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Médecine thérapeutique / Médecine de la reproduction, gynécologie et endocrinologie

Impact of bariatric surgery on fertility Volume 13, issue 4, Octobre-Décembre 2011

  • Author(s): Pauline Léveillé, Nathalie Sermondade, Céline Faure, Jean-Marc Catheline, Salomon Benchetrit, Serge Hercberg, Sébastien Czernichow, Rachel Lévy , Université Paris-13, Cnam, CRNH IdF, UMR U557 Inserm, U1125 Inra, unité de recherche en épidémiologie nutritionnelle, 74, rue Marcel-Cachin, 93017 Bobigny, France, Hôpital Avicenne, département de santé publique, 93017 Bobigny, France, Hôpital Jean-Verdier, service de biologie de la reproduction, avenue du 14-Juillet, 93130 Bondy, France, Centre hospitalier de Saint-Denis, hôpital Delafontaine, service de chirurgie viscérale, 2, rue du Docteur-Delafontaine, 93205 Saint-Denis, France, Hôpital privé Jean-Mermoz, 55, avenue Jean-Mermoz, 69008 Lyon, France, Hôpital privé Natecia, 22, avenue Rockefeller, 69008 Lyon, France, Centre de consultation de l’obésité, 29, rue Antoine-Pericaud, 69008 Lyon, France, Hôpital Ambroise-Paré, unité fonctionnelle nutrition-obésité, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France
  • Key words: obesity, bariatric surgery, fertility, pregnancy complications
  • Page(s) : 249-56
  • DOI : 10.1684/mte.2011.0374
  • Published in: 2011

Obesity is an increasingly serious public health issue, especially in childbearing women and men. Weight loss is strongly recommended before planning a pregnancy in order to increase fertility and decrease obstetrical, maternal, and fetal complications. Bariatric surgery is an efficient therapeutic tool, which can deeply, quickly, persistently decrease the weight. Bariatric surgery has been shown to fix comorbidities and mortality. Recent data underline positive effects on menstrual cycles and maternofetal complications after bariatric surgery. However, few studies show that one of the consequences of bariatric surgery, nutritional deficiencies, may impact on fertility and fetal development. Finally, long-term health of the offspring conceived before or after surgery must be investigated.