Bariatric Surgery and Obese-Related Infertility. Personal Experience Background: The prevalence of people who are overweight or obese has increased dramatically in high-income countries over the past 20 years. There is a strong association between obesity and infertility, and weight loss can result in increased fecundity in obese women. The aim of this study is to demonstrate the effectiveness of bariatric surgery in the treatment of obese-related infertility. Methods: This is a retrospective study. A chart review of 102 obese women seen between September 2003 and July 2008 was performed. They all presented with the diagnosis of infertility and had undergone laparoscopic adjustable gastric banding or laparoscopic sleeve gastrectomy to achieve weight loss. Results: Among these women who tried unsuccessfully to become pregnant before weight loss, 46 became pregnant afterward. The pregnancies proceeded without complications and ended with a live birth. There was no statistical difference between adjustable gastric banding and sleeve gastrectomy regarding the pregnancy rate while the time pregnancy was longer in the sleeve gastrectomy. Moreover the BMI at pregnancy was ever<40. Conclusion: An improvement in the fertility status after weight loss has been described, although data on fertility after weight loss following bariatric surgery are still limited. The results obtained in our experience are not different from data reported in literature for bariatric surgery. Therefore bariatric surgery might be effective in young infertile obese women who wish to become pregnant, but we believe that was the weight loss achieved through surgery that improves fertility and never the surgical technique.

Bariatric surgery and obese-related infertility. Personal experience.

MUSELLA, MARIO;
2011

Abstract

Bariatric Surgery and Obese-Related Infertility. Personal Experience Background: The prevalence of people who are overweight or obese has increased dramatically in high-income countries over the past 20 years. There is a strong association between obesity and infertility, and weight loss can result in increased fecundity in obese women. The aim of this study is to demonstrate the effectiveness of bariatric surgery in the treatment of obese-related infertility. Methods: This is a retrospective study. A chart review of 102 obese women seen between September 2003 and July 2008 was performed. They all presented with the diagnosis of infertility and had undergone laparoscopic adjustable gastric banding or laparoscopic sleeve gastrectomy to achieve weight loss. Results: Among these women who tried unsuccessfully to become pregnant before weight loss, 46 became pregnant afterward. The pregnancies proceeded without complications and ended with a live birth. There was no statistical difference between adjustable gastric banding and sleeve gastrectomy regarding the pregnancy rate while the time pregnancy was longer in the sleeve gastrectomy. Moreover the BMI at pregnancy was ever<40. Conclusion: An improvement in the fertility status after weight loss has been described, although data on fertility after weight loss following bariatric surgery are still limited. The results obtained in our experience are not different from data reported in literature for bariatric surgery. Therefore bariatric surgery might be effective in young infertile obese women who wish to become pregnant, but we believe that was the weight loss achieved through surgery that improves fertility and never the surgical technique.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/513035
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