Obesity and its influence on sexual dysfunctions of women

Česká verzia

Authors: Dita Pichlerová ¹; Jitka Herlesová ¹; Petr Weiss ²
Authors place of work: OB klinika, Praha ¹; Sexuologický ústav 1. LF UK a VFN, Praha, přednosta doc. MUDr. Michal Pohanka, Ph. D. ²
Published in the journal: Prakt Gyn 2014; 18(4): 251-253
Category: Gynecology and Obstetrics

Summary

Obesity of 2nd and 3rd degree and associated comorbidities increase the probability of sexual disorders. Not only obesity has an influence, but especially its metabolic comorbidities, motion restrictions, a hormonal dysbalance and last but not least, the psyche of obese patient. The negative impact of obesity on sexuality can be found in three basic levels: psychological, social, and health.

Objective:
To assess sexual satisfaction in obese women before and after bariatric surgery

Methods:
60 obese women completed the questionnaire of a sexual satisfaction before a bariatric procedure, 6 months and 12 months after the procedure, i.e. after a significant weight reduction.

Conclusion:
A significant weight reduction achieved through bariatric procedure implied a reduction on sexual dysfunction in women, and even equalization with the standard.

Key words:
bariatric surgery – body mass index – Female Sexual Function Index – obesity – sexual dysfunction – women

Zdroje

1. Svačina Š et al. Metabolický syndrom. 3. rozšířené a přepracované vydání. Triton: Praha 2006. ISBN 80–7254–782–8.

2. Svačina Š. Hypertenze při obezitě a diabetu. Triton: Praha 2006. ISBN 80–7254–911–1.

3. Šrámková T. Poruchy sexuality u somaticky nemocných a jejich léčba. Grada Publishing: Praha 2013. ISBN 978–80–247–4453–7.

4. Weiss P et al. Sexuologie. Grada Publishing: Praha 2011. ISBN 978–80–247–2492–8.

5. Mezinárodní klasifikace nemocí (MKN-10). Revize. Duševní poruchy a poruchy chování: popisy klinických případů a diagnostická vodítka. 3. vyd. Psychiatrické centrum: Praha 2002. ISBN 80–85121–11–5.

6. Pastor Z. Sexualita ženy. Grada Publishing: Praha 2007. ISBN 978–80–247–1989–4.

7. Weiss P, Zvěřina J. Sexuální chování v ČR – situace a trendy. DEMA: Praha 2009.

8. Shah MB. Obesity and Sexuality in Women. Obstet Gynecol Clin North Am 2009; 36(2): 347–360.

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

10. Pichlerová D, Herlesová J, Weiss P. Obezita a její vliv na sexuální poruchy. Prakt Gyn 2013; 17(2): 135–139.

11. Rosen R, Brown C, Heiman J et al. The Female Sexual Function Index (FSFI): A Multidismensional Self-Report Instrument for the Assessment of Female Sexual Function. J Sex Marital Ther 2000; 26(2): 191–208.

12. Doležalová K. Bariatrická chirurgie a primární péče. Axonite CZ: Praha 2012. ISBN 978–80–904899–2-9.