Forty-two percent of the
women in the study trying to conceive experienced infertility, but pregnancy
was more likely for women who became obese after age 18. The good news is,
surgical weight loss may increase fertility.
The study, the Longitudinal
Assessment of Bariatric Surgery (LABS), provided information on the fertility
of obese women considering surgical weight loss procedures.
Obesity can interfere with a
woman’s hormone levels, making it difficult to become pregnant. This also makes
vitro procedures less likely to work. Even in the event of conception, there
are major health risks to both mother and child. Not only are miscarriage rates
higher, but there are also a higher rates of premature and still-births.
Weight loss surgery, also
known as bariatric or metabolic surgery, which includes gastric bypass surgery
and lap banding, may help obese women trying to conceive. Many women don't
know that having such a procedure is an option.
Research shows that
bariatric surgery can reduce pregnancy complications for obese women, and LABS
participants were no exception. Roughly 62 percent of LABS participants who
underwent surgery who hoped to conceive experienced at least one live birth
after infertility.
After weight loss surgery,
doctors advise women to wait at least 18 months after surgery (6 months after
banding) before trying to become pregnant. They also suggest using
contraceptives while waiting for the body to become more stable.
“As the incidence of obesity
increases in the United States, women’s health care practitioners are likely to
care for a substantial number of patients who will undergo bariatric surgery,”
says Dr. William Gibbons of the American Society for Reproductive Medicine. “Studies
like this one are extremely useful to help us determine how to advise these
patients and best meet their needs.”
Find more information about
pregnancy after bariatric surgery, or test your knowledge with Healia’s
Pregnancy Quiz.
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