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Bariatric Surgery Significantly Improves the Quality of Sexual Life and Self-esteem in Morbidly Obese Women

  • Faredj Cherick
  • Vanessa Te
  • Rodolphe Anty
  • Laurent Turchi
  • Michel Benoit
  • Luigi Schiavo
  • Antonio IannelliEmail author
Original Contributions
  • 76 Downloads

Abstract

Background

The impact of bariatric surgery (BS) on the sexual functioning of patients is poorly studied. Our aim was to analyze the sexual function, depressive symptoms, and self-esteem of morbidly obese women (MOW) undergoing BS.

Patients and Methods

Quality of sexual life was prospectively evaluated in 43 consecutive MOW (18–50 years) who underwent BS. Female sexual function index (FSFI), Beck depression inventory (BDI), and Rosenberg self-esteem scale (RSES) questionnaires were administered to evaluate sexual satisfaction, depressive symptoms, and self-esteem, respectively. A control group of 36 healthy, non-obese, female patients (HW) was recruited for comparison. Results of questionnaires were compared between three periods (before BS and at 3- and 6-month follow-up) and between MOW and HW.

Results

Before BS, the FSFI score was significantly lower in MOW compared to HW (17 ± 12 vs 27 ± 8, p = 0.0001) while at 3- and 6-month post-BS, a significant amelioration (p = 0.01) occurred. In particular, after BS, all components of the FSFI score (sexual desire, excitement, lubrification, orgasm, satisfaction, and pain) were ameliorated. The pre-BS BDI score was higher in MOW than in HW (8 ± 6 vs 5 ± 5, p = 0.004) while at postoperative months 3 and 6, a significant amelioration was found (p = 0.025 and 0.005, respectively). Before BS, no significant differences occurred in the RSES score between MOW and HW (30 ± 7 vs 32 ± 6, p = 0.014), whereas the MOW RSES scores at 6-month post-BS were improved when compared with the HW RSES scores.

Conclusions

BS results in a significant improvement in the quality of sexual life, depressive symptoms, and self-esteem in MOW.

Keywords

Bariatric surgery Sleeve gastrectomy Gastric bypass Sexual functioning Obesity Quality of life 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Informed Consent

Written informed consent was obtained for each individual participant included in the study.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments.

