Skip to main content

Advertisement

SpringerLink
Log in

Benefits and Risks of Bariatric Surgery on Women’s Reproductive Health: a Narrative Review

  • Review
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Bariatric surgery (BS) is escalating as the most efficient and endurable therapy for severe obesity. Women’s reproductive health is essential to women’s quality of life and is receiving increasing attention. However, despite the high prevalence of BS among women, the effect of BS on reproductive health remains underemphasis. The purpose of this narrative review is to provide an overview of BS on women’s reproductive health, including their reproductive health before, during, and after pregnancy. Although limited attention has been given, current evidence highlights the substantial implications of bariatric surgery on reproductive health and reminds us of the importance of adopting decision-making conversations about reproductive health before bariatric surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Pan XF, Wang L, Pan A. Epidemiology and determinants of obesity in China. Lancet Diabetes Endocrinol. 2021;9(6):373–92.

    Article  PubMed  Google Scholar 

  2. Al-Najim W, Docherty NG, le Roux CW. Food intake and eating behavior after bariatric surgery. Physiol Rev. 2018;98(3):1113–41.

    Article  CAS  PubMed  Google Scholar 

  3. Sweet L, Vasilevski V. Women’s experiences of pregnancy and lactation after bariatric surgery: a scoping review. Midwifery. 2022;110:103338.

    Article  PubMed  Google Scholar 

  4. Thies-Lagergren L, Martensson A, Safi A. Women’s experiences of pregnancy after gastric bypass surgery. Eur J Midwifery. 2022;6:52.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Goldenshluger A, Elazary R, Ben Porat T, et al. Knowledge, attitudes, and behaviors of women during pregnancy after bariatric surgery. Surg Obes Relat Dis. 2020;16(7):925–30.

    Article  PubMed  Google Scholar 

  6. Ben Porat T, Yuval JB, Elchalal U, et al. Reproductive health counseling, attitudes, and practices: a cross-sectional survey among bariatric surgeons. Surg Obes Relat Dis. 2019;15(12):2101–6.

    Article  PubMed  Google Scholar 

  7. Gronroos S, Helmio M, Juuti A, et al. Effect of laparoscopic sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss and quality of life at 7 years in patients with morbid obesity: the SLEEVEPASS randomized clinical trial. JAMA Surg. 2021;156(2):137–46.

    Article  PubMed  Google Scholar 

  8. Aminian A, Wilson R, Al-Kurd A, et al. Association of bariatric surgery with cancer risk and mortality in adults with obesity. JAMA. 2022;327(24):2423–33.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mentias A, Aminian A, Youssef D, et al. Long-term cardiovascular outcomes after bariatric surgery in the Medicare population. J Am Coll Cardiol. 2022;79(15):1429–37.

    Article  PubMed  Google Scholar 

  10. Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and risks of bariatric surgery in adults: a review. JAMA. 2020;324(9):879–87.

    Article  PubMed  Google Scholar 

  11. Chen X, Xiao Z, Cai Y, et al. Hypothalamic mechanisms of obesity-associated disturbance of hypothalamic-pituitary-ovarian axis. Trends Endocrinol Metab. 2022;33(3):206–17.

    Article  CAS  PubMed  Google Scholar 

  12. Hoek A, Wang Z, van Oers AM, et al Effects of preconception weight loss after lifestyle intervention on fertility outcomes and pregnancy complications. Fertil Steril. 2022;118(3):456–62.

    Article  PubMed  Google Scholar 

  13. Escobar-Morreale HF, Santacruz E, Luque-Ramirez M, et al. Prevalence of “obesity-associated gonadal dysfunction” in severely obese men and women and its resolution after bariatric surgery: a systematic review and meta-analysis. Hum Reprod Update. 2017;23(4):390–408.

    Article  CAS  PubMed  Google Scholar 

  14. Lv B, Xing C, He B. Effects of bariatric surgery on the menstruation- and reproductive-related hormones of women with obesity without polycystic ovary syndrome: a systematic review and meta-analysis. Surg Obes Relat Dis. 2022;18(1):148–60.

