Obesity & Impotence موٹاپا اور مردانہ کمزوری
What is the Relation of Obesity with Impotence?
Sexual dysfunction is common in obese men, normal sexual function depends on complex vascular, neural, hormonal and psychological factors, all of which are potentially affected by obesity. In particular, low testosterone levels are thought to have a two-way relationship with obesity. While testosterone therapy may improve sexual symptoms in the hypogonadal male person, the evidence that it improves sexual function in males with obesity and low testosterone levels is inconsistent.
However, erectile dysfunction is associated with a decrease in sensory thresholds for small and large nerve fibers. Peripheral neuropathy, especially small fiber neuropathy, occurs more frequently in people who are obese than in people without obesity. Confocal corneal microscopy is a rapid, validated, and non-invasive technique for evaluating the integrity of small nerve fibers with diagnostic efficiency comparable to that of the density of intraepidermal nerve fibers in diabetic peripheral neuropathy. We have recently shown that small fiber neuropathy quantified by corneal confocal microscopy is associated with erectile dysfunction in males of type 1 diabetes.
We wanted to investigate for the first time whether there were relationships between sexual dysfunction with small fibre neuropathy or with sex hormone levels in men with severe obesity. Testosterone binds with the lipid cells and cholesterol which lead to ineffective testosterone in the obese and high cholesterol population.