“…Sexual functioning is one of the commonly examined SHOs, which indicates body reactions during the female sexual response cycle (desire, arousal, lubrication, and orgasm) and satisfaction (Rosen et al, 2000). Women with obesity tend to experience decreased sexual interest, negative body image, and reluctance to participate in sexual activity (Katz, 2017; Köse et al, 2020; Rowland et al, 2017), which may, in turn, negatively affect sexual functioning. Clinical trials have found that weight loss interventions improved sexual functioning in healthy women (Befort et al, 2012; Gao et al, 2020; Katz, 2017; Wekker et al, 2018), supporting the negative effect of obesity on sexual health in women.…”