The impact of bariatric surgery on obesity-related infertility

R. İlyas Öner, S. Özdaş, M. Sarıaydın, S. Aslan

Department of Internal Medicine, Adıyaman University Medical School, Adiyaman, Turkey. sariaydinmehmet@gmail.com

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• Obesity
• Surgery

OBJECTIVE: Our study aimed to investigate the effect of morbid obesity surgery on infertility using laparoscopic sleeve gastrectomy (LSG).

PATIENTS AND METHODS: We performed a retrospective analysis from a prospectively collected database from May 2014 until December 2019. The mean age of the 23 morbidly obese women included in the study and followed-up for five years was 31.26 ± 5.06 years (minimum 24, maximum 43), mean duration of marriage was 9.3478 ± 4.76 years (minimum 4, maximum 23). Mean body mass index (BMI) values were 45.04 ± 3.43 (minimum 40, maximum 52) pre-LSG and 28.65 ± 3.14 (minimum 24, maximum 36) 12 months post-laparoscopic sleeve gastrectomy (LSG).

RESULTS: Out of 23 infertile patients studied underwent LSG. Significant correlation was determined between the change in BMI, 12 months after LSG, compared to pre-LSG and having children after surgery (p=0.001). Conception occurred in 21 patients (91.3%) after surgery, but not in the remaining two (8.7%).

CONCLUSIONS: LSG is an important surgical technique used in the treatment of obesity and in preventing obesity-related comorbidities. It can improve pregnancy and live birth rates by contributing to weight loss and hormonal regulation in obese infertile women.

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