Healio
Healio
June 24, 2010
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Bariatric surgery improved weight loss, sexual dysfunction in women

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ASMBS Annual Meeting

Weight loss and female sexual dysfunction improved significantly within 6 months of bariatric surgery, according to data presented at the 27th Annual Meeting of the American Society for Metabolic and Bariatric Surgery.

The beneficial effects appeared after both gastric bypass and laparoscopic adjustable gastric banding, according to Dale Bond, PhD, assistant professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University.

Bond and colleagues examined whether female sexual dysfunction resolved after bariatric surgery in 54 women (mean age, 43 years). Some underwent laparoscopic adjustable gastric banding (n=38) and some underwent Roux-en-Y gastric bypass surgery (n=16). Women completed the Female Sexual Function Index, an assessment of sexual function across six domains, before and 6 months after a mean excess weight loss of 42.3%.

Overall, significant improvements were reported both before and after surgery on all Female Sexual Function Index domains (P<.05). Before surgery, 63% of women had scores indicating female sexual dysfunction. However, 6 months after surgery, female sexual dysfunction had resolved in 68% of these women (one woman developed female sexual dysfunction).

Within 6 months, women who underwent laparoscopic adjustable gastric banding had a mean excess weight loss of 34.6% vs. 60% among those who underwent Roux-en-Y gastric bypass.

Moreover, total scores for Female Sexual Function Index improved after laparoscopic adjustable gastric banding (24.2% to 29.1%; P<.001) and Roux-en-Y gastric bypass (23.7% to 30%; P<.001).

“Clearly significant weight loss plays a role, but further research is needed to determine the extent to which improvements in body image, obesity-related diseases, hormonal mechanisms and emotional health contribute to better sexual functioning,” Bond said.

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