Bariatric Surgery: A pathway to fertility in obese – A case study
DOI:
https://doi.org/10.61841/ypwk1c27Keywords:
bariatric surgery, polycystic ovary syndrome(PCOS), Laparoscopic Sleeve Gastrectomy (LSG)Abstract
There is an increasing popularity of bariatric surgery in reproductive-age women. This is a description of a morbidly obese woman with polycystic ovary syndrome (PCOS) and hypothyroidism seeking treatment to become pregnant underwent Laparoscopic Sleeve Gastrectomy (LSG). The patient feels she could not achieve her wishes because of her obesity in childhood. The article explains the positive and negative experiences the woman had to undergo striving for control and normality post surgically, throughout the pregnancy and postnatal period. Immediately after the surgery her weight was 56 kg which means she has lost approximately 37 kg weight. But her present weight is 65 kg. Over a period of three years there is a gain of 9kg in the weight. The overall score of SF – 36 was 87% with the MCS higher (92% ) than PCS (83.3%). Coping with the food especially during the initial years, concerns about pregnancy and the growth of the baby often due to food intolerances were expressed. Finally the enjoyment that has come as a result of improvement in self esteem, independence in the patient, in her work and family was evident as she thinks she has taken the right decision at the right time. The present concern for her is the weight regain and struggle to maintain the new weight. The case study highlights the improvement in quality of life, at the same time reinforces the need for interventions and support groups to alleviate the concerns related to weight regain and maintenance.
Downloads
References
1. Robson, S., Daniels, B., & Rawlings, L. (2016). Bariatric surgery for women of reproductive age. BJOG: An International Journal of Obstetrics & Gynaecology, 123(2), 171–174.
2. Balen, A. H., Anderson, R. A., & Policy & Practice Committee of the British Fertility Society. (2007). Impact of obesity on female reproductive health: British Fertility Society policy and practice guidelines. Human Fertility, 10(4), 195–206.
3. Rafique, M., & Nuzhat, A. (2016). Role of obesity in female infertility and assisted reproductive technology (ART) outcomes. Saudi Journal of Obesity, 4(2), 75.
4. Ouyang, D. W., & Jones, D. (2017). Fertility and pregnancy after bariatric surgery. UpToDate. Retrieved from https://www.uptodate.com
5. Santry, H. P., Gillen, D. L., & Lauderdale, D. S. (2005). Trends in bariatric surgical procedures. JAMA, 294(15), 1909–1917.
6. Moran, L. J., & Norman, R. J. (2012). The effect of bariatric surgery on female reproductive function. Journal of Clinical Endocrinology & Metabolism, 97(12), 4352–4364.
7. Merhi, Z. O. (2009). Impact of bariatric surgery on female reproduction. Fertility and Sterility, 92(5), 1501–1508.
8. Sarkhosh, K., Birch, D. W., Sharma, A., & Karmali, S. (2013). Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: A surgeon’s guide. Canadian Journal of Surgery, 56(5), 347–352.
9. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): Conceptual framework and item selection. Medical Care, 30(6), 473–483.
10. Liang, V. X., Jackson, A. C., & McKenzie, V. L. (2011). The effects of teasing in childhood or adolescence on young adults’ body image. The Educational and Developmental Psychologist, 28(2), 101–115.
11. Wee, C. C., Davis, R. B., Huskey, K. W., Jones, D. B., & Hamel, M. B. (2013). Quality of life among obese patients seeking weight loss surgery: The importance of obesity-related social stigma and functional status. Journal of General Internal Medicine, 28(2), 231–238.
12. Duarte-Guerra, L. S., Coêlho, B. M., Santo, M. A., & Wang, Y. P. (2015). Psychiatric disorders among obese patients seeking bariatric surgery: Results of structured clinical interviews. Obesity Surgery, 25(5), 830–837.
13. Silvestris, E., de Pergola, G., Rosania, R., & Loverro, G. (2018). Obesity as disruptor of the female fertility. Reproductive Biology and Endocrinology, 16(1), 22.
14. Geraci, A. A., Brunt, A., & Marihart, C. (2014). The work behind weight-loss surgery: A qualitative analysis of food intake after the first two years post-op. ISRN Obesity, 2014, Article ID 427062.
15. Coulman, K. D., MacKichan, F., Blazeby, J. M., & Owen-Smith, A. (2017). Patient experiences of outcomes of bariatric surgery: A systematic review and qualitative synthesis. Obesity Reviews, 18(5), 547–559.
16. Szmulewicz, A., Wanis, K. N., Gripper, A., Angriman, F., Hawel, J., Elnahas, A., Alkhamesi, N. A., & Schlachta, C. M. (2019). Mental health quality of life after bariatric surgery: A systematic review and meta-analysis of randomized clinical trials. Clinical Obesity, 9(1), e12290.
17. Faccio, E., Nardin, A., & Cipolletta, S. (2016). Becoming ex-obese: Narrations about identity changes before and after bariatric surgery. Journal of Clinical Nursing, 25(11–12), 1713–1720.
18. Griauzde, D. H., Ibrahim, A. M., Fisher, N., Stricklen, A., Ross, R., & Ghaferi, A. A. (2018). Understanding the psychosocial impact of weight loss following bariatric surgery: A qualitative study. BMC Obesity, 5(1), 38.
19. Natvik, E., Gjengedal, E., & Råheim, M. (2013). Totally changed, yet still the same: Patients’ lived experiences five years beyond bariatric surgery. Qualitative Health Research, 23(9), 1202–1214.
20. Speck, C. M. (2016). Life after bariatric surgery: A mixed-method analysis on social support and quality of life (Doctoral dissertation, George Fox University). Retrieved from https://digitalcommons.georgefox.edu/psyd/195
21. Ficaro, I. (2018). Surgical weight loss as a life-changing transition: The impact of interpersonal relationships on post-bariatric women. Applied Nursing Research, 40, 7–12.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
