Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature

Abstract Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use. Materials and Methods It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion. Results Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3; p < .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (p < .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration; p < 0.46). Conclusion Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.

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The Effect of Progestogen-Only Contraceptive Methods on Female Sexual Function in First-Time Users: A Cross-Sectional Study

Annals of Gynecology and Obstetrics ◽

10.36959/468/474 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Alia Mohammed K ◽

Shoumana Ali ◽

Khalafa Mohammed ◽

Abbasa Ahmed M ◽

Makhloufa Ahmed

Keyword(s):

Sexual Function ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Sectional Study ◽

Contraceptive Methods ◽

Cross Sectional ◽

First Time

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Effect of mode of delivery on female sexual function: A cross‐sectional study

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.13962 ◽

2019 ◽

Vol 45 (6) ◽

pp. 1143-1147 ◽

Cited By ~ 2

Author(s):

Doaa M. Saleh ◽

Fatma Hosam ◽

Taiseer M. Mohamed

Keyword(s):

Sexual Function ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional

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THE EFFECTS OF FEMALE GENITAL MUTILATION ON THE FEMALE SEXUAL FUNCTION: A CROSS-SECTIONAL STUDY

Fertility and Sterility ◽

10.1016/j.fertnstert.2020.08.1341 ◽

2020 ◽

Vol 114 (3) ◽

pp. e466

Author(s):

Ahmed M. Abbas ◽

Mennatallah Mohamed Samir ◽

Reham Maher Abdel-Gaber ◽

Emad Eldien Kamal Ali

Keyword(s):

Sexual Function ◽

Female Genital Mutilation ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Genital Mutilation ◽

Female Genital

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Radiotherapy- or Radical Surgery–Induced Female Sexual Morbidity in Stages IB and II Cervical Cancer

International Journal of Gynecological Cancer ◽

10.1097/igc.0000000000000112 ◽

2014 ◽

Vol 24 (4) ◽

pp. 800-805 ◽

Cited By ~ 6

Author(s):

Yuko Harding ◽

Takuma Ooyama ◽

Tomoko Nakamoto ◽

Akihiko Wakayama ◽

Wataru Kudaka ◽

...

Keyword(s):

Cervical Cancer ◽

Sexual Function ◽

Cancer Survivors ◽

Radical Surgery ◽

Cross Sectional Study ◽

Control Group ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Significant Difference

ObjectiveThe objective of this study was to evaluate the sexual function in cervical cancer survivors after radiotherapy (RT) or radical surgery (RS).MethodsThis was an observational and cross-sectional study. The Female Sexual Function Index (FSFI) self-reported questionnaires were distributed to 175 patients after RT (RT group) or RS (RS group) and 521 healthy women (control) between 2011 and 2012. Sexual functions were compared among these 3 groups.ResultsEligible 92 patients (46 in RT group, 46 in RS group) and 148 control subjects were included for analysis. There was a significant difference in median (range) FSFI total score of 5.5 (3.6–34.7) in the RT group, 18.9 (3.4–31.2) in the RS group, and 22.1 (2–34.2) in the control group (P < 0.001). The median FSFI total score in the RT group was significantly lower than that in the control group (P < 0.001). Six sexual domains (desire, arousal, lubrication, orgasm, satisfaction, pain) were all significantly affected in the RT group, and no significant differences, except pain, were observed in the RS group as compared with the control group.ConclusionsInterventions involving counseling and rehabilitation for female sexual function should be provided in cervical cancer survivors, especially after RT.

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Female sexual dysfunction and associated co-morbidities: a cross sectional study with Female Sexual Function Index (FSFI) in a tertiary care hospital of Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v30i2.45361 ◽

2020 ◽

Vol 30 (2) ◽

pp. 27-31 ◽

Cited By ~ 2

Author(s):

Mohammad Shamsul Ahsan ◽

Shahjada Selim ◽

Srijony Ahmed ◽

Rubaiya Ali ◽

Hosnea Ara ◽

...

