The Effect of Gastric Sleeve Resection on Menstrual Pattern and Ovulation in Premenopausal Women with Classes III–IV Obesity

Татарчук, Т. Ф; Тодуров, І. М.; Anagnostis, Panagiotis; Тутченко, Т. М.; Педаченко, Н. Ю.; Гламазда, М. І.; Koseii, Natalia; Regeda, Svetlana

doi:10.1007/s11695-021-05820-0

Cited by 7 publications

(9 citation statements)

References 39 publications

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“…The number of women with PCOS included in each study ranged from 6 to 83 with the mean age ranging from 24 to 37 years. The Rotterdam criteria were used to diagnose PCOS in nine studies, [14][15][16][17][19][20][21][22][23] and the original NIH criteria were used in one study. 18…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…The proportion of participants lost to followup and/or excluded from analysis was unclear or not reported in multiple studies. 15,19,22…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…15 Compared with lifestyle management, bariatric surgery led to a shorter intermenstrual length and higher likelihood of ovulation. 15 No studies assessed metabolic or hormonal outcomes in women with PCOS following bariatric surgery compared to lifestyle management.…”

Section: Bariatric Surgery Versus Lifestyle Managementmentioning

confidence: 99%

“…A meta-analysis was performed for the seven cohort studies that compared anthropometric outcomes between women with and without PCOS following bariatric surgery [15][16][17][18][19][20][21] (Tables 2 and 3). At baseline, anthropometric measures of body weight and BMI were similar between groups.…”

Section: Bariatric Surgery In Women With Versus Without Pcosmentioning

confidence: 99%

“…In descriptive analysis, individual studies found that there were greater improvements in free testosterone, menstrual cycle regularity, ovulation, intermenstrual length, and pregnancy rates after bariatric surgery among women with PCOS compared to those without PCOS. 15,18,19 Additional pregnancy outcomes (e.g., pre-eclampsia, live birth) were reported in single studies (Supporting Information).…”

Section: Bariatric Surgery In Women With Versus Without Pcosmentioning

confidence: 99%

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Impact of bariatric surgery on anthropometric, metabolic, and reproductive outcomes in polycystic ovary syndrome: a systematic review and meta‐analysis

Benham,

Corbett,

Yamamoto

et al. 2024

Obesity Reviews

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SummaryPolycystic ovary syndrome (PCOS) is a common endocrine disorder in females. Modest weight loss improves reproductive and metabolic PCOS features. While lifestyle modifications and pharmacotherapies remain first‐line weight loss strategies, bariatric surgery is emerging as a potentially effective treatment. We performed a systematic review and meta‐analysis of published literature to examine the impact of bariatric surgery in PCOS to inform the 2023 International PCOS Evidence‐based Guidelines. Electronic databases were searched for observational studies and trials comparing pharmacologic or lifestyle treatments to bariatric surgery in women with PCOS or bariatric surgery in women with or without PCOS. Anthropometric, reproductive, hormonal, and metabolic outcomes were included and, where possible, meta‐analyzed using random‐effects models. Risk of bias and evidence quality were assessed. Ten studies were included involving 432 women with and 590 women without PCOS. Comparisons between bariatric surgery and pharmacologic or lifestyle treatments were only reported in one study each, and most reproductive outcomes were limited to a single study; therefore, meta‐analyses could not be performed. Meta‐analysis found that women with PCOS experience similar improvements in anthropometric, hormonal, and metabolic outcomes after bariatric surgery compared to those without PCOS. Existing research is limited and of low quality with high risk of bias, especially in comparison to existing PCOS treatments and with respect to reproductive outcomes including pregnancy, highlighting the need for additional studies to inform clinical recommendations.

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