Women are an integral part of human society. She is the mother of mankind.The concern for women health has increased in the recent times. There has been an increase in the diseases which have been attributed to the recent lifestyle changes of today’s woman. Women also need health care more and access to the health care system more than do men. While part of this is due to their reproductive and sexual health needs, they also have more chronic non-reproductive health issues such as cardiovascular disease, cancer, mental illness, diabetes, obesity and osteoporosis.
Being overweight or obese not only increases the risk of health problems such as heart disease and diabetes but can also increase the risk of infertility and the chance of having an unhealthy baby. Obesity in females can cause :
You have a greater chance of getting pregnant and having a healthy baby if you are close to a healthy weight. Thus weight loss surgery/Bariatric surgery can improve infertility and pregnancy. With proper post-surgery care, most women successfully lose weight and can conceive in a natural way. The closer you are to a healthy weight, the greater your chance of conceiving (getting pregnant) and having a healthy baby.
Bariatric surgery/ weight loss surgery is also known as metabolic surgeries which is specially designed for obese people. In these surgeries, the gut hormones are altered which are responsible for hunger and satiety leading to a new hormonal weight point. Bariatric procedures include restrictive, malabsorptive, and a combination of both. Weight loss surgery like Laparoscopic gastric sleeve (LSG), laparoscopic mini gastric bypass (MGB), laparoscopic Roux-en-Y Gastric bypass (RYGB), is an effective way to reduce obesity. As it can help to reduce your weight-related abnormalities and infertility. The most recent American Society for Metabolic & Bariatric Surgery guidelines suggest the BMI as an indication for bariatric surgery. The recent guidelines suggest that any patient with a BMI of more than 30 with co-morbidities is a candidate for bariatric surgery.
Bariatric Surgery and PCOS
A common condition that affects overweight or obese women, called polycystic ovarian syndrome (PCOS), also leads to infertility. In this condition the production of the hormone testosterone is very high and the metabolic imbalance leads to further increase in the blood sugar levels and insulin resistance. As we all know that insulin is the major hormone involved in blood sugar regulation, and insulin resistance means your body requires higher amounts of insulin to get a response. Higher amounts of insulin affect the ability of follicle within the ovaries to grow, and it also negatively affects the ability of eggs to mature.
Thus, this makes it very clear that weight loss after bariatric surgery helps to regulate menstruation and hormonal imbalances which improves infertility.
Can I Get Pregnant After Bariatric Surgery?
When everything fails Bariatric surgery gives you a new life –a chance to start new, improve health and start a family. After the bariatric surgery the bodies hormones get normalized/resolution of PCOS and menstruation cycle/lower the BMI lower the complications/lower risk of miscarriages. It becomes encouraging for the females with such a drastic weight loss as they can finally conceive in a natural way. Bariatric surgery is not only the most effective tool for the treatment of obesity, but it also gives hope to millions of women who aspire to be mothers.
When Can I Conceive After Bariatric Surgery?
The chances of getting pregnant increases after bariatric surgery, to be on the safer side and to take the most benefit of the surgery you should avoid pregnancy for at least 12-18 months so that you can reach your weight goals before getting pregnant. Post-surgery due to your rapid weight loss there are lot of metabolic changes occurring in the body, once you maintain your Ideal Body Weight and normal BMI you can plan for a baby.
What if I was diagnosed with anemia after bariatric surgery?
Anemia is very common during pregnancy; it usually happens when your body is not getting enough nutrients like iron and vitamin B12 or folate. Once you conceive, you need to take special care of your diet as during pregnancy the requirement of macro and micronutrients increases. Regular checkup with your gynecologist and your Bariatric team is recommended as they will prescribe additional supplementation to fulfil those needs.
“Sometime the smallest step in the right direction ends up being the biggest step of your life”
So it is really important that women are educated by these health conditions at home and at the workplace too. A healthy woman means a healthy family as today’s woman is sharing the responsibilities in the household as well as at the workplace equally.