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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Musella, Mario Milone, Marco Bellini, Marcello Sosa Fernandez, Loredana Maria Leongito, Maddalena Milone, Francesco |
| Description | Country affiliation: Italy Author Affiliation: Musella M ( Department of Surgery, Orthopedic, Traumatology, and Emergency, University of Naples Federico II, Naples, Italy.) |
| Abstract | BACKGROUND: There is a strong association between obesity and infertility, and weight loss can increase fecundity in obese women. In an attempt to determine the effect of bariatric surgery on obesity-related infertility, we reviewed the fertility outcomes after intragastric balloon placement, adjustable gastric banding, sleeve gastrectomy, and gastric bypass in childbearing women with a diagnosis of infertility at a university hospital in Italy. METHODS: This was a retrospective study of 110 obese infertile women. We evaluated the effectiveness of bariatric surgery in improving fertility, assessing the influence of age, surgical technique, co-morbidities (hypertension and diabetes), weight loss, and body mass index before and after surgery. RESULTS: Of these 110 women who had tried unsuccessfully to become pregnant before weight loss, 69 became pregnant afterward. The pregnancies proceeded without complications and ended with a live birth. Only the weight loss (odds ratio 20.2, P = .001) and the achieved body mass index (P = .001) after surgery were the predictors of pregnancy. CONCLUSION: Bariatric surgery might be effective in young infertile obese women who wish to become pregnant. Weight loss appears to be independent from the surgical technique in determining the increase in the pregnancy rate as well as the body mass index achieved at pregnancy. |
| File Format | HTM / HTML |
| ISSN | 15507289 |
| Issue Number | 4 |
| Volume Number | 8 |
| e-ISSN | 18787533 |
| Journal | Surgery for Obesity and Related Diseases |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-07-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Metabolism Discipline General Surgery Bariatric Surgery Methods Infertility, Female Surgery Obesity, Morbid Adult Female Humans Etiology Complications Preconception Care Pregnancy Pregnancy Rate Retrospective Studies Weight Loss Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
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