Alev ATIGAN, Ayhan ATIGAN, Derya KILIÇ GÜLER
Pelviperineology - 2026;45(2):65-72
Objective: Female sexual function is influenced by multiple biological, psychological, and lifestyle factors. Physical exercise and obesity have been linked to metabolic health and psychological well-being, which may influence sexual performance. The purpose of this study was to assess the association between exercise level and female sexual function in women of reproductive age, as well as to look into the impact of obesity and self-esteem on sexual health. Materials and Methods: This cross-sectional study included 60 women of reproductive age. Participants were categorized as sedentary (n=21) or non-sedentary (n=39) according to the International Physical Activity Questionnaire (IPAQ). Additionally, participants were classified as group 1 [body mass index (BMI) >=25; n=23] or group 2 (BMI <25; n=37) based on BMI. Anthropometric measurements including body weight, height, BMI, waist circumference, and waist-to-height ratio were recorded. Laboratory parameters including total testosterone, prolactin, and HbA1c levels were analyzed. Female sexual function was assessed using the Arizona Sexual Experiences Scale (ASEX) and self-esteem was evaluated using the Rosenberg Self-Esteem Scale. Results: Sedentary and non-sedentary groups showed no significant differences in age, BMI, hormonal parameters, ASEX scores, or Rosenberg self-esteem scores (p>0.05). However, the sedentary group had significantly higher HbA1c values than the non-sedentary group (p=0.028). Group 1 subjects had significantly higher ASEX scores than group 2 subjects (17.3+/-3.4 vs. 14.8+/-3.1, p=0.004), suggesting poorer sexual function. Group 1 participants had substantially lower Rosenberg self-esteem levels (20.5+/-5.2 vs. 23.2+/-4.6, p=0.036). Group 1 subjects had considerably larger waist-to-height ratios (p<0.001). Conclusion: Higher BMI is connected with poorer female sexual function and lower self-esteem in women of reproductive age, but a sedentary lifestyle appears to be associated with adverse metabolic markers such as elevated HbA1c. Promoting a healthy body weight and regular physical activity in women may help to promote metabolic health and sexual well-being.
