Impacto da cirurgia bariátrica na fertilidade feminina - Revisão

The prevalence of people who are overweight or obese has increased dramatically in high‐income countries over the past 20 years. There is a strong association between obesity and infertility, and weight loss can increase fecundity in obese women. Reproductive age women comprise the majority of bariatric patients, and many may be interested in conceiving after surgery. Bariatric surgery has been shown to improve menstrual cyclicity in anovulatory women. Moreover, the increased risk of miscarriage in obese women may decline after bariatric surgery. However, little is published on the impact of surgical weight loss on spontaneous or in vitro fertilization (IVF)‐treatment‐related pregnancy rates. The purpose of this review is to synthesize the recent literature on bariatric surgery and fertility to help on patient counseling.