References

  1. 1.
    Arroyo-Johnson C, Mincey KD. Obesity epidemiology worldwide. Gastroenterol Clin N Am. 2016;45:571–9.CrossRefGoogle Scholar
  2. 2.
    Nguyen DM, El-Serag HB. The epidemiology of obesity. Gastroenterol Clin N Am. 2010;39(1):1–7.CrossRefGoogle Scholar
  3. 3.
    OBEPI-Roche 2012. Enquête nationale sur l’obésité et le surpoids. http://www.roche.fr/innovation-recherche-medicale/decouverte-scientifique-medicale/cardio-metabolisme/enquete-nationale-obepi-2012.html. Accessed 30 April 2017.
  4. 4.
    Park J, Morley TS, Kim M, et al. Obesity and cancer--mechanisms underlying tumour progression and recurrence. Nat Rev Endocrinol. 2014;10(8):455–65.CrossRefGoogle Scholar
  5. 5.
    Preiss K, Brennan L, Clarke D. A systematic review of variables associated with the relationship between obesity and depression. Obes Rev. 2013;14(11):906–18.CrossRefGoogle Scholar
  6. 6.
    Taylor VH, Forhan M, Vigod SN, et al. The impact of obesity on quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27(2):139–46.CrossRefGoogle Scholar
  7. 7.
    Rowland DL, McNabney SM, Mann AR. Sexual function, obesity, and weight loss in men and women. Sex Med Rev. 2017;5(3):323–38.CrossRefGoogle Scholar
  8. 8.
    Basson R, Berman J, Burnett A, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000;163(3):888–93.CrossRefGoogle Scholar
  9. 9.
    Debs T, Petrucciani N, Kassir R, et al. Trends of bariatric surgery in France during the last 10 years: analysis of 267,466 procedures from 2005-2014. Surg Obes Relat Dis. 2016;12(8):1602–9.CrossRefGoogle Scholar
  10. 10.
    Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27:2279–89.  https://doi.org/10.1007/s11695-017-2666-x.CrossRefGoogle Scholar
  11. 11.
    Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219–34.  https://doi.org/10.1111/joim.12012. ReviewCrossRefGoogle Scholar
  12. 12.
    Strain GW, Kolotkin RL, Dakin GF, et al. The effects of weight loss after bariatric surgery on health-related quality of life and depression. Nutr Diabetes. 2014;4:e132.  https://doi.org/10.1038/nutd.2014.29.CrossRefGoogle Scholar
  13. 13.
    Sarwer DB, Spitzer JC, Wadden TA, et al. Changes in sexual functioning and sex hormone levels in women following bariatric surgery. JAMA Surg. 2014;149(1):26–33.CrossRefGoogle Scholar
  14. 14.
    Conason A, McClure Brenchley KJ, Pratt A, et al. Sexual life after weight loss surgery. Surg Obes Relat Dis. 2017;13(5):855–61.CrossRefGoogle Scholar
  15. 15.
    Janik MR, Bielecka I, Paśnik K, et al. Female sexual function before and after bariatric surgery: a cross-sectional study and review of literature. Obes Surg. 2015;25(8):1511–7.  https://doi.org/10.1007/s11695-015-1721-8.CrossRefGoogle Scholar
  16. 16.
    HAS clinical practice guidelines. Obesity surgery in adults. https://www.has-sante.fr/portail/upload/docs/application/pdf/2010-11/obesity-surgery-guidelines.pdf. Accessed 1 May 2017Google Scholar
  17. 17.
    Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005 Jan-Feb;31(1):1–20.CrossRefGoogle Scholar
  18. 18.
    Female Sexual Function Index Website, http://www.fsfiquestionnaire.com, Accessed 1 May 2017
  19. 19.
    Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71.CrossRefGoogle Scholar
  20. 20.
    Vallieres EF, Vallerand RJ. Traduction et validation Canadienne-Française de l’Echelle de l’Estime de soi de Rosenberg. Int J Psychol. 1990;25:305–16.CrossRefGoogle Scholar
  21. 21.
    Camps MA, Zervos E, Goode S, et al. Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg. 1996;6(4):356–60.CrossRefGoogle Scholar
  22. 22.
    Kinzl JF, Schrattenecker M, Traweger C, et al. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16(12):1609–14.CrossRefGoogle Scholar
  23. 23.
    Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5(2):250–6.  https://doi.org/10.1016/j.soard.2009.01.009.CrossRefGoogle Scholar
  24. 24.
    Dziurowicz-Kozłowska A, Lisik W, Wierzbicki Z, et al. Health-related quality of life after the surgical treatment of obesity. J Physiol Pharmacol. 2005;56(Suppl 6):127–34.Google Scholar
  25. 25.
    Bond DS, Wing RR, Vithiananthan S, et al. Significant resolution of female sexual dysfunction after bariatric surgery. Surg Obes Relat Dis. 2011;7(1):1–7.CrossRefGoogle Scholar
  26. 26.
    Bond DS, Vithiananthan S, Leahey TM, et al. Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery. Surg Obes Relat Dis. 2009;5(6):698–704.CrossRefGoogle Scholar
  27. 27.
    Assimakopoulos K, Karaivazoglou K, Panayiotopoulos S, et al. Bariatric surgery is associated with reduced depressive symptoms and better sexual function in obese female patients: a one-year follow-up study. Obes Surg. 2011;21(3):362–6.  https://doi.org/10.1007/s11695-010-0303-z.CrossRefGoogle Scholar
  28. 28.
    Assimakopoulos K, Panayiotopoulos S, Iconomou G, et al. Assessing sexual function in obese women preparing for bariatric surgery. Obes Surg. 2006;16(8):1087–91.CrossRefGoogle Scholar
  29. 29.
    Bajos N, Bozon M, Godelier M. Enquete sur la sexualite en France. Paris: La Decouverte; 2008.Google Scholar
  30. 30.
    Dymek MP, Le Grange D, Neven K, et al. Quality of life after gastric bypass surgery: a cross-sectional study. Obes Res. 2002;10(11):1135–42.CrossRefGoogle Scholar

Copyright information

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

Authors and Affiliations

  1. 1.Psychiatry-Clinical Neuroscience DepartmentPasteur HospitalNiceFrance
  2. 2.Hôpital de l’Archet, Digestive CenterCentre Hospitalier Universitaire de NiceNiceFrance
  3. 3.U1065, C3M, Team 8 “Hepatic complications in obesity and alcoholism”INSERMNiceFrance
  4. 4.Université Côte d’AzurNiceFrance
  5. 5.Inserm U1091 - CNRS UMR7277Institut de Biologie ValroseNiceFrance
  6. 6.Center of Excellence of Bariatric Surgery of the Italian Society of Obesity Surgery and Metabolic Disease (SICOB), Unit of General and Emergency SurgeryUniversity Hospital San Giovanni di Dio e Ruggi d’AragonaSalernoItaly

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