The World Health Organization (WHO) defines sexual health as ‘a combination of the physical, emotional, intellectual and social aspects of sexuality that enhances personality, communication and love.’ In a healthy society, it is important to protect the sexual health of individuals and to provide training on this subject.

Nutrition affects sexual health as it affects many things in today’s conditions and is an important parameter for sexual desire, i.e., libido. There are many factors that affect sexual health such as exercise, stress, smoking and alcohol use. Accordingly, reproductive and sexual health problems are among the problems that can be encountered throughout life, starting from the youth period. Various treatments are applied in the face of these problems, but nutrition should be well evaluated on the basic of the issue.

For a healthy sexual life, you should consume some foods, nutrition programs and recommendations specific to the individual, and it is extremely important to comply with them.

• Consumption of B1 (thiamine), B2 (riboflavin), vitamin E and antioxidants is important to ensure the flexibility and mobility of the vaginal muscles in women, increase adrenaline secretion, and increase sexual activity and sperm mobility in men.
• Consumption of sesame, pea, peanut and egg rich in arginine is important to prevent impotence and infertility.
• In order to prevent sexual fatigue, it is important to consume fish, red meat, organic cheese, green vegetables with high leucine amino acid content.
• The use of artificial sweeteners affects the libido and is quite harmful to sexual health.

At 3-4th weeks postoperatively, 120 ml of food is administered at intervals of 60-90 minutes to the patient. At this stage, the foods are prepared in puree form and meet the protein and other nutritional requirements of the patient. Food should not be too hot or too cold; it should be close to body temperature, chewed well.

Liquid should not be consumed with meals in order to prevent the stomach from expanding. Approximately 30 minutes should be waited for post-meal fluid consumption. During this period, protein needs may not be fully met with food. Protein supplements should be continued to be used, 60 grams of protein per day for women and 90

grams of protein for men should be provided. Eggs (the yolk should be separated, only the white should be consumed), cottage cheese, low- fat cheese, steamed fish, chicken, vegetable purees that will not cause gas and distension can be given to patients. In the 2nd week of the puree diet, lean ground beef, ground twice, can also be added to the diet. The important point is that the meals are prepared by increasing their protein content.

It is an operation performed in the form of bypassing the majority of the gastric, leaving a small part after the esophagus.

Then, the part of the small intestine close to the stomach is taken and sutured to the small part of the stomach in accordance with the technique. That is, a new intestinal connection is created.

The purpose of this operation is to reduce the stomach volume and reduce absorption. Accordingly, the feeling of hunger decreases, the feeling of satiety increases and blood sugar remains stable.

Gastricbotox is performed by injecting botulinum toxin into certain parts of the stomach, which is applied endoscopically.

The purpose of the operation is to delay gastric emptying by slowing down the gastric movements to a certain extent and to provide a feeling of satiety by reducing the secretion of the ghrelin hormone, which we call the hunger hormone.

The duration of effect is between 4-6 months and the patient is expected to change his eating habits during this period.

Gastric balloon is an inflatable medical device. The gastric balloon, which is placed endoscopically without surgery and without stitches, is placed in the stomach and then inflated and the operation is performed. The balloon is inflated with methylene blue colored liquid compatible with body fluids by means of endoscopic apparatus. The operation takes an average of 15-20 minutes.

The purpose of the operation is not to reduce the stomach volume, but to facilitate early satiety and diet adaptation process by creating a fullness and indigestible area in the stomach. The duration of the gastric balloon’s stay in the body is determined by the physician, and when the time expires, the balloon is removed by endoscopy.