Muhammad A. Jawad
Orlando Regional Medical Center, USA
Title: Effect of bariatric surgery on patients with PCOS
Biography
Biography: Muhammad A. Jawad
Abstract
PCOS patients are associated with obesity in 30-70 %, and most of this is central obesity with associated metabolic syndrome. This is associated with hyper-insulinemia, increased insulin resistance, decreased production of sex-binding globulin by the liver, resulting in increased circulating androgen with its effect on the patient of amenorrhea, hirsutism, anovulation and infertility.
Weight loss with diet and life style changes was associated with dismal results in morbidly obese patients, while bariatric surgery has shown to produce long-lasting weight loss in more than 85% of patients.
It has been noticed that bariatric surgery resulted in improving infertility, ovulation and hirsutism in patients with PCOS.
Surgical option should be offered to the patient with PCOS with morbid obesity when counseling these patients.