This article is from the WebMD Feature Archive
Better Sex: What's Weight Got to Do with It?
From Sex in the City to Desperate Housewives, there's one media message that's louder and clearer than ever: Looking, feeling, acting, and just being sexy is the order of the day.
- Sleep your way to more sexy sizzle
- Can you walk away impotence?
- Go Italian for a better love life
But cultural messages also continue to tell us that no one bigger than a size 6 should be singing the siren song of sexuality. Much like oil and water, being overweight and sexy just don't mix. For those already struggling with weight and image issues, that powerful message can easily throw a wet blanket on even the most active libido.
"Unfortunately, people are internalizing society's definition of what it takes to be involved in sex, particularly the body shape -- there are clearly societal biases out there that are influencing us on an individual level and not in a good way, " says Martin Binks, PhD, a clinical psychologist and director of behavioral health at Duke University's Diet and Fitness Center in Durham, N.C.
But it turns out that cultural messages aren't the whole story. New research suggests certain physical conditions that go along with obesity also affect sex drive, further dampening the desires of those who are overweight. The good news: You can make some changes to your body (and how you think about your body) to enhance your libido. You can:
- Lose a little weight, even 10 pounds, to stimulate sex hormones
- Eat more nutritious foods, which control cholesterol and blood sugar levels
- Key your workouts to getting blood flowing to the pelvic area
- Pick up a sexy novel and start reading
- Accept your body at any size
- Believe in your sensuality
How to begin? Start by identifying the physical and psychological obstacles that could be standing in your way to a fulfilling sex life.
How Too Much Weight Hampers Sex Drive
According to a recent study conducted by Binks and his colleagues at Duke, up to 30% of obese people seeking help controlling their weight indicate problems with sex drive, desire, performance, or all three. Often, the latest research shows, these problems can be traced to physical conditions that co-exist with obesity.
"Medical conditions such as high cholesterol and insulin resistance [an early indicator of type 2 diabetes] do have the ability to impact sexual performance, which in turn impacts desire, particularly in men," says Andrew McCollough, MD, director of sexual health and male infertility at NYU Medical Center in New York.
Because both conditions can cause the tiny arteries in the penis to shut down, particularly when vessel-clogging fatty deposits begin to form, McCollough says impotence or erectile dysfunction is often the result.
"A man who has problems having an erection is going to lose his desire for sex in not too long a time," says McCollough.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