    Article  PubMed  Google Scholar 

  15. Di Carlo C, Palomba S, De Fazio M, et al. Hypogonadotropic hypogonadism in obese women after biliopancreatic diversion. Fertil Steril. 1999;72(5):905–9.

    Article  PubMed  Google Scholar 

  16. Steffen KJ, King WC, White GE, et al. Sexual functioning of men and women with severe obesity before bariatric surgery. Surg Obes Relat Dis. 2017;13(2):334–43.

    Article  PubMed  Google Scholar 

  17. Loh HH, Shahar MA, Loh HS, et al. Female sexual dysfunction after bariatric surgery in women with obesity: a systematic review and meta-analysis. Scand J Surg. 2022;111(1):14574969211072396.

    Article  PubMed  Google Scholar 

  18. Gokalp F, Koras O, Ugur M, et al. Bariatric surgery has positive effects on patients’ and their partners’ sexual function: a prospective study. Andrology. 2021;9(4):1119–25.

    Article  PubMed  Google Scholar 

  19. Steffen KJ, King WC, White GE, et al. Changes in sexual functioning in women and men in the 5 years after bariatric surgery. JAMA Surg. 2019;154(6):487–98.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Hsieh MF, Chen JH, Su YC, et al The increasing possibility of pregnancy postbariatric surgery: a comprehensive national cohort study in Asian population. Obes Surg. 2021;31(3):1022–9.

    Article  PubMed  Google Scholar 

  21. Musella M, Milone M, Bellini M, et al. Effect of bariatric surgery on obesity-related infertility. Surg Obes Relat Dis. 2012;8(4):445–9.

    Article  PubMed  Google Scholar 

  22. Menke MN, King WC, White GE, et al. Conception rates and contraceptive use after bariatric surgery among women with infertility: Evidence from a prospective multicenter cohort study. Surg Obes Relat Dis. 2019;15(5):777–85.

    Article  PubMed  Google Scholar 

  23. Grzegorczyk-Martin V, Freour T, De Bantel Finet A, et al. IVF outcomes in patients with a history of bariatric surgery: a multicenter retrospective cohort study. Hum Reprod. 2020;35(12):2755–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Nilsson-Condori E, Mattsson K, Thurin-Kjellberg A, et al. Outcomes of in-vitro fertilization after bariatric surgery: a national register-based case-control study. Hum Reprod. 2022;37(10):2474–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Milone M, Sosa Fernandez LM, Sosa Fernandez LV, et al. Does bariatric surgery improve assisted reproductive technology outcomes in obese infertile women? Obes Surg. 2017;27(8):2106–12.

    Article  PubMed  Google Scholar 

  26. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013;21 Suppl 1:S1–27.

  27. Busetto L, Dicker D, Azran C, et al. Obesity management task force of the European Association for the study of obesity released “Practical Recommendations for the Post-Bariatric Surgery Medical Management.” Obes Surg. 2018;28(7):2117–21.

    Article  PubMed  Google Scholar 

  28. Chao GF, Yang J, Peahl A, Thumma JR, Dimick JB, Arterburn DE, et al. Births after bariatric surgery in the United States: incidence, obstetric outcomes, and reinterventions. Ann Surg. 2022. https://doi.org/10.1097/SLA.0000000000005438.

    Article  PubMed  Google Scholar 

  29. Chen W, Liang Y, Chen G, et al. Early pregnancy (</= 12 months) after bariatric surgery: does it really influence maternal and perinatal outcomes? Obes Surg. 2022;32(4):979–90.

  30. Crusell M, Nilas L, Svare J, et al. A time interval of more than 18 months between a pregnancy and a Roux-en-Y gastric bypass increases the risk of iron deficiency and anaemia in pregnancy. Obes Surg. 2016;26(10):2457–62.

    Article  PubMed  Google Scholar 

  31. Stentebjerg LL, Andersen LLT, Renault K, et al. Pregnancy and perinatal outcomes according to surgery to conception interval and gestational weight gain in women with previous gastric bypass. J Matern Fetal Neonatal Med. 2017;30(10):1182–8.

