Implications of obesity on surgical management of infertility and heavy menstrual bleeding

This review on the impact of obesity on reproductive health will concentrate on two key areas: infertility and heavy menstrual bleeding. The pathophysiology involved in these common problems is discussed. The management of infertility is discussed, in particular the management of anovulation associated with polycystic ovarian syndrome. There is also a focus on the surgical management of infertile obese women in the form of diagnostic laparoscopy, highlighting the key concerns and risks involved. Medical and surgical management of heavy menstrual bleeding is discussed including the many varied issues involved in hysterectomy of the obese woman.