Sodiq Ojuroungbe
Harping on the dangers of obesity, urologists have revealed that men with abdominal obesity commonly known as potbellies are at risk of having erectile dysfunction and poor sexual health.
The experts noted that excess belly fat could interfere with testosterone levels, a key hormone in male sexual function.
They stated that this imbalance could lead to a variety of sexual health issues, including reduced libido, erectile dysfunction, and a decrease in overall sexual satisfaction.
Speaking exclusively with PUNCH Healthwise, the physicians said excess belly fat was often linked to other health issues, such as diabetes, hypertension, and cardiovascular disease, which can also contribute to sexual dysfunction.
A report by the World Health Organisation revealed that one in eight people in the world is living with obesity with about 2.5 billion adults (18 years and older) being overweight.
The global health body added that 890 million out of these overweight adults were living with obesity with 43 per cent of adults aged 18 years and above overweight, while 16 per cent were living with obesity.
The WHO data also disclosed that 37 million children under the age of 5 were overweight in 2022, while over 390 million children and adolescents aged 5–19 years were overweight, including 160 million who were living with obesity.
In Nigeria, belly fat often called ‘pot belly’ has increasingly become a common sight, with many people associating it with wealth and success.
The idea that a pot belly is a sign of affluence is deeply rooted in the culture, often seen as a status symbol of enjoying life’s comforts, such as rich foods and sedentary lifestyles.
The urologists clarified that having belly fat in men, particularly among the rich, was not a sign of healthy living but an invitation to health problems.
They stressed that excess abdominal fat disrupts hormone balance, including lowering testosterone levels, which is crucial for male sexual function.
A Consultant Urologist, Dr Gabriel Ogah stated that obesity had a multifaceted impact on men’s sexual health.
According to him, obesity reduces testosterone levels and compromises cardiovascular health, thereby increasing the risk of erectile dysfunction.
“Obesity reduces testosterone and it reduces cardiovascular health. Therefore, ultimately it increases the chances of erectile dysfunction. Whereas if someone is obese and has erectile dysfunction. Belly fat does affect sexual performance,” he explained.
Ogah, Managing Director of Ogah Hospital and Urology Centre in Fugar, Edo State, offered hope, noting that sexual dysfunction linked to obesity was reversible.
“If an obese individual experiences erectile dysfunction and takes steps to control their weight through exercise or diet, their sexual performance will likely improve,” he emphasised.
The urologist reiterated the importance of lifestyle modifications in addressing obesity-related sexual dysfunction.
“It is crucial for obese men to reduce their weight, limit carbohydrate intake, consume more vegetables, and engage in regular exercise. Even without any other interventions, weight loss alone can significantly improve erectile function.”
Also, a consultant urologist, Dr. Emmanuel Eze, stated that excess belly fat could lead to reduced blood flow to the genital area, resulting in erectile dysfunction.
“When fat accumulates around the abdominal area, it can lead to inflammation and damage to blood vessels, making it difficult to achieve and maintain an erection,” Eze explained.
The reproductive expert further noted that excess belly fat could also lead to hormonal imbalances.
He added that increased fat around the abdominal area can convert testosterone to estrogen, leading to decreased libido and sexual performance.
“Men with pot belly are more likely to experience premature ejaculation, low sperm count, and decreased libido,” he stressed.
He also maintained that maintaining a healthy weight through a balanced diet and regular exercise could significantly reduce the risk of sexual dysfunction.
“Losing weight and reducing belly fat can improve blood flow, boost testosterone levels, and enhance overall sexual health.
“I will encourage men to consult with urologists or healthcare professionals to address any concerns regarding their sexual health. Early intervention can make a significant difference in improving overall well-being,” Eze advised.
The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week, coupled with a balanced diet, to maintain a healthy weight.
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