Obesity and Impotence

Obesity can be an obstacle in men’s sexual desire. It ruins the feeling of well-being and also the performance in bed. They suffer from changes in daily behavior, become slacker and inactive, and more likely to have poor performance due to their physical condition.

Some obese men tell us that they avoid erotic encounters so that they “do not see them like this,” and so hide their body, not wanting to be seen naked; There are also others in whom “fat” is a defense mechanism to avoid affective and erotic encounters: “as i am fat I can not establish a bond,” when the difficulty is prior to being overweight.

What is Obesity

Obesity is a chronic, treatable disease that occurs when there is an excess of adipose tissue (fat) in the body. Experts warn that its most negative effects occur because it acts as an agent that accentuates and aggravates in the short term and very obviously serious pathologies such as diabetes, hypertension, cardiovascular complications (especially ischemic heart disease), and even some types of cancer, such as gastrointestinal.

With the exception of people who are very muscular, those whose weight exceeds 20 percent or more the midpoint of the weight scale according to body mass index (BMI), are considered obese.

Causes of obesity

There are many causes involved that makes this a problem. In addition to poor nutrition or lack of physical exercise, there are also genetic and organic factors.

Socioeconomic factors can also influence. In some developed countries, the frequency of obesity is more than twice as high among women of low socioeconomic status as among the highest. The reason why socioeconomic factors have such a powerful influence on the weight of women is not fully understood, but it is known that anti-obesity measures increase with increasing social status.

Women belonging to groups of a higher socioeconomic level and have more time and resources to make diets and exercises that allow them to adapt to these social demands.

And finally, there are psychological factors, which for a time were considered as an important cause of obesity. One of the types of emotional disorder, the negative image of the body, is a serious problem for many young women. This leads to extreme insecurity and discomfort in certain social situations.

Symptoms of obesity

The accumulation of excess fat under the diaphragm and chest wall can put pressure on the lungs, causing difficulty breathing and choking, even with minimal effort.

Difficulty in breathing can seriously interfere with sleep, causing momentary stopping of breathing (sleep apnea), which causes daytime sleepiness and other complications.

Obesity can cause several orthopedic problems, including lower back pain (low back pain) and worsening osteoarthritis, especially in the hips, knees and ankles.

Skin disorders are also common. Because obese people have a poor body surface in relation to their weight, they can not remove body heat efficiently, so they sweat more than thin people. Likewise, swelling of the feet and ankles is common, caused by the accumulation at this level of small to moderate amounts of fluid (edemas).

Prevention of obesity

Carrying a healthy and balanced diet along with regular practice of physical exercise are key to preventing obesity.

Experts advise to make a minimum of five food intakes a day in reduced rations, as well as follow a dietary pattern close to the Mediterranean diet, ie low in fat and rich in fruits and vegetables.

As for the sport, constancy is fundamental. The recommendation is to practice it regularly at least three times a week for 45 minutes. The intensity must be adapted to the needs and physical condition of the person.

Types of Obesity

Obesity is classified into two types: central or android and peripheral or immoid. The first is the most serious and can lead to significant pathological complications.

Central obesity locates fat in the trunk and predisposes them to metabolic complications (especially type 2 diabetes and dyslipidaemias). Peripheral obesity builds up the fat deposit from the waist down and causes joint overload problems.

Morbid obesity

Morbid obesity is one of the most characteristic diseases of our time, especially because of the number of complications it has.

To treat it is necessary the use of surgery, since the diets do not have any type of effect. The techniques to reduce it are of two types: reseccionistas, aimed at inducing a malabsorption of food, or restrictive.

The second ones are less aggressive. Simply reduce the size of the stomach so that the patient can not eat large quantities. Resection surgery is the only way for the patient to lose weight in many cases of morbid obesity.

Reducing techniques produce fewer side effects, but you will not lose weight just as easily. There are three main surgical techniques for morbid obesity: vertical gastroplasty or Maxon’s technique, gastric band adjustable gastroplasty or gastric by-pass.

Diagnosis of obesity

The most common way to determine if a patient suffers from obesity is to calculate their body mass index, by which the amount of body fat is obtained and, depending on the results, what are the possible health risks.

From this, the specialist can determine if any collateral damage has occurred in the rest of the body and diagnose it for its treatment.

Obesity and erectile dysfunction

Obesity often has as a primary component a metabolic syndrome, that is, a series of risk factors that can cause a disease. Dr. Fernando Ugarte, urologist and President of the Latin American Society for Impotence and Sexuality Studies, indicates some factors that predispose men to erectile dysfunction due to obesity:

A waist of more than 96 cm wide in the male
Changes in blood pressure
Elevated lipid levels
Resistance to Insulin
Sleep Apnea (stop breathing when you are asleep, a condition that predisposes to heart attacks due to lack of oxygen) 
Excess fat that causes testosterone, male hormone, to be aromatized and chemically transformed into estradiol, which is a female hormone, which causes some obese men to have a lump in the breasts and a voice less hoarse.
 
These are definitely components that make statistically the obese are more likely to suffer from erectile dysfunction. It’s more common in men age 40 and up, although it can happen from adolescence, contributing to the trend of erectile dysfunction in the future,” he said.

Other data

Obesity can be classified as mild (20 to 40 percent overweight), moderate (41 to 100 percent overweight) or severe (over 100 percent overweight). Obesity is severe in only 0.5 percent of obese people. Some researchers suggest that, on average, genetic influence contributes about 33 percent to body weight, but this influence may be greater or less depending on the person.

Treatments of obesity

The best way to treat the disease is to prevent it and to do so, it must be detected early in patients in whom from 20-25 years begins to change the weight. Doctors consider that an obese person should be considered as a chronic patient who requires long-term treatment, with dietary rules, behavioral habits modification, physical exercise and pharmacological therapy.

The new therapeutic approaches are based on promoting weight loss with disease control programs and associated problems, leading to vascular, cardiac and metabolic problems. The obese should not lose kilos but fat mass, with small and lasting losses that imply a metabolic profitability. It is necessary to consolidate long-term weight loss, and also reduce the risk of premature death, heart disease, metabolic and vascular.

In some cases, doctors may decide that in addition to changing the diet and exercising, it is necessary to complete treatment with drugs, which must be administered with a moderately hypocaloric and balanced diet.

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