patients with osteoarthritis of the knee. Arthritis. 2012;2012:504189.
10.
Bond DS, Wing RR, Vithiananthan S, et al. Significant resolution of female sexual dysfunction after bariatric surgery. Surg Obes Relat Dis. 2011;7(1):1–7.CrossRefPubMed
11.
Janik MR, Bielecka I, Paśnik K, et al. Female sexual function before and after bariatric surgery: a cross-sectional study and review of literature. Obes Surg. 2015;25(8):1511–7.CrossRefPubMedPubMedCentral
12.
13.
Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.CrossRef
14.
Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cut-off scores. J Sex Marital Ther. 2005;31:1–20.CrossRef
15.
Sidi H, Abdullah N, Puteh SEW, et al. The Female Sexual Function Index (FSFI): validation of the Malay version. J Sex Med. 2007;4(6):1642–54.CrossRefPubMed
16.
Dziurowicz-Kozłowska A, Lisik W, Wierzbicki Z, et al. Health-related quality of life after the surgical treatment of obesity. J Physiol Pharmacol. 2005;56(6):127–34.PubMed
17.
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–63.CrossRef
18.
Miner M, Esposito K, Guay A, et al. Cardiometabolic risk and female sexual health: the Princeton III summary. J Sex Med. 2012;9:641–51.CrossRefPubMed
19.
Goitein D, Zendel A, Segev L, et al. Bariatric surgery improves sexual function in obese patients. Isr Med Assoc J. 2015;17(10):616–9.PubMed
20.
Camps MA, Zervos E, Goode S, et al. Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg. 1996;6:356–60.CrossRefPubMed
21.
Kolotkin RL, Binks M, Crosby RD, et al. Improvements in sexual quality of life after moderate weight loss. Int J Impot Res. 2008;20:487–92.CrossRefPubMed
22.
Dziurowicz-Kozlowska A, Lisik W, Wierzbicki Z, et al. Health related quality of life after the surgical treatment of obesity. J Physiol Pharmacol. 2005;56(6):127–34.PubMed
23.
Hrabosky JI, Masheb RM, White MA, et al. A prospective study of body dissatisfaction and concerns in extremely obese gastric bypass patients: 6- and 12-month postoperative outcomes. Obes Surg. 2006;16:1615–21.CrossRefPubMed
24.
Metadata
Title
Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia
Authors
Sivaneswaran Lechmiannandan
Mayurran Panirselvam
Prema Muninathan
Narwani Hussin
Reynu Rajan
Hatta Sidi
Nik Ritza Kosai
C. Rajkumar Vinayak
Publication date
01-05-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 5/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03722-w

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