ArticleObesity surgery2018
4-Year Changes in Sex Hormones, Sexual Functioning, and Psychosocial Status in Women Who Underwent Bariatric Surgery.
Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Impact of bariatric surgery on premenopausal women's womanliness: A qualitative systematic review and meta-synthesis.PloS one · 2024Pooled it
- Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020Pooled it
- Impact of Bariatric Surgery on Female Sexual Function in Obese Patients: a Meta-Analysis.Obesity surgery · 2020Pooled it
- Lifestyle modifications alone or combined with hormonal contraceptives improve sexual dysfunction in women with polycystic ovary syndrome.Fertility and sterility · 2021Trial
- Changes in Health-Related Quality of Life After Metabolic and Bariatric Surgery: A Prospective Single-Center Cohort Study.Obesity science & practice · 2026Article
- Unveiling the complex landscape of successful weight loss: Perceived consequences and spontaneous self-concept insights.Journal of health psychology · 2026Article
- Sexual behavior of young women with obesity indicated for bariatric treatment: A cross-sectional study.The Journal of international medical research · 2025Article
- Relationship Satisfaction Among Individuals with Severe Obesity Before and After Metabolic and Bariatric Surgery.Obesity surgery · 2025Article
- Weight stigma and bariatric surgery: Prospective improvements, psychological health, and weight.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- The Implications of Metabolic and Bariatric Surgery on Psychosocial and Relational Health: A Narrative Review.Obesity surgery · 2025Review
- Sexual Well-Being After Bariatric Surgery Assessed with New Sexual Satisfaction Scale: A Case-Matched Study of Men and Women.Obesity surgery · 2025Article
- Changes in Sexual Functioning in Women with Severe Obesity After Bariatric Surgery: Impact of Postoperative Adherence to Mediterranean Diet.Nutrients · 2025Observational
- A possible important regulatory role of estrogen in obstructive sleep apnea hypoventilation syndrome.Frontiers in medicine · 2025Review
- Review
- Total and bioavailable 25-hydroxyvitamin D is not associated with improved sexual dysfunction following vitamin D supplementation in women with polycystic ovarian syndrome: a pilot study.The journal of sexual medicine · 2024Article
- Psychological well-being as a motive for and result of post-bariatric body contouring procedures.Obesity science & practice · 2024Article
- Sexual Function and Satisfaction in the Context of Obesity.Current diabetes reports · 2023Review
- Women's lived experiences of sex hormones and life-related to bariatric surgery: an interpretative qualitative study.BMJ open · 2023Article
- Weight recurrence after Sleeve Gastrectomy versus Roux-en-Y gastric bypass: a propensity score matched nationwide analysis.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundInitial weight loss after bariatric surgery has been associated with improvements in reproductive hormones and sexual functioning in women. Few studies have investigated the durability of these changes.
objectivesThe objective of this paper is to investigate changes in sex hormones, sexual functioning, and relevant psychosocial constructs over 4 years in women who underwent bariatric surgery.
settingThe setting is a prospective cohort of 106 women from the Longitudinal Assessment of Bariatric Surgery consortium.
methodsChanges in sex hormones were assessed by blood assay. Sexual functioning, quality of life (QOL), body image, depressive symptoms, and marital adjustment were assessed by psychometric measures.
resultsWomen lost on average (95% confidence interval) 32.3% (30.4%, 34.3%) at postoperative year 3 and 30.6% (28.5%, 32.8%) at postoperative year 4. Compared to baseline, women experienced significant changes at 4 years in all hormones assessed, except estradiol. Women reported significant improvements in sexual functioning (i.e., arousal, desire, and satisfaction) through year 3, but these changes were not maintained through year 4. Changes in relationship quality followed a similar pattern. Improvements in physical aspects of QOL, body image, and depressive symptoms were maintained through 4 years.
conclusionsImprovements in reproductive hormones and physical aspects of QOL, body image, and depressive symptoms were maintained 4 years after bariatric surgery. Improvements in sexual functioning, relationship satisfaction, and mental components of QOL eroded over time.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.