Polycystic Ovarian Syndrome and Fertility

Bariatric Surgery in PCOS

Bariatric surgery, commonly performed for weight loss in individuals with severe obesity, can significantly benefit women with polycystic ovary syndrome (PCOS). Obesity is a common condition associated with PCOS and can exacerbate its symptoms, including insulin resistance, hormonal imbalances, and difficulty conceiving. Bariatric surgery, by promoting substantial weight loss, helps improve insulin sensitivity, regulate menstrual cycles, and restore ovulation, which can enhance fertility in women with PCOS.

Studies have shown that bariatric surgery can also reduce androgen levels, which are responsible for symptoms like excessive hair growth (hirsutism) and acne. Additionally, it lowers the risk of long-term complications associated with PCOS, such as type 2 diabetes and cardiovascular disease. While bariatric surgery can be a transformative option for managing severe obesity and PCOS symptoms, it is typically considered only after other weight loss methods, like lifestyle changes and medication, have been unsuccessful. A multidisciplinary approach, including guidance from endocrinologists, gynecologists, and bariatric specialists, is essential to ensure optimal outcomes for women with PCOS undergoing this procedure.