Advertisement

Effect of Body Weight on Sexual Function in Men and Women

  • Jenna N. Bates
  • Alexander W. PastuszakEmail author
  • Mohit Khera
Urology, Gynecology, and Endocrinology (J Simon and M Luria, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Urology, Gynecology, and Endocrinology
  2. Topical Collection on Urology, Gynecology, and Endocrinology

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.

Keywords

Sexual dysfunction Bariatric surgery Female sexual dysfunction Weight Weight loss 

Notes

Role of the Funding Source

A.W.P. is a National Institutes of Health K08 Scholar supported by a Mentored Career Development Award (K08DK115835-01) from the National Institute of Diabetes and Digestive and Kidney Diseases. This work is also supported in part through a Urology Care Foundation Rising Stars in Urology Award (to A.W.P.)

Compliance with Ethical Standards

Conflict of Interest

Jenna Bates declares no potential conflicts of interest. Alexander Pastuszak reports serving as a consultant to Antares, Endo Pharmaceuticals, and Boston Scientific. Mohit Khera reports serving as a consultant to AbbVie, Coloplast, Endo Pharmaceuticals, and Boston Scientific.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 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.Google Scholar
  2. 2.
    Colquitt JL, PIckett K, Loveman E, Framptom GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641.Google Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.Google Scholar
  10. 10.
    Larsen SH, Wagner G, Heitmann BL. Sexual function and obesity. Int J Obes. 2007;31:1189–98.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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. CrossRefGoogle Scholar
  13. 13.
    Erbil N. The relationships between sexual function, body image, and body mass index among women. Sex Diasbil. 2013;31:63–70.CrossRefGoogle Scholar
  14. 14.
    Javadnoori M, Faridi H, Najar S. The relationship between ovesity/overweight and female sexual function. Maturitas. 2015;81(1):202.CrossRefGoogle Scholar
  15. 15.
    Costa RM, Brody S. Orgasm and women’s waist circumference. Eur J Obstet Gynecol. 2014;182:112–22.CrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 19.
    Yaylali GF, Tekekoglu S, Akin F. Sexual dysfunction in obese and overweight women. Int J Impot Res. 2010;22(4):220–6.CrossRefGoogle Scholar
  20. 20.
    Kolotkin RL, Binks M, Crosby RD, Ostbye T, Gress RE, Adams TD. Obesity and sexual quality of life. Obesity. 2006;14:472–9.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. 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.CrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. 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. CrossRefGoogle Scholar
  29. 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.CrossRefGoogle Scholar
  30. 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. CrossRefGoogle Scholar
  31. 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. CrossRefGoogle Scholar
  32. 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. CrossRefGoogle Scholar
  33. 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.CrossRefGoogle Scholar
  34. 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.CrossRefGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.CrossRefGoogle Scholar
  37. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Jenna N. Bates
    • 1
  • Alexander W. Pastuszak
    • 2
    Email author
  • Mohit Khera
    • 3
  1. 1.Baylor College of MedicineHoustonUSA
  2. 2.Department of Surgery – UrologyUniversity of Utah School of MedicineSalt Lake CityUSA
  3. 3.Scott Department of UrologyBaylor College of MedicineHoustonUSA

Personalised recommendations