    Article  PubMed  Google Scholar 

  32. Rottenstreich A, Levin G, Kleinstern G, et al. The effect of surgery-to-conception interval on pregnancy outcomes after sleeve gastrectomy. Surg Obes Relat Dis. 2018;14(12):1795–803.

    Article  PubMed  Google Scholar 

  33. Snoek KM, Steegers-Theunissen RPM, Hazebroek EJ, et al. The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis. Hum Reprod Update. 2021;27(6):1030–55.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Shawe J, Ceulemans D, Akhter Z, et al. Pregnancy after bariatric surgery: consensus recommendations for periconception, antenatal and postnatal care. Obes Rev. 2019;20(11):1507–22.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Dineley B, Munro S, Norman WV, et al. Contraceptive counselling in 3 Canadian bariatric surgery clinics: a multicentre qualitative study of the experiences of patients and health care providers. CMAJ Open. 2022;10(1):E255–61.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Goldenshluger A, Elazary R, Ben Porat T, et al. Knowledge, attitudes, and behaviors of women during pregnancy after bariatric surgery. Surg Obes Relat Dis. 2020;16(7):925–30.

    Article  PubMed  Google Scholar 

  37. Ginstman C, Frisk J, Carlsson B, et al. Plasma concentrations of etonogestrel in women using oral desogestrel before and after Roux-en-Y gastric bypass surgery: a pharmacokinetic study. BJOG. 2019;126(4):486–92.

    Article  CAS  PubMed  Google Scholar 

  38. Moreira de Brito C, de Melo ME, Mancini MC, et al. Pharmacokinetics of oral levonorgestrel and ethinylestradiol in women after Roux-en-Y gastric bypass surgery. Surg Obes Relat Dis. 2021;17(4):673–81

  39. Gasmi A, Bjorklund G, Mujawdiya PK, Semenova Y, Dosa A, Piscopo S, et al. Dietary supplements and bariatric surgery. Crit Rev Food Sci Nutr. 2022; 1–12. https://doi.org/10.1080/10408398.2022.2046542.

  40. Maslin K, James A, Brown A, Bogaerts A, Shawe J. What is known about the nutritional intake of women during pregnancy following bariatric surgery? A scoping review. Nutrients. 2019;11(9):2116. https://doi.org/10.3390/nu11092116.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Rottenstreich A, Elazary R, Goldenshluger A, et al. Maternal nutritional status and related pregnancy outcomes following bariatric surgery: a systematic review. Surg Obes Relat Dis. 2019;15(2):324–32.

    Article  PubMed  Google Scholar 

  42. Araki S, Shani Levi C, Abutbul Vered S, et al. Pregnancy after bariatric surgery: effects of personalized nutrition counseling on pregnancy outcomes. Clin Nutr. 2022;41(2):288–97.

    Article  PubMed  Google Scholar 

  43. Chapmon K, Stoklossa CJ, Benson-Davies S. Integrated Health Clinical Issues Committee of the American Society for M, Bariatric S. Nutrition for pregnancy after metabolic and bariatric surgery: literature review and practical guide. Surg Obes Relat Dis. 2022;18(6):820–30.

  44. Kwong W, Tomlinson G, Feig DS. Maternal and neonatal outcomes after bariatric surgery; a systematic review and meta-analysis: do the benefits outweigh the risks? Am J Obstet Gynecol. 2018;218(6):573–80.

    Article  PubMed  Google Scholar 

  45. Johansson K, Wikström AK, Söderling J, et al. Risk of pre-eclampsia after gastric bypass: a matched cohort study. Bjog. 2022;129(3):461–71.

    Article  CAS  PubMed  Google Scholar 

  46. Johansson K, Cnattingius S, Naslund I, et al. Outcomes of pregnancy after bariatric surgery. N Engl J Med. 2015;372(9):814–24.

    Article  CAS  PubMed  Google Scholar 

  47. Patel D, Borrelli N, Patey O, et al. Maternal cardiovascular adaptation to pregnancy in women with previous bariatric surgery. Am J Obstet Gynecol. 2022;226(3):409.e1–e16

  48. Chevrot A, Kayem G, Coupaye M, et al. Impact of bariatric surgery on fetal growth restriction: experience of a perinatal and bariatric surgery center. Am J Obstet Gynecol. 2016;214(5):655.e1–7.

