Female sexual function in obese women and associated factors
Kong, M1; Bai, S1
1: , Korea, South
Objective(s); The aim of this study is to investigate the differences of female sexual function between women with obesity and those with normal weight. The associations of sexual function with demographic and clinical variables were evaluated.
Material and Method(s); We performed a cross-sectional study for the relationship between sexually active normal weight and obese women who admitted for gynecological surgery from January 2012 to December 2015. 264 women in normal weight group (body mass index, BMI <25 kg/m2) and 85 women in obese group (BMI ≥ 25 kg/m2) participated and completed the Female Sexual Function Index (FSFI) questionnaires. Risk factors for female sexual dysfunction were examined using logistic regression models.
Result(s); The mean BMIs were 21.6±1.95 (mean±SD,kg/m2) in normal weight group and 27.6±2.56 in obese group (p < 0.001). There were also significant differences in age (mean±SD, 43.3±10.17 vs. 46.9±8.70 years, p = 0.002), parity (mean±SD, 1.5±0.99 vs. 1.9±1.19, p = 0.001), vaginal parity (mean±SD, 1.1±1.06 vs. 1.5±1.38, p = 0.043), marriage status (80.7% vs. 28.8%, p = 0.046) and hypertension (6.1% vs. 4.9%, p = 0.012). There were no differences in postmenopausal status, prior history of pelvic reconstructive surgery and urinary symptoms. In comparison of FSFI scores, there were significant differences in total score and all 6 domain scores (Desire, Arousal, Lubrication, Orgasm, Satisfaction and pain) between normal weight and obese group (p < 0.001). In the multiple logistic regression model for female sexual dysfunction, BMI, menopause and marriage were significantly different.
Conclusion(s); This study suggests that obesity has some impact on female sexual function. And menopause and marriage status are also associated with female sexual dysfunction.
Key Words: female sexual function index, FSFI, female sexual dysfunction , obesity
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