Bariatric surgery and preconception?!

Globally there is a trend in an increase in weight and Body Mass Index (BMI). This trend is also manifesting in obstetrics. Pregnancy-related problems increase with the severity of the obesity, therefore weight loss is strongly recommended before pregnancy.
We know that obesity changes hormone secretion resulting in irregular menstrual cycles, ovulation disorders. Also polycystic ovarian syndrome (PCOS) are linked with weight gain.
Weight loss is often recommended for obese women desiring pregnancy to improve their fertility.
Since lifestyle changes have limited success in long-term weight loss, bariatric surgery (BS) is an important alternative for obese women planning pregnancy. BS should be considered during the preconception counselling of morbidly obese women of childbearing age.
The surgery induced weight loss generally reverses the adverse effects of obesity on fertility and ameliorate the health complications linked with PCOS. After BS and the related weight loss menstrual cycles normalizes and infertility questions are mostly solved.
And… what about the male fertility after BS? Very little is known about BS in men and fertility. What we do know is that after surgery, the levels of testosterone increases, as well as the sexual quality of life.



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