  49. Coupaye M, Legardeur H, Sami O, et al. Impact of Roux-en-Y gastric bypass and sleeve gastrectomy on fetal growth and relationship with maternal nutritional status. Surg Obes Relat Dis. 2018;14(10):1488–94.

    Article  PubMed  Google Scholar 

  50. Yerlikaya-Schatten G, Feichtinger M, Stopp T, et al. Trajectories of fetal adipose tissue thickness in pregnancies after gastric bypass surgery. Obes Surg. 2020;30(1):96–101.

    Article  PubMed  Google Scholar 

  51. Feichtinger M, Falcone V, Schoenleitner T, et al. Intrauterine fetal growth delay during late pregnancy after maternal gastric bypass surgery. Ultraschall Med. 2020;41(1):52–9.

    Article  PubMed  Google Scholar 

  52. Stuart A, Kallen K. Risk of abdominal surgery in pregnancy among women who have undergone bariatric surgery. Obstet Gynecol. 2017;129(5):887–95.

    Article  PubMed  Google Scholar 

  53. Petrucciani N, Ciangura C, Debs T, et al. Management of surgical complications of previous bariatric surgery in pregnant women. A systematic review from the BARIA-MAT Study Group. Surg Obes Relat Dis. 2020;16(2):312–31.

    Article  PubMed  Google Scholar 

  54. Nguyen CP, Goodman LH. Fetal risk in diagnostic radiology. Semin Ultrasound CT MR. 2012;33(1):4–10.

  55. Krishna S, McInnes MDF, Schieda N, et al. Diagnostic accuracy of MRI for diagnosis of internal hernia in pregnant women with prior Roux-en-Y gastric bypass. AJR Am J Roentgenol. 2018;211(4):755–9.

    Article  PubMed  Google Scholar 

  56. Loh HH, Francis B, Lim LL, et al. Improvement in mood symptoms after post-bariatric surgery among people with obesity: a systematic review and meta-analysis. Diabetes Metab Res Rev. 2021;37(8):e3458.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Muller A, Hase C, Pommnitz M, et al. Depression and suicide after bariatric surgery. Curr Psychiatry Rep. 2019;21(9):84.

    Article  PubMed  Google Scholar 

  58. Kauppila JH, Santoni G, Tao W, et al. Risk factors for suicide after bariatric surgery in a population-based nationwide study in five Nordic countries. Ann Surg. 2022;275(2):e410–4.

    Article  PubMed  Google Scholar 

  59. Kim J, Kelley J, Davidson L, et al. Depression and anxiety incidence during pregnancy between bariatric surgery patients and matched control subjects. Obes Surg. 2022;32(6):1962–8.

    Article  PubMed  Google Scholar 

  60. Kim J, Davidson L, Hunt S, et al. Association of prenatal substance use disorders with pregnancy and birth outcomes following bariatric surgery. Int J Obes (Lond). 2022;46(1):107–12.

    Article  PubMed  Google Scholar 

  61. Adam S, Ammori B, Soran H, et al. Pregnancy after bariatric surgery: screening for gestational diabetes. BMJ. 2017;356:j533.

    Article  PubMed  Google Scholar 

  62. Freitas C, Araujo C, Caldas R, et al. Effect of new criteria on the diagnosis of gestational diabetes in women submitted to gastric bypass. Surg Obes Relat Dis. 2014;10(6):1041–6.

    Article  PubMed  Google Scholar 

  63. Rottenstreich A, Elazary R, Ezra Y, et al. Hypoglycemia during oral glucose tolerance test among post-bariatric surgery pregnant patients: incidence and perinatal significance. Surg Obes Relat Dis. 2018;14(3):347–53.

    Article  PubMed  Google Scholar 

  64. Benhalima K, Minschart C, Ceulemans D, Bogaerts A, Van Der Schueren B, Mathieu C, Devlieger R. Screening and management of gestational diabetes mellitus after bariatric surgery. Nutrients. 2018;10(10):1479. https://doi.org/10.3390/nu10101479.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Brix JM, Kopp HP, Hollerl F, et al. Frequency of hypoglycaemia after different bariatric surgical procedures. Obes Facts. 2019;12(4):397–406.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Stentebjerg LL, Madsen LR, Stoving RK, et al. Hypoglycemia in pregnancies following gastric bypass-a systematic review and meta-analysis. Obes Surg. 2022;32(6):2047–55.

