The impact of bariatric surgery on obesity-related infertility

• Published in: European review for medical and pharmacological sciences Vol. 27; no. 7; p. 2865
• Main Authors: İlyas Öner, R, Özdaş, S, Sarıaydın, M, Aslan, S
• Format: Journal Article
• Language: English
• Published: Italy 01.04.2023
• Subjects: Bariatric Surgery - adverse effects; Bariatric Surgery - methods; Body Mass Index; Child; Child, Preschool; Female; Gastrectomy - adverse effects; Gastrectomy - methods; Humans; Infertility, Female - etiology; Infertility, Female - surgery; Laparoscopy - methods; Obesity, Morbid - complications; Obesity, Morbid - surgery; Pregnancy; Retrospective Studies; Treatment Outcome
• ISSN: 2284-0729

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