Impact of Bariatric Surgery on Male Sexual Health: a Prospective Study

Sarhan, Mohamed D.; Khattab, Mohammed; Sarhan, Mai Diaa; Maurice, Karim K.; Hassan, Haitham

doi:10.1007/s11695-021-05522-7

Cited by 8 publications

(9 citation statements)

References 32 publications

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“…Sarhan et al. ( 8 ) found that weight was the factor predicting scores of preoperative IIEF, and both age and BMI predicted preoperative testosterone levels. It had been estimated that one-third of men with obesity, T2DM, or metabolic syndrome have subnormal free testosterone concentrations and HH ( 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…The advances in sexual function were accompanied by favorable changes in metabolic conditions. Recent studies applying the IIEF questionnaire revealed that bariatric surgeries positively impacted sexual function in men with obesity 1 year postoperatively in different countries (8,21,23,29,30). Mora et al (33) found that DBMI had positive correlations with DIIEF and DEF, concluding that weight loss is the major contributor to improved sexual function.…”

Section: Impact Of Bariatrics On Sexual Functionmentioning

confidence: 99%

“…Recent studies demonstrated considerable improvement in sexual function after bariatric surgeries ( 8 , 9 ). Considering cultural preferences, many people are reluctant to answer questions about sexual function in eastern countries ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

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Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study

et al. 2023

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IntroductionBariatric surgeries induce well-documented weight loss and resolve obesity comorbidities. Sexual function is one of the aspects of life quality and may benefit from surgery. Few studies have revealed the impact of bariatric surgeries on sexual function in Chinese men with obesity.MethodsThis is a retrospective cohort study of patients undergoing bariatric surgery [laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB)]. Data were collected between September 2017 and February 2022. The International Index of Erectile Function (IIEF) questionnaire was used to evaluate erectile function, intercourse satisfaction, orgasmic function, sexual desire, and overall satisfaction. Sex hormones and other blood tests were evaluated before and at least 1 year after the surgery.ResultsFifty-nine Chinese male patients completed the IIEF questionnaire. The multivariate logistic regression analysis revealed that body mass index (BMI) was the single independent risk factor of the severity of erectile dysfunction (ED). Preoperative testosterone levels had negative correlations with BMI and waist circumference. Thirty-seven patients completed the postoperative questionnaire with a mean follow-up of 23.2 months.ConclusionBMI and waist circumference were negatively correlated with testosterone levels. BMI was an independent risk factor for the severity of ED. LSG and LRYGB led to positive and sustained improvement in sexual function of men with obesity. The two procedures had a comparable effect, more subjects being needed. Sex hormone levels also could be reversible. However, more weight loss did not predict a positive change in sexual function. A greater BMI loss might predict a greater increase in testosterone.

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Section: Discussionmentioning

confidence: 99%

Section: Impact Of Bariatrics On Sexual Functionmentioning

confidence: 99%

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Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study

et al. 2023

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“…Bariatric surgery appears to improve sexual health in obese men in terms of enhancement of sexual drive and erectile and ejaculatory function proportionately to the weight loss [ 118 , 119 ]. Particularly, after laparoscopic Roux-en-Y gastric bypass surgery, sperm volume and viability increased in association with decreased IL-8 and DNA fragmentation [ 120 ].…”

Section: Effects Of Pharmacological and Non-pharmacological Approache...mentioning

confidence: 99%

Adipose Tissue Dysfunction and Obesity-Related Male Hypogonadism

Genchi

Rossi

Lauriola

et al. 2022

IJMS

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Obesity is a chronic illness associated with several metabolic derangements and comorbidities (i.e., insulin resistance, leptin resistance, diabetes, etc.) and often leads to impaired testicular function and male subfertility. Several mechanisms may indeed negatively affect the hypothalamic–pituitary–gonadal health, such as higher testosterone conversion to estradiol by aromatase activity in the adipose tissue, increased ROS production, and the release of several endocrine molecules affecting the hypothalamus–pituitary–testis axis by both direct and indirect mechanisms. In addition, androgen deficiency could further accelerate adipose tissue expansion and therefore exacerbate obesity, which in turn enhances hypogonadism, thus inducing a vicious cycle. Based on these considerations, we propose an overview on the relationship of adipose tissue dysfunction and male hypogonadism, highlighting the main biological pathways involved and the current therapeutic options to counteract this condition.

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“…However, among single people, "sexual satisfaction" increases in women, but not in men 65 . This is despite that erectile function and testosterone do increase in men after losing weight 66 . This apparent incongruity occurs because "sexual function" is not the same as "sexual satisfaction".…”

Section: Experiences After Surgerymentioning

confidence: 94%

Bariatric surgery: preparations and quality of life consequences

Lozano

Põder

Lozano³

2022

Preprint

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Introduction.- Obesity is a major threat to global health. When more conventional methods have failed, obesity can be addressed via bariatric surgery. Here we examine the reasons why patients choose bariatric surgery and the behavioral consequences thereafter. Methods.- A qualitative study with a phenomenological design was used to analyze detailed interview responses from recipients of bariatric surgery. Results.- Before surgery, (a) bariatric surgery was chosen for obvious reasons: patients had been overweight, had obesity-related health problems, and had difficulties moving. (b) Information was obtained from medical practitioners and online discussion groups. (c) Fear, anxiety, and apprehension were common. Friends and family were supportive and disapproving. After surgery, (1) many chronic health problems disappeared or eased significantly. (2) Subjects experienced difficulties adjusting with changed food tastes and small portions. (3) Physical activity increased (4) Self-esteem increased but the worry of regaining the weight remained. (5) As before surgery, there were supportive and condemning attitudes by relatives, friends, and society. (6) A desire for further nutritional and psychological counseling after surgery was indicated. (7) Relationships and quality of sex improved in most cases but not always. Single women, particularly, became more active in potential relationships. Discussion.-With a few exceptions, our results agree with the literature, supporting the idea that bariatric surgery leads to extensive physical, psychological, and social changes. Hence, patients ought to be better prepared for these changes, and medical practitioners ought to be aware of the magnitude of the changes this surgery will bring about in their patients' lives.

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Impact of Bariatric Surgery on Male Sexual Health: a Prospective Study

Cited by 8 publications

References 32 publications

Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study

Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study

Adipose Tissue Dysfunction and Obesity-Related Male Hypogonadism

Bariatric surgery: preparations and quality of life consequences

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