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Bariatric Surgery and Infertility: A Prospective Study
Vincenzo Consalvo1, Antonio Canero2, Vincenzo Salsano3
1General Surgery Department/Bariatric Surgery Department, University of Salerno Italy, Clinique Clementville, Montpellier, France.
Surgical Technology International
|January 10, 2018
Summary
Bariatric surgery significantly improves fertility in obese women. Obese women experiencing fertility challenges should consider a bariatric surgery consultation for potential pregnancy improvement.
Area of Science:
- Reproductive Endocrinology
- Bariatric Surgery Outcomes
- Obesity Medicine
Background:
- Obesity affects 13% of adult women globally, with unclear fertility implications.
- Weight loss from bariatric surgery may enhance fertility in obese women.
- This study investigates the link between bariatric surgery-induced weight loss and fertility.
Purpose of the Study:
- To determine if bariatric surgery-induced weight loss is associated with improved fertility in women of reproductive age.
- To evaluate the impact of significant weight loss on pregnancy rates.
Main Methods:
- Prospective evaluation of 52 eligible female bariatric patients (28 surgery, 24 control) from June 2013 to April 2016.
- Two-year follow-up including anthropometrics, blood analysis, comorbidities, and gynecological consultations.
- Contingency table analysis to assess the association between bariatric surgery and pregnancy.
Main Results:
- Fifty participants completed the study (27 surgery, 23 control).
- Surgery group achieved >70% excess weight loss (EWL) at 24 months.
- A highly significant association (P<0.0001) was found between bariatric surgery and pregnancy, with a relative risk (RR) of 15.33.
Conclusions:
- Bariatric surgery demonstrably improves fertility in obese women within two years post-operation.
- Obese women facing pregnancy difficulties should consult about bariatric surgery.
- Further research is recommended to validate these fertility enhancement findings.
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