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Significant Resolution Of Female Sexual Dysfunction After Bariatric Surgery.

Dale S Bond, Rena R Wing, Sivamainthan Vithiananthan, Harry C. Sax, Gary Dean Roye, Beth A. Ryder, Dieter Pohl, Jeannine Giovanni
Published 2011 · Medicine
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BACKGROUND We have previously reported that most women seeking bariatric surgery have had female sexual dysfunction (FSD) as defined by the validated Female Sexual Function Index (FSFI). The present study examined whether FSD resolves after bariatric surgery. METHODS A total of 54 reportedly sexually active women (43.3 ± 9.5 years) completed the FSFI preoperatively and 6 months postoperatively after a mean percentage of excess weight loss of 42.3% (laparoscopic adjustable gastric banding [n = 38], percentage of excess weight loss, 34.6% ± 15.7%; Roux-en-Y gastric bypass [n = 16], percentage of excess weight loss 60.0% ± 21.2%). The FSFI assesses sexual function across 6 domains, with higher scores indicating better sexual function. The summing of these scores yields a FSFI total score (range 2-36, with a score of ≤ 26.55 indicating FSD). RESULTS Before surgery, 34 women (63%) had scores indicative of FSD. By 6 months postoperatively, the FSD had resolved in 23 (68%) of these 34 women, and only 1 woman had developed FSD postoperatively. In the entire sample, significant (P < .05) improvements occurred from before to after surgery on all FSFI domains. The FSFI total scores improved after laparoscopic adjustable gastric banding (from 24.2 ± 5.9 to 29.1 ± 4.1, P < .001) and Roux-en-Y gastric bypass (from 23.7 ± 7.7 to 30.0 ± 4.7, P < .001). In regression analyses, being married, younger age, and worse preoperative sexual function were related to greater sexual function improvements. Postoperatively, the participants' FSFI total scores were indistinguishable from those of published normative controls (29.4 ± 4.3 versus 30.5 ± 5.3, P = .18). CONCLUSION FSD resolved in a large percentage of women after bariatric surgery. Sexual functioning in the entire sample improved to levels consistent with those of normative controls. This improvement in sexual function did not depend on surgery type or weight loss amount and appears to be an additional benefit for women undergoing bariatric surgery.
This paper references
10.1097/JCP.0b013e3181a5233f
Treatment-Emergent Sexual Dysfunction Related to Antidepressants: A Meta-Analysis
Alessandro Serretti (2009)
10.1080/009262300278597
The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
Raymond C. Rosen (2000)
10.1038/ijo.2008.67
Sexual function in obese women: impact of lower urinary tract dysfunction
Ingela Melin (2008)
10.1111/j.1743-6109.2007.00768.x
What is the "true" prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact?
Richard D Hayes (2008)
10.4103/0256-4947.55312
Factors associated with sexual dysfunction in Jordanian women and their sexual attitudes
Ruba M. Abu Ali (2009)
10.1038/sj.ijir.3901548
Association of body weight with sexual function in women
Katherine Esposito (2007)
10.1111/j.1743-6109.2007.00609.x
Epidemiology and neurobiology of female sexual dysfunction.
Anita H. Clayton (2007)
10.1381/096089201321209323
Partnership, Sexuality, and Sexual Disorders in Morbidly Obese Women: Consequences of Weight Loss After Gastric Banding
Johann F. Kinzl (2001)
10.1111/j.1743-6109.2009.01242.x
Sexual dysfunction is frequent in premenopausal women with diabetes, obesity, and hypothyroidism, and correlates with markers of increased cardiovascular risk. A preliminary report.
Annamaria Veronelli (2009)
10.1016/S0022-5347(05)67828-7
Report of the international consensus development conference on female sexual dysfunction: definitions and classifications.
R Basson (2000)
10.1080/00926230590475206
The Female Sexual Function Index (FSFI): Cross-Validation and Development of Clinical Cutoff Scores
Markus Wiegel (2005)
10.1016/j.fertnstert.2009.06.046
Impact of bariatric surgery on female reproduction.
Zaher O. Merhi (2009)
10.1038/oby.2002.102
Health-related quality of life varies among obese subgroups.
Ronette L Kolotkin (2002)
10.1146/annurev.med.051308.105148
Metabolic surgery to treat type 2 diabetes: clinical outcomes and mechanisms of action.
Francesco Rubino (2010)
10.1016/j.soard.2009.01.009
Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls.
Ronette L Kolotkin (2009)
10.1381/096089206779319527
A Prospective Study of Body Dissatisfaction and Concerns in Extremely Obese Gastric Bypass Patients: 6- and 12-Month Postoperative Outcomes
Joshua I. Hrabosky (2006)
10.1016/j.maturitas.2009.04.002
Epidemiology of female sexual dysfunction.
Santiago Palacios (2009)
10.1097/JCP.0b013e31819c76e9
Sexual Dysfunction, Depression, and the Impact of Antidepressants
Sidney H. Kennedy (2009)
10.1001/jama.281.6.537
Sexual dysfunction in the United States: prevalence and predictors.
Edward O. Laumann (1999)
10.1381/096089206778026442
Assessing Sexual Function in Obese Women Preparing for Bariatric Surgery
Konstantinos Assimakopoulos (2006)
10.1038/sj.ijir.3901250
Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors
E D Laumann (2005)
10.1016/j.soard.2009.07.004
Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery.
Dale S Bond (2009)
10.1381/096089296765556700
Impact of Bariatric Surgery on Body Image Perception and Sexuality in Morbidly Obese Patients and their Partners
Mario A Camps (1996)
10.1038/oby.2006.62
Obesity and sexual quality of life.
