Mirhashemi S H, Hadizadeh neisanghalb M, Soori M, Rashnoo F, Oshidari B, Jaberi N, et al . The Relationship Between Weight Loss and Sexual Function in Obese Women Following Bariatric Surgery: A Before-and-After Analytical Study. J Mazandaran Univ Med Sci 2025; 35 (250) :74-83
URL:
http://jmums.mazums.ac.ir/article-1-21792-en.html
Abstract: (66 Views)
Background and Purpose: Sexual function is a vital aspect of overall health, particularly among obese women, and can significantly affect their quality of life. Therefore, the present study aimed to assess the effect of weight loss on sexual function in obese women after bariatric surgery.
Materials and Methods: This analytical study included 110 obese women and was carried out over one year, starting in October 2023. Participants were requested to complete the Female Sexual Function Index (FSFI) questionnaire along with questions on demographic characteristics, smoking status, and menopausal status. Data were obtained at baseline and six months after surgery. Statistical analysis was conducted using STATA version 14.
Results: The average age of participants was 35.45 ± 4.62 years. The total FSFI score increased from 13.65 ± 4.40 before surgery to 17.40 ± 2.67 after surgery, indicating a statistically significant improvement in sexual function across all domains (P < 0.01). A small effect of sleeve gastrectomy was observed in the arousal domain (Cohen’s d ranged from 0.24 to 0.26 across different models). A medium effect size was noted in the desire domain (Cohen’s d ranged from 0.67 to 0.73). Strong effects were found in other domains, including lubrication, orgasm, satisfaction, pain, and the total FSFI score. Adjustments for variables such as age, smoking, menopause status, and BMI did not significantly alter the effect size.
Conclusion: Sexual function is a vital component of mental health and deserves adequate attention, especially in obese women. Our findings demonstrated significant improvements in sexual function following sleeve gastrectomy. These results have clinical significance; however, longitudinal studies are recommended to confirm these findings and to investigate causal relationships.