Resolution of Female Sexual Dysfunction (FSD) Among the Obese Multiethnic Malaysian Women Now a Reality with Bariatric Surgery: a Prospective Pilot Study in Malaysia

Lechmiannandan S 1 , Panirselvam M 2 , Muninathan P 3 , Hussin N 3 , Rajan R 2 , Sidi H 4 Show all authors , Kosai NR 2 , Vinayak CR 5

Affiliations 

  • 1 Department of Urology, Hospital Pulau Pinang, Jalan Residensi, 10990, Georgetown, Penang, Malaysia. smartsiv@hotmail.com
  • 2 Minimally Invasive, Upper Gastrointestinal and Bariatric Surgery Unit, Department of Surgery, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia
  • 3 Clinical Research Centre, Hospital Taiping, Jalan Taming Sari, 34000, Taiping, Perak, Malaysia
  • 4 Department of Psychiatry, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia
  • 5 Bariatric Surgery Unit, Department of Surgery, Hospital Taiping, Jalan Taming Sari, 34000, Taiping, Perak, Malaysia
Obes Surg, 2019 05;29(5):1571-1575.
PMID: 30706310 DOI: 10.1007/s11695-019-03722-w

Abstract

INTRODUCTION: Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD, among obese multiethnic Malaysian women post-bariatric surgery.

MATERIAL AND METHODS: This is a prospective study of women undergoing bariatric surgery, between May 2017 and April 2018. FSD was diagnosed using the Malay version of Female Sexual Function Index (MVFSFI) questionnaire. Patients filled up the questionnaire before and 6 months after surgery. Association between BMI reduction and FSFI score improvement was measured using Fisher's exact test. Outcomes between types of surgery (sleeve gastrectomy and gastric bypass) was compared.

RESULTS: Fifty-two women completed the study. The mean age was 38.77 ± 6.7. There were 44 (84.6%) Malay patients, 7 (13.5%) Indian patients, and 1 (1.9%) Chinese patient. There was a significant reduction in mean BMI, 39.89 ± 6.9 pre-surgery to 30.32 ± 5.4 post-surgery (p value

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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