Abstract
Obesity and associated comorbidities increase the likelihood of sexual dysfunction. Not only obesity has its impact but also its metabolic comorbidities, physical limitations, hormonal imbalances and psychosocial functioning.
In obese diabetic the pathophysiological mechanism is often autonomic neuropathy. The situation is complicated by the higher incidence of gynecological inflammation, mycosis, especially in diabetic women and often neglected gynecological prevention by obese women. 60 obese women (BMI 43,7+-5,9kg/m2) fulfilled a questionnaire Female Sexual Function Index (FSFI) before, 6 and 12 months after bariatric surgery.
Control group consisted of 600 women with normal weight (BMI 22,2+-1,9kg/m2). All scores of FSFI in obese women before surgery were significantly lower than in the control group (p<0,01).
After surgery the average FSFI score increased in every domain but significant was only the score of desire (p<0,01). Sexual dysfunction was present in 31 (51,6%) obese women before surgery, in 17 (39,5%) after 6 months and in 18 women (41,9%) after 12 months.
In the control group sexual dysfunction reached 9 women (15%). Total FSFI score increased 12 months after bariatric surgery from 20,1+-11,7 to 23,7+-11,5.
However total score of control group was still significantly lower 30,3+-3,5 (p<0,01). Obese women before bariatric surgery demonstrate significantly higher presence of sexual dysfunction when comparing to normal weight women.
Noticeable weight loss reached by surgery implies decrease of female sexual dysfunction.