Bariatric Surgery Significantly Improves the Quality of Sexual Life and Self-esteem in Morbidly Obese Women
- 76 Downloads
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.
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.
BS results in a significant improvement in the quality of sexual life, depressive symptoms, and self-esteem in MOW.
KeywordsBariatric surgery Sleeve gastrectomy Gastric bypass Sexual functioning Obesity Quality of life
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
Written informed consent was obtained for each individual participant included in the study.
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.
- 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.
- 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
- 18.Female Sexual Function Index Website, http://www.fsfiquestionnaire.com, Accessed 1 May 2017
- 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
- 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
- 29.Bajos N, Bozon M, Godelier M. Enquete sur la sexualite en France. Paris: La Decouverte; 2008.Google Scholar