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Wien Med Wochenschr. 2016 Mar;166(3-4):121-8. doi: 10.1007/s10354-016-0430-9. Epub 2016 Jan 26.

[Sexuality in overweight and obesity].

[Article in German]

Author information

1
Internistisches Zentrum, Otto Wagner Spital, Baumgartner Höhe 1, 1140, Wien, Österreich. heidemarie.abrahamian@wienkav.at.
2
Universitätsklinik für Innere Medizin III, Währinger Gürtel 18-20, 1090, Wien, Österreich.

Abstract

The association between obesity and sexual dysfunction has been described in many studies. Neurobiological, hormonal, vascular and mental disturbances are the main reasons in male and in female gender. Sexual interest and desire, sexual arousal, orgasm, painful intercourse and premature ejaculation can be involved. Data for prevalence of sexual function disturbances in obese people are scarce and most studies were small. For screening of sexual function we recommend the International Index of Erectile Function (IIEF)-Score, which contains 15 Items for males and the Female Sexual Function Index (FSFI), which contains 19 items for females. Treatment of sexual function disturbances include lifestyle changes with an increase of physical activity, weight control, healthy eating and smoking cessation. Testosterone substitution in cases of real hypogonadism and treatment with PDE-5 inhibitors are well documented treatment options in male individuals. New treatment options for female patients with variable effectiveness are fibanserin, testosterone, bupropione and oxytocin.

KEYWORDS:

Female Sexual Function Index (FSFI); Hypogonadism; International Index of Erectile Function-5 (IIEF5); Obesity; Sexual dysfunction

PMID:
26811242
DOI:
10.1007/s10354-016-0430-9
[Indexed for MEDLINE]

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