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Current Sexual Health Reports
Published in: Current Sexual Health Reports 1/2019

01-03-2019 | Bariatric Surgery | Urology, Gynecology, and Endocrinology (J Simon and M Luria, Section Editors)

Effect of Body Weight on Sexual Function in Men and Women

Authors: Jenna N. Bates, Alexander W. Pastuszak, Mohit Khera

Published in: Current Sexual Health Reports | Issue 1/2019

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Abstract

Purpose of Review

Obesity is a growing problem worldwide. This review aims to summarize the literature on the effects of weight on sexual function in both men and women from the past 5 years.

Recent Findings

In recent population-based studies of men and women, no relationship between weight and sexual function was identified. However, in studies of special populations such as women with gestational diabetes, polycystic ovarian syndrome (PCOS), pelvic organ prolapse, or urinary incontinence, weight affected some aspects of sexual function. In women, surgical, but not non-surgical, weight loss was associated with resolution of some aspects of sexual dysfunction. In contrast, in men, both surgical and non-surgical weight loss improved sexual function.

Summary

Weight plays a role in sexual dysfunction in both men and women. Bariatric surgery is linked to improved sexual function in both genders. However, more work is needed to fully understand the relationship between weight and sexual function.
Literature
1.
Hales CM, Carrol MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States. NCHS data brief, no 288. Hyattsville, MD: Nathional Center for Health Statistics, 2017.
2.
Colquitt JL, PIckett K, Loveman E, Framptom GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641.
3.
Hernandez Hernandez JR, Lopez-Tomassetti Fernandez E, Caballero Diaz Y, Molina Cabrillana J, Morales Garcia D, Nunez Jorge V. Remission of female sexual dysfunction in morbidyl obese female patients with the Scopinaro procedure. Surg Obes Relat Dis. 2013;9:987–90.CrossRefPubMed
4.
Assimakopoulos K, Panayiotopoulos S, Ikonomou G, Karaivazoglou K, Matzaroglou C, Vagenas K, et al. Assesing sexual function in obese women preparing for bariatric surgery. Obes Surg. 2006;16(8):1087–91.CrossRefPubMed
5.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international indez of erectile function (IIEF): a multidimensional scalre for assessment of erectile dysfunction. Urologia. 1997;49(6):822–30.CrossRef
6.
Rosen RC, Cappelleri JC, Gendrano N 3rd. The international index of erectile function (IIEF): a state-of-the-science review. Int J Impot Res. 2002;14(4):226–44.CrossRefPubMed
7.
Rehman KU, Asif Mahmood M, Sheikh SS, Sultan T, Khan MA. The female sexual function index (FSFI): translation, validation and cross-cultural adaptation of an Urdu version “FSFI-U”. Sexual Med. 2015;3(4):244–50.CrossRef
8.
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 Marital Ther. 2000;26(2):191–208.CrossRefPubMed
9.
Corona G, Rastrelli G, Filippi S, Vignozzi L, Mannucci E, Maggi M. Erectile dysfunction and central obesity: an Italian perspective. Asian J Androl. 2014;18:581–91.
10.
Larsen SH, Wagner G, Heitmann BL. Sexual function and obesity. Int J Obes. 2007;31:1189–98.CrossRef
11.
Wingfield LR, Kulendran M, Lewis G, Chahal H, Scholtz S, Purkayastha S. Change in sexual dysfunction following bariatric surgery. Obes Surg. 2016;26:387–94.CrossRefPubMed
12.
•• Steffen KJ, King WC, White GE, Subak LL, Mitchell JE, Courcoulas AP, et al. Sexual funcitoning of men and women with severe obesity before bariatric surgery. Surg Obes Relat Dis. 2017;13:334–44 This is the largest study to date to assess the relationship between BMI and sexual functioning in both women and men. CrossRefPubMed
13.
Erbil N. The relationships between sexual function, body image, and body mass index among women. Sex Diasbil. 2013;31:63–70.CrossRef
14.
Javadnoori M, Faridi H, Najar S. The relationship between ovesity/overweight and female sexual function. Maturitas. 2015;81(1):202.CrossRef
15.
Costa RM, Brody S. Orgasm and women’s waist circumference. Eur J Obstet Gynecol. 2014;182:112–22.CrossRef
16.
Adolfsson B, Elofsson S, Rossner S, Unden AL. Are sexual dissatisfaction and sexual abuse associated with obesity? A population-based study. Obes Res. 2004;12:1702–9.CrossRefPubMed
17.
Bajos N, Wellings K, Laborde C, Moreau C. Sexuality and obesity, a gender perspective: results from French national random probability survey of sexual behaviors. BMJ. 2010;340:c2573.CrossRefPubMedPubMedCentral
18.
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. 2009;106:1357–61.CrossRef
