Alharbi Abdulhamid, Alomar Taif H, Alharbi Taif S, Alamri Ranad S, Alharbi Abdulaziz K, Almadani Braa S
General Surgery Obesity Center, King Fahad General Hospital, Medina, SAU.
Medicine, College of Medicine, Taibah University, Medina, SAU.
Cureus. 2024 Jan 29;16(1):e53196. doi: 10.7759/cureus.53196. eCollection 2024 Jan.
Background Obesity disrupts the equilibrium of sexual hormones, resulting in decreased sexual desire, arousal, and orgasm. The aim of this study was to investigate the effects of substantial weight loss after bariatric surgery on sexual function, psychological health, and the overall quality of sexual life in a group of Saudi females. Method The study used a cross-sectional design and was conducted at King Fahad Hospital in Medina, Saudi Arabia. The study included adult female patients who had previously undergone bariatric surgery. We used the Sexual Quality of Life for Female (SQoL-F) and the Female Sexual Function Index (FSFI) questionnaires to collect data. The study was extended from January 1, 2021, to December 30, 2022. Results A total of 100 participants were included in this study, all the samples underwent vertical sleeve gastrectomy, their mean age was 36.7±9.3, 94% (n=94) of the respondents had high school education or above, 50.0% (n=50) were unemployed, and around 13% (n=13) of the samples had a psychiatric history. Surgery complications were reported in 10% (n=10), which were reported as esophagitis (n=4), gastric ulcer (n=2), gastric stricture (n=1), infection (n=2), and leakage (n=1). The median of the FSFI and SQoL-F was 47.0 and 24.5, respectively. Approximately 66% of the respondents agreed that their sexual lives improved after surgery, 22% did not feel any difference before and after surgery, and 9% witnessed deterioration. In total, 61.0% had female sexual dysfunction (FSD) (25% had no dysfunction afterward, 45% had mild dysfunction, 27% suffered mild to moderate dysfunction, and only 2% had severe dysfunction). Regarding SQoL-F, the mean score was 5.59 for sexual repression, 6.1 for self-worthlessness, 18.56 for sexual and relationship satisfaction, and 16.4 for psychological feelings. Conclusions Bariatric surgery was associated with the improvement of female sexual function.
肥胖会破坏性激素平衡，导致性欲、性唤起和性高潮下降。本研究旨在调查沙特女性群体在接受减肥手术后大幅减重对性功能、心理健康和整体性生活质量的影响。方法：本研究采用横断面设计，在沙特阿拉伯麦地那的法赫德国王医院进行。研究纳入了先前接受过减肥手术的成年女性患者。我们使用女性性生活质量问卷（SQoL-F）和女性性功能指数问卷（FSFI）收集数据。研究时间从2021年1月1日延长至2022年12月30日。结果：本研究共纳入100名参与者，所有样本均接受了垂直袖状胃切除术，她们的平均年龄为36.7±9.3岁，94%（n = 94）的受访者具有高中及以上学历，50.0%（n = 50）为失业状态，约13%（n = 13）的样本有精神病史。报告的手术并发症发生率为10%（n = 10），分别为食管炎（n = 4）、胃溃疡（n = 2）、胃狭窄（n = 1）、感染（n = 2）和渗漏（n = 1）。FSFI和SQoL-F的中位数分别为47.0和24.5。约66%的受访者认为术后性生活有所改善，22%感觉手术前后无差异，9%则认为性生活变差。总体而言，61.0%存在女性性功能障碍（FSD）（术后25%无功能障碍，45%有轻度功能障碍，27%有轻至中度功能障碍，仅有2%有重度功能障碍）。关于SQoL-F，性压抑平均得分为5.59，自我无价值感平均得分为6.1，性与关系满意度平均得分为18.56，心理感受平均得分为16.4。结论：减肥手术与女性性功能改善相关。
