Effects of bariatric surgery on sexual function and fertility: A narrative review

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-04-30 DOI:10.1111/obr.13757
Saikam Law, Kating Wan, Wah Yang, Global Obesity Collaborative
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Abstract

Obesity has emerged as a prevalent global health concern, with its detrimental effects on the reproductive system and sexual function garnering increasing attention. Both men and women affected by obesity face a heightened risk of fertility challenges and sexual dysfunction. Although fertility and sexual function are distinct topics, they are intricately linked and mutually influential in both medical and societal contexts. Bariatric surgery (BS) has generated promising results in alleviating sexual dysfunction and enhancing fertility, results which are often gender specific. In men, improvements in sexual function can often be attributed to weight loss and subsequent optimizations in sex hormone levels. However, improving female sexual function may be related to a range of factors beyond weight loss. Bariatric procedures have shown limited benefits for male fertility; in fact, in some situations it can even be detrimental, leading to a decrease in sperm count and quality. Conversely, BS may positively impact female fertility, improving pregnancy and neonatal outcomes. Nevertheless, it is essential to consider the potential risks related to the adverse effects of malnutrition and rapid weight loss following BS, making it advisable to wait for 12–18 months before attempting pregnancy.

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减肥手术对性功能和生育能力的影响:叙述性综述。
肥胖已成为全球普遍关注的健康问题,其对生殖系统和性功能的有害影响日益受到人们的关注。受肥胖影响的男性和女性都面临着更高的生育挑战和性功能障碍风险。虽然生育和性功能是两个不同的话题,但它们在医学和社会方面却有着错综复杂的联系和相互影响。减肥手术(BS)在缓解性功能障碍和提高生育能力方面取得了可喜的成果,而这些成果往往具有性别针对性。在男性中,性功能的改善通常归因于体重的减轻以及随后性激素水平的优化。然而,女性性功能的改善可能与减肥以外的一系列因素有关。减肥手术对男性生育能力的益处有限;事实上,在某些情况下,它甚至可能是有害的,导致精子数量和质量下降。相反,减肥手术可能会对女性的生育能力产生积极影响,改善妊娠和新生儿的预后。不过,必须考虑到 BS 术后营养不良和体重急剧下降的不利影响所带来的潜在风险,因此建议在 12-18 个月后再尝试怀孕。
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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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