Materials and Methods: This qualitative study involved interviewing women with obesity who were seeking treatment at clinics and obesity surgery centers in Tehran. In-depth semi-structured interviews with open-ended questions were conducted by the researcher. The interviews were then analyzed qualitatively, and codes were categorized accordingly.

Results: The study included interviews with obese women, resulting in three general categories. Under the physical dimensions category, two main categories emerged: individual-physical challenges and perceived physical-sexual experiences. In the psychological dimensions category, two main categories were identified: body identity structure and perceived psycho-sexual experiences. Lastly, under the social dimensions category, three main categories were obtained: interpersonal relationships, influence of important people, and influence of the media.

Conclusions: Sexual orientation is a crucial aspect that significantly impacts individual and social life. The satisfaction of these desires plays a decisive role in human personality development. It is inevitable that these desires are separate from an individual"s behavior. This study highlights that apart from obesity, a person"s attitudes and beliefs about sexual issues can directly affect their sexual relationships.