Sexual dysfunction is difficulty experienced by an individual or a couple during any stage of a normal sexual activity , including physical pleasure, desire , preference, arousal or orgasm. According to the DSM-5 , sexual dysfunction requires a person to feel extreme distress and interpersonal strain for a minimum of six months excluding substance or medication-induced sexual dysfunction. A thorough sexual history and assessment of general health and other sexual problems if any are very important.
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Obesity has profound medical, psychological, and emotional consequences and is associated with sexual difficulties. Little is known regarding the interrelationship between obesity and sexual functioning from a psychological perspective, and less is known regarding treatment options. This review examines these issues and considers various treatments. Literature searches were conducted to locate original research, reviews, systematic reviews, and meta-analyses of obesity, overweight, sexual function, sexual dysfunction, psychological health, mental health, and weight loss. Research demonstrates an association between obesity, mental health, and sexual functioning, but has failed to identify casual pathways between these conditions. Clarifying such pathways is necessary to inform treatment guidelines for clinical practice. Obesity is one of the fastest-growing and most challenging public health problems and at was estimated to affect 1. The detrimental effects of obesity are well known within the academic literature. Obesity is a risk factor for early mortality, greater morbidity, and chronic diseases such as heart disease, hypertension, stroke, type 2 diabetes, the metabolic syndrome, negatively impacts mental health Cook et al. Sexual functioning is an integral component of health; therefore, one could theorize a correlation between sexual functioning and obesity WHO,
To view a PDF version of this article, click here. When discussing obesity, it is common to focus on the well-known diseases often brought on by excess weight. Another side effect of obesity that is rarely openly discussed is sexual dysfunction for both men and women, which can originate from emotional distress and hormonal disturbances. Risk Factors Many men suffering from obesity also suffer from erectile dysfunction E. With many conflicting studies, it is unclear whether a high body mass index BMI and obesity cause erectile dysfunction or are just tied to the associated risk factors, however, it is clear that obesity is a contributing factor. With significant health and lifestyle changes, erectile dysfunction can be significantly improved. Simply with increased age alone, there is an associated natural decline in erectile function. If there are other diseases present, there is a greater risk. Poorly perceived performance leads to worsening performance and depression for even the most confident of men! Obesity can bring on these diseases and also magnify these psychological concerns.