    Article  PubMed  Google Scholar 

  67. Lupoli R, Lembo E, Rainone C, et al. Rate of post-bariatric hypoglycemia using continuous glucose monitoring: a meta-analysis of literature studies. Nutr Metab Cardiovasc Dis. 2022;32(1):32–9.

    Article  CAS  PubMed  Google Scholar 

  68. Maric T, Kanu C, Muller DC, et al. Fetal growth and fetoplacental circulation in pregnancies following bariatric surgery: a prospective study. BJOG. 2020;127(7):839–46.

    Article  CAS  PubMed  Google Scholar 

  69. Ciangura C, Coupaye M, Deruelle P, et al. Clinical practice guidelines for childbearing female candidates for bariatric surgery, pregnancy, and post-partum management after bariatric surgery. Obes Surg. 2019;29(11):3722–34.

    Article  PubMed  Google Scholar 

  70. Christopher KM, Abdelsalam A, Flick L, et al. Pregnancy complications in women with weight loss surgery compared to a non-surgical population of women with obesity. Obes Surg. 2022;32(4):991–7.

    Article  PubMed  Google Scholar 

  71. Getahun D, Fassett MJ, Jacobsen SJ, et al. Perinatal outcomes after bariatric surgery. Am J Obstet Gynecol. 2022;226(1):121.e1–e16

  72. Auger N, Ukah UV, Monnier M, et al. Risk of severe maternal morbidity after bariatric surgery: retrospective cohort study. Ann Surg. 2021;274(3):e230–5.

    Article  PubMed  Google Scholar 

  73. Stephansson O, Johansson K, Soderling J, et al. Delivery outcomes in term births after bariatric surgery: population-based matched cohort study. PLoS Med. 2018;15(9):e1002656.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Neovius M, Pasternak B, Naslund I, et al. Association of maternal gastric bypass surgery with offspring birth defects. JAMA. 2019;322(15):1515–7.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Josefsson A, Bladh M, Wirehn AB, et al. Risk for congenital malformations in offspring of women who have undergone bariatric surgery. A national cohort. BJOG. 2013;120(12):1477–82.

    Article  CAS  PubMed  Google Scholar 

  76. Pelizzo G, Calcaterra V, Fusillo M, et al. Malnutrition in pregnancy following bariatric surgery: three clinical cases of fetal neural defects. Nutr J. 2014;13:59.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Kang L, Marty D, Pauli RM, et al. Chondrodysplasia punctata associated with malabsorption from bariatric procedures. Surg Obes Relat Dis. 2010;6(1):99–101.

    Article  PubMed  Google Scholar 

  78. Auger N, Bilodeau-Bertrand M, Tith RM, et al. Bariatric surgery and the risk of congenital anomalies in subsequent pregnancies. Am J Clin Nutr. 2019;110(5):1168–74.

    Article  PubMed  Google Scholar 

  79. Persson M, Cnattingius S, Villamor E, et al. Risk of major congenital malformations in relation to maternal overweight and obesity severity: cohort study of 1.2 million singletons. BMJ. 2017;357:j2563.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Benjamin RH, Littlejohn S, Mitchell LE. Bariatric surgery and birth defects: a systematic literature review. Paediatr Perinat Epidemiol. 2018;32(6):533–44.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Parent B, Martopullo I, Weiss NS, et al. Bariatric surgery in women of childbearing age, timing between an operation and birth, and associated perinatal complications. JAMA Surg. 2017;152(2):128–35.

    Article  PubMed  Google Scholar 

  82. Akhter Z, Rankin J, Ceulemans D, et al. Pregnancy after bariatric surgery and adverse perinatal outcomes: a systematic review and meta-analysis. PLoS Med. 2019;16(8):e1002866.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Celiker MY, Chawla A. Congenital B12 deficiency following maternal gastric bypass. J Perinatol. 2009;29(9):640–2.