19.
Yaylali GF, Tekekoglu S, Akin F. Sexual dysfunction in obese and overweight women. Int J Impot Res. 2010;22(4):220–6.CrossRefPubMed
20.
Kolotkin RL, Binks M, Crosby RD, Ostbye T, Gress RE, Adams TD. Obesity and sexual quality of life. Obesity. 2006;14:472–9.CrossRefPubMed
21.
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;19:353–7.CrossRefPubMed
22.
Ostbye T, Kolotkin RL, He H, Overcash F, Brouwer R, Binks M, et al. Sexual functioning in obese adults enrolling in a weight loss study. J Sex Marital Ther. 2011;37(3):224–35.CrossRefPubMedPubMedCentral
23.
Ribeiro MC, Nakamura MU, Torloni MR, de Tubino Scanavino M, Scomparini FB, Mattar R. Female sexual function overweight women with gestational diabetes mellitus -- a cross sectional study. PLoS One. 2014;9(4):e95094.CrossRefPubMedPubMedCentral
24.
Rogers RG, Kammerer-Doak D, Villarreal A, Coates K, Qualls C. A new instrument to measure sexual funciton in women with urinary incontinence or pelvic organ prolapse. Am J Ostet Gynecol. 2001;184:552–8.CrossRef
25.
Bilgic D, Gokyildiz S, Beji NK, Yalcin O, Ugurlucan FG. Quality of life and sexual function in obese women with pelvic floor dysfunction. Women Health. 2018;6:1–13.
26.
Benetti-Pinto CL, Ferreira SR, Antunes A, Yela DA. The influence of body weight on sexual function and quality of life in women with polycystic ovary syndrome. Arch Gynecol Obstet. 2015;291:451–5.CrossRefPubMed
27.
Collins CE, Jensen ME, Young MD, Callister R, Plotnikoff RC, Morgan PJ. Improvement in erectile function following weight loss in obese men: the SHED-IT randomized controlled trial. Obes Res Clin Pract. 2013;7:e450–4.CrossRefPubMed
28.
• Moran LJ, Brinkworth GD, Martin S, Wycherley TP, Stuckey B, Lutze J, et al. Long-term effects of a randomised controlled trial comparing high protein or high carbohydrate weight loss diets on testosterone, SHBG, erectile and urinary function in overweight and obese men. PLoS One. 2016;11(9):e0161297 This study investigates the role of non-surgical weight loss on sexual function. CrossRefPubMedPubMedCentral
29.
Wing RR, Bond DS, Gendrano IN, Wadden T, Bahson J, Lewis CE, et al. Effect of intensive lifestyle intervention on sexual dysfunction in women with type 2 diabetes: results from an ancillary Look AHEAD study. Diabetes Care. 2013;36(10):2937–44.CrossRefPubMedPubMedCentral
30.
• Halseth A, Shan K, Gilder K, Malone M, Acevedo L, Fujioka K. Quality of life, binge eating and sexual function in participatns treated for obestiy with sustained release naltrexone/bupropion. Obes Sci Pract. 2018;4(2):141–52 This study highlights the use of weight-loss medications and the subsequent effects on sexual function. CrossRefPubMedPubMedCentral
31.
•• Groutz A, Gordon D, Schachter P, Amir H, Shimonov M. Effects of bariatric surgery on male lower urinary tract symptoms and sexual function. Neurourol Urodyn. 2017;36(3):636–9 This study shows mixed effects of weight loss through bariatric surgery on male sexual function. CrossRefPubMed
32.
•• Efthymiou V, Hyphantis T, Karaivazoglou K, Gourzis P, Alexandrides TK, Kalfarentzos F, et al. The effect of bariatric surgery on patient HRQOL and sexual health during a 1-year postoperative period. Obes Surg. 2015;25(2):310–8 This study shows that weight loss through bariatric surgery increases female sexual function in all domains. CrossRefPubMed
33.
Mora M, Aranda GB, de Hollanda A, Flores L, Puig-Domingo M, Vidal J. Weight loss is a major contributor to improved sexual function after bariatric surgery. Surg Endosc. 2013;27:3197–204.CrossRefPubMed
34.
Kun L, Pin A, Jianshong D, Xiaodong H, Haoyong Y, Yuqian B, et al. Significant improvements of erectile function after Roux-en-Y gastric bypass surgery in obese Chinese men with erectile dysfunction. Obes Surg. 2015;25:838–44.CrossRefPubMed
35.
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.CrossRefPubMed
36.
Sarwer DB, Wadden TA, Spitzer JC, Mitchell JE, Lancaster K, Courcoulas A, et al. 4-year changes in sex hormone functioning, and status in women who underwent bariatric surgery. Obes Surg. 2017;28:892–9.CrossRef
37.
Janik MR, Bielecka I, Pasnik K, Kwiatkowski A, Podgorska L. Female sexual function before and after bariatric surgery a cross-sectional study and review of literature. Obes Surg. 2015;25:1511–7.CrossRefPubMedPubMedCentral
Metadata
Title
Effect of Body Weight on Sexual Function in Men and Women
Authors
Jenna N. Bates
Alexander W. Pastuszak
Mohit Khera
Publication date
01-03-2019
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 1/2019
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-019-00192-0

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