Obesity and oral contraceptive pill failure

Office of Population Research, Princeton University, Princeton, NJ 08544, USA.
Contraception (Impact Factor: 2.93). 06/2009; 79(5):334-8. DOI: 10.1016/j.contraception.2008.11.017
Source: PubMed


Available from: James Trussell, Apr 20, 2015
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    ABSTRACT: The objectives of our study was to appreciate the impact of weight overload on the sexuality of a population of obese subjects compared to a control group, and to identify, in obese subjects, factors linked to sexual dissatisfaction. Subjects and methods The study involved subjects whose body mass index (BMI) was greater than or equal to 30 kg/m2, recruited from the outpatient consultation of Endocrinology at the University Hospital Hedi Chaker Sfax in Tunisia. The control group, matched for age, sex and level of education, was recruited at the same consultation among the companions of consultants, whatever the diagnoses. Results The average BMI of obese patients was 33.48 kg/m2; that of controls was 23.27 kg/m2. The dissatisfaction with the body image was more frequent in the obese group than in control group (50% versus 27.5%, P = 0.039). In the population of obese subjects: sexual satisfaction was correlated with positive perception of an attracting body (P = 0.015); sexual desire was correlated to satisfaction with body image (P = 0.019); sexual pleasure was correlated with perception of an attracting body (P = 0.016); avoidance of sexual intercourses was significantly related to dissatisfaction with body image (P = 0.025). Conclusion Our study showed a clear link between obesity and sexual dissatisfaction, and between satisfaction with body image and sexual fulfillment. Therefore, sexual satisfaction should be systematically appreciated in obese patients. Sexological approach, if needed, would allow to improve the management of such patients.
    Sexologies 07/2014; DOI:10.1016/j.sexol.2014.05.002
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    ABSTRACT: Obesity is increasing worldwide and is affecting the reproductive health of women. Contraceptive considerations are difficult in obese women given concerns about efficacy and comorbid conditions. Once surgical treatment of obesity has occurred and weight loss initiated, fertility risks increase and unintended pregnancy can result; often at the time of greatest weight loss. Family planning counseling in the obese patient must account for both preoperative conditions as well as postoperative return to fertility.
    Open Access Journal of Contraception 01/2012; DOI:10.2147/OAJC.S17405
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    ABSTRACT: As the proportion of women with obesity increases worldwide, understanding the influence of body weight on sexual behavior, fertility, and contraceptive effectiveness is critical for health-care professionals and patients. Although many have theorized that obese women are different from normal-weight women regarding sexual health and behavior, current evidence for the most part disproves this. The exception is in adolescents where body image may play a role in riskier behavior, placing them at a greater risk of an unintended pregnancy. Given that most modern contraceptives were not originally evaluated in obese women, understanding how weight affects contraceptive pharmacokinetics and efficacy should be a focus of ongoing research. Evidence is reassuring that most modern contraceptive methods are safe and effective in obese women. This paper reviews what is known about sexual and contraceptive behavior, as well as the effectiveness and pharmacokinetics of modern contraceptives, for overweight and obese women. Copyright © 2014 Elsevier Ltd. All rights reserved.
    Bailli&egrave re s Best Practice and Research in Clinical Obstetrics and Gynaecology 10/2014; DOI:10.1016/j.bpobgyn.2014.10.005 · 3.00 Impact Factor