Book Review

Abstract

Book Review Yi Suna, Bo Pengb, Guo-lin Leib, Hong Shena, Qiang Weia,*, Lu Yanga,* a Department of Urology, Institute of Urology, West China Hospital, Sichuan University, No. 37 Guoxue Xiang, Chengdu, 610041, China b Department of Urology, People's Hospital of Jianyang City, Yiyuan Road, Jianyang, China A R T I C L E I N F O Article history: Received 2 January 2019 Received in revised form 19 April 2019 Accepted 24 May 2019 Available online 29 May 2019 Keywords: Weight loss Bariatric surgery Female sexual function A B S T R A C T Background: Recently, increasing attention and controversy have focused on whether weight loss can improve female sexual function, so we performed this study to explore this question. Methods: We searched the PubMed, Embase, and Cochrane Library databases to identify all studied variables; the search terms included “weight loss”, “bariatric surgery”, “no surgery weight loss”, and “female sexual function”. We compared the female sexual function index (FSFI) scores before and after weight loss through bariatric surgery or exercise. Results: Ten studies comprising a total of 494 patients met the inclusion criteria. The data synthesized from these studies indicated that weight loss improved the total FSFI score (p < 0.00001) and the score on some individual items—desire (p < 0.00001); arousal (p = 0.0005); lubrication (p = 0.01); orgasm (p < 0.0001); and satisfaction (p = 0.0004)—but did not ameliorate pain experienced by women during sex (p = 0.18). Conclusion: Weight loss through bariatric surgery or exercise is beneficial for sexual function in overweight women, according to the data analyzed from ten studies.