    Article  CAS  PubMed  Google Scholar 

  84. Martens WS 2nd, Martin LF, Berlin CM Jr. Failure of a nursing infant to thrive after the mother’s gastric bypass for morbid obesity. Pediatrics. 1990;86(5):777–8.

    Article  PubMed  Google Scholar 

  85. Jans G, Devlieger R, De Preter V, et al. Bariatric surgery does not appear to affect women’s breast-milk composition. J Nutr. 2018;148(7):1096–102.

    Article  PubMed  Google Scholar 

  86. Garretto D, Kim YK, Quadro L, et al. Vitamin A and beta-carotene in pregnant and breastfeeding post-bariatric women in an urban population. J Perinat Med. 2019;47(2):183–9.

    Article  CAS  PubMed  Google Scholar 

  87. Gimenes JC, Nicoletti CF, de Souza Pinhel MA, et al. Nutritional status of children from women with previously bariatric surgery. Obes Surg. 2018;28(4):990–5.

    Article  PubMed  Google Scholar 

  88. Dickens CE, Safer DL, Runfola CD, et al. The offspring of parents undergoing a weight loss surgery: a systematic review. Surg Obes Relat Dis. 2020;16(6):806–15.

    Article  PubMed  Google Scholar 

  89. Smith J, Cianflone K, Biron S, et al. Effects of maternal surgical weight loss in mothers on intergenerational transmission of obesity. J Clin Endocrinol Metab. 2009;94(11):4275–83.

    Article  CAS  PubMed  Google Scholar 

  90. Rex SM, Russel K, Reiter-Purtill J, et al. A cross-sectional examination of the home food environments of mothers who have undergone metabolic and bariatric surgery: a pilot study. Surg Obes Relat Dis. 2020;16(12):2016–21.

    Article  PubMed  Google Scholar 

  91. Zeller MH, Robson SM, Reiter-Purtill J, et al. Halo or horn? A qualitative study of mothers’ experiences with feeding children during the first year following bariatric surgery. Appetite. 2019;142:104366.

    Article  PubMed  Google Scholar 

  92. Van De Maele K, De Geyter C, Vandenplas Y, Gies I, Devlieger R. Eating habits of children born after maternal bariatric surgery. Nutrients. 2020;12(9):2577. https://doi.org/10.3390/nu12092577.

    Article  PubMed  Google Scholar 

  93. Van De Maele K, Bogaerts A, De Schepper J, et al. Adiposity, psychomotor and behaviour outcomes of children born after maternal bariatric surgery. Pediatr Obes. 2021;16(5):e12749.

    PubMed  Google Scholar 

  94. Damti P, Friger M, Landau D, et al. Offspring of women following bariatric surgery and those of patients with obesity are at an increased risk for long-term pediatric endocrine morbidity. Arch Gynecol Obstet. 2019;300(5):1253–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Author notes

  1. Jun-Cheng Yang and Gang Chen contributed equally to this work.

Authors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, China

    Jun-Cheng Yang, Gang Chen & Xiao Du

  2. Department of General Surgery, The Second Clinical Medical College, The Fifth People’s Hospital Affiliated to Chengdu University of Traditional Chinese Medicine, Chengdu, 610041, China

    Gang Chen

  3. Department of General Surgery, Ya‘an People’s Hospital, Yaan, 625000, China

    Xiao Du

Authors
  1. Jun-Cheng Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gang Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xiao Du
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Xiao Du.

Ethics declarations

Ethical Approval

For this type of study formal consent is not required.

Informed Consent

Informed consent does not apply in this study.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Key points

Insufficient attention is paid to bariatric surgery and reproductive health; Mixed influence of the bariatric surgery on reproductive health; Conversations should be made about reproductive health before bariatric surgery.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yang, JC., Chen, G. & Du, X. Benefits and Risks of Bariatric Surgery on Women’s Reproductive Health: a Narrative Review. OBES SURG 33, 1587–1595 (2023). https://doi.org/10.1007/s11695-023-06513-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-023-06513-6

Keywords

Search

Navigation