Gynecologic-obstetric changes after loss of massive excess weight following bariatric surgery.
A clinical study was undertaken to assess gynecologic-obstetric changes in morbidly obese women who lost greater than or equal to 50% of their excess weight with bariatric surgery. The 138 females (109 of reproductive age), age 35 +/- 9 SD yr, weighed 124 +/- 23 kg before surgery and 79 +/- 13 kg after weight loss had stabilized. Menstrual irregularities were present in 40.4% of premenopausal patients preoperatively; after massive weight loss, cycles were abnormal in 4.6% (p less than 0.001). Infertility problems were present preoperatively in 29.3% Of these, nine tried to conceive after weight loss and were successful. During past pregnancies, medical complications were frequent (hypertension 26.7%, pre-eclampsia 12.8%, diabetes 7.0%, and deep vein thrombosis 7.0%). After weight-loss stabilization, these obstetric complications did not occur. Incidence of urinary stress incontinence decreased from 61.2% to 11.6% (p less than 0.001). Gynecologic-obstetric changes tended to normalize after loss of massive body weight.
Deitel
M
M
Department of Nutritional Sciences, University of Toronto, Ont. Canada.
Stone
E
E
Kassam
H A
HA
Wilk
E J
EJ
Sutherland
D J
DJ
D000293:Adolescent; D000328:Adult; D001835:Body Weight; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology* / Q000517:prevention & control; D006628:Hirsutism / Q000453:epidemiology; D006801:Humans; D008599:Menstruation Disturbances / Q000453:epidemiology; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000517:prevention & control; D014550:Urinary Incontinence, Stress / Q000453:epidemiology