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Review
. 2023 Nov;23(11):315-327.
doi: 10.1007/s11892-023-01523-1. Epub 2023 Aug 26.

Sexual Function and Satisfaction in the Context of Obesity

Sean M McNabney  1 , Nana Gletsu-Miller  1 , David L Rowland  2
Affiliations
Review

Sexual Function and Satisfaction in the Context of Obesity

Sean M McNabney et al. Curr Diab Rep. 2023 Nov.

Abstract

Purpose of review: Sexual dysfunction is commonly associated with overweight/obesity, but the underlying physiological and psychosocial mechanisms are not fully understood. This review contextualizes the obesity-sexual (dys)function relationship, describes recent insights from the medical and social science literature, and suggests opportunities for continued research.

Recent findings: Although sexual dysfunction has been historically evaluated as a consequence/outcome of obesity, it is increasingly considered as a harbinger of future metabolic comorbidities, including type 2 diabetes and cardiovascular disease. Body image dissatisfaction is a consistent predictor for lower sexual satisfaction across BMI categories, likely mediated by cognitive distraction during partnered sex. To fully capture the relationship between obesity and sexual dysfunction, multidisciplinary research approaches are warranted. While clinically significant weight loss tends to improve sexual functioning for women and men, higher body image satisfaction may independently promote sexual function and satisfaction without concomitant weight loss.

Keywords: Body image; Inflammation; Insulin resistance; Obesity; Sexual dysfunction; Sexual function; Sexual satisfaction.

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References

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