Sexual dysfunction in obese women

Abstract

IntroductionThe increasing prevalence of obesity represents a major public health problem, with can effect on physical and emotional well-being and psychosocial function. Somatic and psychological dysfunctions, such as infertility, osteoarthritis, social disabilities caused by stigmatization, sleeping problems or apnea, are also known to follow obesity. Sexual dysfunction (SD) may also be related to obesity, but is rarely mentioned, and may cause concern for the affected individual and partner, constituting a great problem.ObjectivesThe aim of this study was to identify the frequency of SD among obese women.MethodsOur study concerned 42 obese married women consulting in endocrinology department. Obesity was defined by body mass index (BMI) ≥30. All participants assessed a sociodemographic data and the “Female Sexual Function Index” (FSFI). FSFI is a 19-item multidimensional self-reporting measure that quantifies six domains of female sexual dysfunction (FSD), including desire, arousal, lubrication, orgasm, satisfaction, and pain. Score ≤26 indicate the presence of FSD.ResultsThe mean age was 33.6 years (20 → 47 years). The mean total score of FSFI was 22.5 (3.2 → 32.6). The percentage of SD among obese women was 68.2%. FSFI score was correlated to ancient obesity (P = 0.026; r = 0.347) and waist circumference (P = 0.007; r = 0.412). High socio-economic level was correlated to desire and satisfaction (P = 0.021 and P = 0.048 respectively). Women with high educational level have better blurbification (P = 0.005). FSFI score was not correlated to BMI or obesity class.ConclusionAlmost two-thirds of obese women have sexual dysfunctions. Women with ancient obesity and higher waist circumference seemed to have better sexual functions.Disclosure of interestThe authors have not supplied their declaration of competing interest.