Department of Obstetrics and Gynecology, Medical Faculty, Alaaddin Keykubat University, Alanya, Turkey.
Department of Internal Medicine, Medical Faculty, Ondokuz Mayıs University, Samsun, Turkey.
J Obstet Gynaecol. 2022 Oct;42(7):3129-3133. doi: 10.1080/01443615.2022.2106828. Epub 2022 Aug 8.
Obesity and infertility are health problems that are increasing in frequency. In this study, sexual dysfunction in obese infertile women was investigated. A total of 450 women who met the inclusion criteria were recruited for the study; 150 women who had obesity without infertility, 150 women who had obesity with infertility and 150 women with normal weight but without infertility, which was the control group. The mean age of the groups were 31.3 ± 3.9, 31.2 ± 3.8 and 31.1 ± 4.5, respectively. The participants were administered a sociodemographic data form, the Female Sexual Function Index (FSFI) and the Beck Depression Inventory following the measurement of body mass index (BMI). FSFI score below 26.55 was defined as sexual dysfunction. Our data were analysed using SPSS (Statistical Package for Social Sciences) 21.0 for Windows (SPSS Inc., Chicago, IL). FSFI scores were observed to be statistically significantly lower in the group of obese women with infertility than in the other two groups. In our study, sexual dysfunction was found to be statistically significantly higher in obese women with infertility compared to the control group. Therefore, healthcare professionals should evaluate infertility in obese women in terms of sexual dysfunction as well as infertility treatment.Impact Statement Psychological problems such as depression and anxiety, changes in sex hormones, and adipokines were reported to have negative impacts on sexual functions (Plaisance et al. 2009; Kendler et al. 2010; Yaylali et al. 2010). There are also various reports stating that female infertility has negative effects on sexual satisfaction and that fertility anxiety may affect sexual functions as an independent factor (Pakpour et al. 2012; Kaya et al. 2021). Even so there is a limited amount of information concerning the effects of obesity and infertility on female sexual function. It has been found in our study that sexual dysfunction is higher in women with obesity and infertility and that this dysfunction is correlated with BMI. It is therefore important that healthcare professionals adopt a holistic approach that incorporates sexual health consultancy to improve the treatment and quality of life of women with obesity and infertility.
肥胖和不孕是日益增多的健康问题。本研究旨在探讨肥胖不孕女性的性功能障碍。共招募了符合纳入标准的 450 名女性，其中 150 名肥胖但不不孕，150 名肥胖且不孕，150 名体重正常但不不孕，作为对照组。各组的平均年龄分别为 31.3±3.9、31.2±3.8 和 31.1±4.5。参与者接受了社会人口统计学数据表格、女性性功能指数（FSFI）和贝克抑郁量表的评估，同时还测量了体重指数（BMI）。FSFI 评分低于 26.55 被定义为性功能障碍。我们的数据使用 SPSS（社会科学统计软件包）21.0 for Windows（SPSS Inc.，芝加哥，IL）进行了分析。结果显示，不孕肥胖组的 FSFI 评分明显低于其他两组。在本研究中，与对照组相比，不孕肥胖组的性功能障碍明显更高。因此，医疗保健专业人员应该在评估肥胖不孕女性的不孕治疗时，同时评估其性功能障碍。
研究表明，心理问题如抑郁和焦虑、性激素和脂肪细胞因子的变化被认为对性功能有负面影响（Plaisance 等人，2009 年；Kendler 等人，2010 年；Yaylali 等人，2010 年）。也有各种报道称，女性不孕对性满意度有负面影响，生育焦虑可能作为一个独立因素影响性功能（Pakpour 等人，2012 年；Kaya 等人，2021 年）。尽管如此，关于肥胖和不孕对女性性功能的影响的信息仍然有限。我们的研究发现，肥胖和不孕的女性性功能障碍更高，这种障碍与 BMI 相关。因此，医疗保健专业人员应该采取整体方法，包括性健康咨询，以提高肥胖和不孕女性的治疗效果和生活质量。
