Faredj Cherick1,2, Vanessa Te1, Rodolphe Anty2,3,4, Laurent Turchi4,5, Michel Benoit1,4, Luigi Schiavo6, Antonio Iannelli7,8,9. 1. Psychiatry-Clinical Neuroscience Department, Pasteur Hospital, Nice, France. 2. Hôpital de l'Archet, Digestive Center, Centre Hospitalier Universitaire de Nice, Nice, France. 3. U1065, C3M, Team 8 "Hepatic complications in obesity and alcoholism", INSERM, Nice, France. 4. Université Côte d'Azur, Nice, France. 5. Inserm U1091 - CNRS UMR7277, Institut de Biologie Valrose, Nice, France. 6. Center of Excellence of Bariatric Surgery of the Italian Society of Obesity Surgery and Metabolic Disease (SICOB), Unit of General and Emergency Surgery, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Mercato San Severino, Salerno, Italy. 7. Hôpital de l'Archet, Digestive Center, Centre Hospitalier Universitaire de Nice, Nice, France. iannelli.a@chu-nice.fr. 8. U1065, C3M, Team 8 "Hepatic complications in obesity and alcoholism", INSERM, Nice, France. iannelli.a@chu-nice.fr. 9. Université Côte d'Azur, Nice, France. iannelli.a@chu-nice.fr.
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.
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 obesewomen (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.
Entities:
Keywords:
Bariatric surgery; Gastric bypass; Obesity; Quality of life; Sexual functioning; Sleeve gastrectomy
Authors: R Basson; J Berman; A Burnett; L Derogatis; D Ferguson; J Fourcroy; I Goldstein; A Graziottin; J Heiman; E Laan; S Leiblum; H Padma-Nathan; R Rosen; K Segraves; R T Segraves; R Shabsigh; M Sipski; G Wagner; B Whipple Journal: J Urol Date: 2000-03 Impact factor: 7.450
Authors: Valerie H Taylor; Mary Forhan; Simone N Vigod; Roger S McIntyre; Katherine M Morrison Journal: Best Pract Res Clin Endocrinol Metab Date: 2013-05-10 Impact factor: 4.690
Authors: Siti Faezah Gullaam Rasul; Nani Draman; Rosediani Muhamad; Zainab Mat Yudin; Razlina Abdul Rahman; Samsul Draman; Mohd Nizam Md Hashim Journal: Int J Environ Res Public Health Date: 2022-05-15 Impact factor: 4.614
Authors: Mariano de Almeida Menezes; Fernando Augusto Mardiros Herbella; Guilherme de Godoy Dos Santos; Antônio Carlos Valezi Journal: Obes Surg Date: 2021-06-09 Impact factor: 4.129