Bariatric surgery: impact on sexuality of the obese person

Abstract

Objective: To assess the impact of surgical treatment in the sexuality of the obese.Methods: We conducted a qualitative / quantitative research with 30 patients who had undergone Fobi-Capella Roux-Y gastric bypass for at least one year. We collected data through individual interviews using a questionnaire with 10 mixed questions and one open, between May and June 2011. The objective data were quantified in absolute numbers and percentages, and the subjective ones were analyzed using the Discourse of the Collective Subject (DCS) and discussed in view of reference published on the subject.Results: 30 patients were enrolled, with a mean age 44 ± 12 years, 24 (80%) were female and six (20%) were male, 23 (77%) were married, 23 (96%) were hypertensive and eight (33%) were diagnosed with Diabetes Mellitus. After the operation, 11 (37%) individuals reported no change in the number sexual intercourses, but 19 (63%) reported that this number was altered, 16 (53%) informed increased frequency, one (3%) reported a decrease in frequency, one (3%) did not practice sexual intercourse anymore and one (3%) did not report the frequency. The central ideas (CI) raised originated four DCSs: Experience of female sexuality; No experience of female sexuality; Experience of male sexuality; and improvements of comorbidities and psychological factor.Conclusion: there are positive repercussions of physical and emotional orders of the surgical treatment of obesity, favoring the quality of life, including sexuality.

Sexuality amongst heterosexual women with morbid obesity in a bariatric surgery programme: A qualitative study

“…In line with the OECD (2019, p. 103), our results also confirm the importance of sociocultural and educational aspects related to MO. Concurring with Mariano et al (2014), participants stated that MO caused physical limitations, hindering mobility and making sexual positions difficult, thus making their bodies a severe obstacle in relation to their sexuality. Similarly to men with MO, the women reject a body that limits their physical, social and sexual lives (Granero-Molina et al, 2020).…”

Fatores que interferem no prazer e na atividade sexual em mulheres

“…Mais da metade das mulheres referiram não estar satisfeitas com o corpo 54,2% (122) e 109 (89%) estavam se sentindo acima do peso e com a sua imagem corporal alterada (Tabela 4). Segundo Mariano MLL, et al (2014), para que aconteça uma vida sexual saudável e satisfatória, deve ocorrer o aumento da autoestima por meio da auto aceitação, facilitando a aceitação de si mesmo com o outro ser. Neste sentido, a reconstrução da imagem corporal, o bem-estar físico e psicológico pode ocasionar em maior disposição física e emocional, além do resgate do convívio social, aumento da vaidade, desejo, sensualidade e segurança frente ao parceiro na vivência da sua sexualidade.…”

Nursing diagnoses from ICNP® for people with metabolic syndrome

“…Considering the "Sexuality and reproduction", among distinguished diseases that can interfere with sexuality there are obesity, diabetes mellitus, hypertension and some drugs used in the therapies (22) . In the "Sleep and rest" need, some employment activities offer risk for the development of the metabolic syndrome: health, shift (mostly at night) and industrial workers, drivers (freight transport/trucks), police officers and airline pilots.…”