Do those extra pounds really make a difference? Continued "Medical conditions such as high cholesterol and insulin resistance [an early indicator of type 2 diabetes ] do have the ability to impact sexual performance, which in turn impacts desire, particularly in men," says Andrew McCollough, MD, director of sexual health and male infertility at NYU Medical Center in New York. Do you really have reason to be so self-conscious about your body? Your weight might be to blame. Ultimately, the mind-body connection is a major factor. Let's face it, you can only look at yourself in the mirror so many times before the novelty of your new lifestyle wears off. Journal of Sex and Marital Therapy, ; vol If you're happy with your body it will show in many aspects of your life; including the bedroom. Your genitals need proper blood flow to reach an orgasm. Doctors theorize that the more testosterone that is bound to SHBG, the less there is available to stimulate desire. Much like oil and water, being overweight and sexy just don't mix. Heavy weight, low sex-drive Knowing the different ways sexual drive is affected by your weight can help motivate you to get into shape and teach you how to get it back. Get back your drive Although being overweight affects sexual performance and sex drive in many ways, the good news is that you can make some changes to help your libido. What's Weight Got to Do with It? And, it can also affect your sex life. Your Pet Invest in a crate so that Fido or Fluffy doesn't sleep in your bed, especially between the two of you. Whenever newlywed Shawna Wolf's husband gives her a wanna-get-it-on glance, the year-old music teacher in Strasburg, North Dakota, heads him off by suggesting they take their dogs for a walk.