Successful pregnancy following gastric sleeve surgery for long-duration primary infertility: A case report

Morbid obesity negatively affects patients' life quality in several ways. One of the major obesity-related problems is getting pregnant, even when using assisted reproductive technology. Obesity contributes to anovulation and menstrual irregularities, with a lower conception rate, a lower respo...

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Bibliographic Details
Published in:International journal of surgery case reports 2023-05, Vol.106, p.108100, Article 108100
Main Author: Zaman, Amal Yaseen
Format: Article
Language:English
Subjects:
Case Report
Infertility
Obesity
Pregnancy
Sleeve surgery
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Summary:Morbid obesity negatively affects patients' life quality in several ways. One of the major obesity-related problems is getting pregnant, even when using assisted reproductive technology. Obesity contributes to anovulation and menstrual irregularities, with a lower conception rate, a lower response to fertility treatment, poor implantation, low-quality oocytes, and miscarriages. Managing morbid obesity and then assessing the pregnancy outcome is crucial. We reported a case of a 42-year-old woman who had primary infertility for 26 years, polycystic ovary syndrome (PCOS), and a body mass index (BMI) of 51. She was able to get pregnant after having bariatric sleeve surgery, which brought her BMI down to 27. She had a successful pregnancy and live birth by Intrauterine insemination (IUI) from the first trial. Patients with morbid obesity (BMI 35) and obesity-related health problems have often turned to bariatric surgery as their first line of treatment. Extremely overweight females with PCOS and infertility may benefit more from bariatric surgery. Extremely overweight females with PCOS and infertility may benefit more from bariatric surgery, such as laparoscopic sleeve gastrectomy, than rather than only a healthier lifestyle change. Larger studies that assess the effect of bariatric surgeries in highly morbid females with PCOS are needed. •Morbid obesity negatively affects patients' life quality in several ways.•Polycystic ovary syndrome is associated with several negative impacts on pregnancy.•Obesity promotes PCOS and impacts treatment efficacy, including infertility.•Extremely overweight females with PCOS and infertility may benefit more from bariatric surgery.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2023.108100