减肥手术对性功能和生育能力的影响:叙述性审查
Saikam Law1,2, Kating Wan2, Wah Yang1
1Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
概括
腹腔外科手术 (BS) 改善了肥胖个体的性功能. 虽然BS有助于女性的生育能力,但它可能会损害男性的生育能力,建议在手术后12-18个月怀孕.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 肥胖医学 肥胖医学
- 腹部外科手术的结果
背景情况:
- 肥胖是一个全球性的健康问题,影响男性和女性的生殖健康和性功能.
- 生育能力和性功能是不同的,但相互关联,受肥胖的影响.
- 腹腔外科手术 (BS) 显示出改善性功能障碍和生育能力的潜力,具有性别特异性的影响.
研究的目的:
- 评估减肥手术对肥胖个体生育能力和性功能的性别特异性影响.
- 分析治疗后性功能和生育能力改善背后的机制.
- 评估减肥手术对男性和女性生殖结果的影响.
主要方法:
- 审查关于减肥手术,肥胖,性功能和生育能力的现有文献.
- 在减肥手术后,性激素水平和生殖参数的性别特异变化的分析.
- 在接受减肥手术的妇女中评估怀孕和新生儿后果.
主要成果:
- 减肥手术通常可以改善肥胖男性和女性的性功能,这与减肥和荷尔蒙变化有关.
- 男人生育能力可能会受到减肥手术的负面影响,观察到精子质量下降.
- 减肥手术后女性生育能力和怀孕结果有所改善,但存在营养不良的风险.
结论:
- 减肥手术对性功能和女性生育能力有好处,但对男性生育能力有风险.
- 对营养状况和时间的仔细考虑对于怀孕后腹痛手术至关重要,建议12-18个月的间隔.
- 需要进一步的研究,以优化肥胖人口的生殖健康减肥手术方案.
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