Journal article
Roux-en-Y gastric bypass ameliorates polycystic ovary syndrome and dramatically improves conception rates: a 9-year analysis
Surgery for obesity and related diseases, Vol.8(4), pp.440-444
07/2012
DOI: 10.1016/j.soard.2011.09.022
PMID: 22169760
Abstract
Polycystic ovary syndrome (PCOS) is a common cause of infertility, especially in the morbidly obese. We evaluated the long-term effects of Roux-en-Y gastric bypass on PCOS and infertility.
A total of 566 morbidly obese women underwent Roux-en-Y gastric bypass from 2000 to 2009. A total of 31 patients (5.5%) had a history of PCOS. Of the 31 patients, 6 were postmenopausal and 5 lost to follow-up and were excluded. Telephone interviews were conducted with the 20 eligible patients.
The mean age and body mass index was 32 ± 5.8 years (range 22–42) and 52.8 ± 9.08 kg/m2 (range 37–76) before surgery. All 20 patients had ≥2 of 3 diagnostic criteria for PCOS, including clinical or biochemical evidence of hyperandrogenism, anovulation, or polycystic ovaries. Of these, 85% had oligomenorrhea, 70% had hirsutism, and 45% had type 2 diabetes mellitus with medication. Before surgery, 8 patients conceived with or without hormonal treatment, 2 did not desire pregnancy, and 10 did not conceive. The mean follow-up was 46.7 months. After surgical weight loss, menstruation was corrected in 82%, hirsutism had resolved in 29%, and 77.8% of those with diabetes had complete remission. Of the 10 patients who did not conceive before surgery, 4 no longer desired pregnancy, and the remaining 6 patients had become pregnant within 3 years of surgery—5 without any hormonal treatment and 1 with in utero insemination.
Surgical weight loss after Roux-en-Y gastric bypass achieves excellent amelioration of PCOS manifestations and the postoperative conception rate in infertile PCOS subjects desiring pregnancy was 100%.
Details
- Title: Subtitle
- Roux-en-Y gastric bypass ameliorates polycystic ovary syndrome and dramatically improves conception rates: a 9-year analysis
- Creators
- Mohammad JamalYusuf GunayAlyssa CapperAnas EidDebi HeitshusenIsaac Samuel
- Resource Type
- Journal article
- Publication Details
- Surgery for obesity and related diseases, Vol.8(4), pp.440-444
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.soard.2011.09.022
- PMID
- 22169760
- ISSN
- 1550-7289
- eISSN
- 1878-7533
- Language
- English
- Date published
- 07/2012
- Academic Unit
- Surgery
- Record Identifier
- 9984051747702771
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