Ronette L Kolotkin (2006)
Health-related quality of life after the surgical treatment of obesity.
Agnieszka H. Dziurowicz-Kozłowska (2005)
10.1016/j.cps.2007.08.006
Psychiatric considerations of the massive weight loss patient.
David B Sarwer (2008)
10.1111/j.1464-410X.2004.04796.x
Women's sexual dysfunction: a pathophysiological review.
Andrew Salonia (2004)
10.1097/gme.0b013e3181a6b491
Body mass index, urinary incontinence, and female sexual dysfunction: how they affect female postmenopausal health
Gianna Pace (2009)
10.1381/096089203765887688
Health-Related Quality of Life in Patients Seeking Gastric Bypass Surgery vs Non-Treatment-Seeking Controls
Ronette L Kolotkin (2003)



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10.14814/phy2.14111
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10.1007/s11695-015-1937-7
Change in Sexual Dysfunction Following Bariatric Surgery
Laura Wingfield (2015)
10.1097/01.ogx.0000445777.60167.b5
Changes in Sexual Functioning and Sex Hormone Levels in Women Following Bariatric Surgery
David B Sarwer (2014)
10.1007/s11695-019-03733-7
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Faredj Cherick (2019)
10.2147/NDT.S102485
Splitting, impulsivity, and intimate partnerships in young obese women seeking bariatric treatment
Jana Žmolíková (2016)
10.1016/j.sxmr.2017.03.006
Sexual Function, Obesity, and Weight Loss in Men and Women.
David L. Rowland (2017)
10.1007/s11695-015-1721-8
Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature
Michał R. Janik (2015)
10.1016/J.CIRENG.2017.11.001
Sexual satisfaction following bariatric surgery: A prospective exploratory study.
Manuel Ferrer-Márquez (2017)
Impacto de la cirugía bariátrica en la función sexual de la mujer
Carmen Jiménez (2014)
10.1177/1179558119874777
To Get Back on Track: A Qualitative Study on Childless Women’s Expectations on Future Fertility Before Undergoing Bariatric Surgery
Emma Nilsson-Condori (2019)
10.1007/s11695-014-1384-x
The Effect of Bariatric Surgery on Patient HRQOL and Sexual Health During a 1-Year Postoperative Period
Vasileios Efthymiou (2014)
10.1007/s11695-014-1514-5
Excessive Skin and Sexual Function: Relationship with Psychological Variables and Weight Regain in Women After Bariatric Surgery
Sofia Ramalho (2014)
Reproductive and sexual function after gastric bypass surgery
Rebecca H Allen (2013)
10.1002/oby.20066
Possible risk factors for increased suicide following bariatric surgery.
James E Mitchell (2013)
10.1007/s11695-019-04240-5
Impact of Bariatric Surgery on Female Sexual Function in Obese Patients: a Meta-Analysis
Zhiguang Gao (2019)
10.1007/978-3-319-68306-5_10
Sexual Dysfunctions in Obesity
Emanuela Bianciardi (2018)
10.5812/ircmj.11420
The Effect of Sleep Health Behavioral Education on the Depression of Pregnant Women With Sleep Disorders: A Randomized Control Trial
Elham Rezaei (2015)
10.5812/ircmj.24685
Association of Body Weight and Female Sexual Dysfunction: A Case Control Study
Mosayeb Mozafari (2015)
10.1007/s00737-015-0535-y
An update on sexual function and dysfunction in women
Marjan Khajehei (2015)
10.1111/head.13019
Sexual Dysfunction in Women With Migraine and Overweight/Obesity: Relative Frequency and Association With Migraine Severity
Dale S Bond (2017)
Comment on : Functioning of Men and Women with Severe Obesity Prior to Bariatric Surgery
Michał R. Janik (2016)
10.1016/j.bodyim.2011.09.007
An assessment of body appreciation and its relationship to sexual function in women.
Sonya A. Satinsky (2012)
10.1007/s10354-016-0430-9
Sexualität bei Übergewicht und Adipositas
H eidemarie Abrahamian (2016)
10.1007/s00129-016-4016-9
Adipositas – Stellenwert der bariatrischen Chirurgie
Alexandra Stumpenhagen (2016)
10.24875/CIRUE.M18000039
Changes in the sexual health of obese patients after bariatric surgery
María Ángeles Pomares-Callejón (2019)
Effect of Intensive Lifestyle Intervention on Sexual Dysfunction inWomen With Type 2 Diabetes Results from an ancillary Look AHEAD study
Rena R Wing (2013)
10.1007/s11695-012-0811-0
Single-Incision Laparoscopic Adjustable Gastric Banding is Effective and Safe: 756 Cases in an Academic Medical Center
Bradley F. Schwack (2012)
Satisfacción sexual tras cirugía bariátrica:: estudio observacional prospectivo
Manuel Marquez (2017)
10.1007/s11695-016-2196-y
Bariatric Surgery Candidates’ Peer and Romantic Relationships and Associations with Health Behaviors
Keeley J Pratt (2016)
Bariatric Surgery Improves Sexual Function in Obese Patients.
David Goitein (2015)
10.1016/J.CIRESP.2017.08.013
Satisfacción sexual tras cirugía bariátrica: estudio observacional prospectivo
Manuel Ferrer-Márquez (2017)
10.1089/BARI.2015.0033
Changes in Sexual Functions of Female Patients After Bariatric Surgery: Relationship with Body Image, Depression, and Anxiety
Çelik ErdenSelime (2015)
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