Most of the attention surrounding obesity focuses on the negative implications it has on physical health—heart disease, diabetes, cancer and more. But what is often discounted is the emotional impact excess weight, even as few as 10 pounds, can have on your libido.

Negative feelings regarding our body image and physique affect our confidence and comfort level and can lead to insecurities with sexuality and intimacy, resulting in a decreased sex drive.

A two-year analysis of newlyweds, conducted by the University of Minnesota School of Public Health, found that after marriage, each spouse gained an average of 6-8 pounds. It appears that a slippery slope of events takes place. Although secure relationships offer emotional support and stability, the laid-back lifestyle may lead to weight gain and eventual body insecurities, which in turn, may have long-term repercussions on a couple’s sex life.

This relationship cycle has serious ramifications for many women who feel uncomfortable in their skin and are less willing to show their skin to their partners. Even women who are not already overweight struggle with trying to feel sexy during the onset of midlife, when weight gain or body changes ensue from hormonal and lifestyle imbalances.

Your body weight and self-image affect all factors surrounding libido levels—perception of attractiveness, not wanting to be seen naked, decrease in sex drive and difficulty or dissatisfaction with sexual performance. A Duke University study found that dieters who lost about 13% of their body weight over two years felt an increase in sexual appeal, experienced more sexual desire and reported an overall improvement in their sex lives.

In addition, physical improvements in muscle strength, endurance and cardiovascular health will also elevate a woman’s sex drive. Getting fit can make you feel years younger, resulting in fewer physical inhibitions and enhanced libido. And, don’t forget the benefit of overall confidence, self-assurance and wellness.