Keyword(s):

Sexual Health ◽

Sexual Function ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Sexual Dysfunctions ◽

Female Sexual Function ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Function Index

Talks regarding sexual problems are not encouraging in Bangladesh and sufferers are in grave situation as they are not sure regarding whom to approach and how to start. It was aimed to see the presenting patterns of female sexual dysfunctions (FSD) and co-morbidities among the patients attending at different outpatient departments (OPD) at Bangabandhu Sheikh Mujib Medical University (BSMMU). This descriptive cross sectional study was conducted among 173 female patients attending at gynecology, endocrinology and psychiatry OPD, BSMMU. Sample was taken by convenient sampling within the period of October 2015 to December 2016. Data were collected through face-to-face interview with Female Sexual Function Index (FSFI) questionnaire. The results showed that, most (95.95%) of the patients were in the reproductive age group. Majority of the patients (32.95%) were in 26-30 years age group and 24.85% were in 18-25 years age group. Majority (77.5%) belonged to home maker occupational class where 12.7% was service-holder. Fifty six percent of the respondents were found to have sexual dysfunctions and 38.15% patients had endocrinological co-morbidities, 37.57% had gynecological co- morbidities and 33.53% had psychiatric co-morbidities. Positive openness in sexual health is required for the betterment of both treatment and diagnosis of sexual disorders. Specialized service center focusing the different groups is needed to deal with sexual health in a developing country like Bangladesh. Bang J Psychiatry December 2016; 30(2): 27-31

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Female Sexual Function in Different Phenotypes of Polycystic Ovarian Syndrome: A Comparative Cross-sectional Study

10.21203/rs.3.rs-363017/v1 ◽

2021 ◽

Author(s):

Mahsa Yarjanli ◽

shahideh Jahanian Sadatmahalleh ◽

Negin Mirzaei ◽

Khadijeh Azarbajani

Keyword(s):

Sexual Function ◽

Detrimental Effect ◽

Polycystic Ovary ◽

Signs And Symptoms ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Sectional Study ◽

Ovary Syndrome ◽

Cross Sectional ◽

Ovarian Syndrome

Abstract Background: Polycystic ovary syndrome (PCOS) coexisting mood disorders along with a combination of aesthetic manifestations may have a detrimental effect on women's sexual function. Hence, different phenotypes of PCOS have different clinical and biochemical signs and symptoms. The aim of this study was to compare women's sexual function (SF) in different phenotypes of PCOS.Methods: This cross-sectional study was conducted on 364 women who met the Rotterdam diagnostic criteria to compare different PCOS phenotypes (A=95, B=78, C=95, and D=95). All patients were invited to fill out the female sexual function index (FSFI).Results: Significant differences were observed between the different phenotypes in terms of total score, sexual desire, arousal, lubrication, and satisfaction (P<0.001); however, no significant differences were found between them in the terms of pain (P>0.05) and orgasm (P>0.05). In addition, phenotype B had the lowest mean score of total FSFI (P<0.05).Conclusion: The results indicated that women's SF is significantly different in different PCOS phenotypes. It is concluded that in order to solve the SF problems of women with PCOS, different treatment and care measures should be considered according to the relevant phenotype.

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The relationship between gender role and attitude toward menstruation with female sexual function: A cross-sectional study

International Journal of Reproductive BioMedicine ◽

10.18502/ijrm.v13i10.7769 ◽

2020 ◽

Author(s):

Najme Mokhtari ◽

Azadeh Salavati ◽

Elham Azmoude

Keyword(s):

Gender Roles ◽

Sexual Function ◽

Gender Role ◽

Sex Role ◽

Cross Sectional Study ◽

Sociocultural Factors ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Heterosexual Women

Background: Although female sexual function can be affected by many psychological, interpersonal, and sociocultural factors, limited studies have focused on the relationships between this construct with some concepts such as women’s attitudes toward menstruation and perception from their gender role. Objective: To investigate the association between gender roles and attitude toward menstruation with sexual function among Iranian reproductive women. Materials and Methods: An observational cross-sectional study was carried out on a group of 164 Iranian women referred to the health centers of Torbat Heydariyeh, between August and December 2018. All eligible women filled the female sexual function index (FSFI), Bem Sex Role Inventory, and Menstrual Attitude Questionnaire. Results: The result showed that the total FSFI score was significantly higher in masculine and androgynous gender role groups than women with undifferentiated gender role (p = 0.014, and p = 0.012, respectively). Nevertheless, androgynous women had better sexual arousal than undifferentiated women (p = 0.013). Significant reverse correlations were observed between the perception of menstruation as a debilitating, bothersome, and predictable event with a total score of FSFI and all subscales except lubrication (p = 0.001). In contrast, there was a positive relationship between denial of any effects of menstruation with total FSFI and all its sub-scores except lubrication (p = 0.001). Conclusion: This study highlighted the role of masculinity and androgyny gender role stereotypes and menstrual attitude in the sexual function of heterosexual women. Future studies are needed to explain how these psychological contexts contribute to different aspects of women’s sexuality. Key words: Menstruation, Gender roles, Sexual behavior.

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