Obesity has profound medical, psychological, and emotional consequences and is associated with sexual difficulties. Little is known regarding the interrelationship between obesity and sexual functioning from a psychological perspective, and less is known regarding treatment options. This review examines these issues and considers various treatments. Literature searches were conducted to locate original research, reviews, systematic reviews, and meta-analyses of obesity, overweight, sexual function, sexual dysfunction, psychological health, mental health, and weight loss. Research demonstrates an association between obesity, mental health, and sexual functioning, but has failed to identify casual pathways between these conditions. Clarifying such pathways is necessary to inform treatment guidelines for clinical practice.
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Incidence of sexual dysfunction in patients with obesity and overweight. The sample consisted of overweight or obese females. In all subjects we measured the levels of blood glucose, total cholesterol and triglycerides. We applied a Portuguese-validated version of the Female Sexual Function Index FSDI , which assesses sexual response as for desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. The total score is the sum of scores for each domain multiplied by the corresponding factor and can vary from '2 'to '36', a total score less than or equal to '26 ' being considered risky for sexual dysfunction. The increased risk for sexual dysfunction was present in Hypertension, diabetes and dyslipidemia were present in
Sexual dysfunction is difficulty experienced by an individual or a couple during any stage of a normal sexual activity , including physical pleasure, desire , preference, arousal or orgasm. According to the DSM-5 , sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of six months excluding substance or medication-induced sexual dysfunction. A thorough sexual history and assessment of general health and other sexual problems if any are very important. Assessing performance anxiety , guilt , stress and worry are integral to the optimal management of sexual dysfunction. Many of the sexual dysfunctions that are defined are based on the human sexual response cycle , proposed by William H.