In times the increasing global rates of obesity have become an issue, in public health having wide ranging impacts on various aspects of well being. Among these consequences one aspect that often goes unnoticed is how obesity affects fertility. For women facing infertility caused by obesity weight loss which could be non surgical as well as surgical depending on degree of obesity has emerged as a solution that offers hope for a future.
The Connection Between Obesity and Female Infertility;
Obesity can have an impact on a woman’s health leading to challenges in fertility. There are ways in which this connection occurs;
Excess adipose tissue: Changes in adipose tissue hormones impacts female fertility. Increase in leptin, TNF -alpha, IL -6 -FFA, androgens, and estrogens can lead to female infertility
Ovaries: Normal functioning of ovaries can be disrupted by obesity, leading to a many events that can ultimately impact fertility. Changes include early follicle atresia, delayed meiotic maturation, increased aneuploidy, increased follicular apoptosis.
Uterus: Obesity causes the release of plethora of inflammatory factors which in turn could have a negative effect on the lining of the uterus resulting in decrease in stromal decidualization and endometrial receptivity.
Liver: Obesity is associated with excess fat deposition in the liver, commonly known as fatty liver. Based on the severity of fatty liver, there could be a decrease in SHBG( Sex hormone binding globulin) and IGF –BPS. SHBG carries estrogen, DHT and testosterone thus fatty liver can play a role in female infertility. IGF -BPS is associated with impaired egg quality and ovulation problems
Central and peripheral resistance: Obesity is associated with elevated free fatty acid levels. Which in turn supresses GH secretion which in turn can lead to infertility
All these increases insulin resistance and hyperinsulinemia, finally leading to infertility in females.
Weight Loss Surgery, as a Solution;
For women who are struggling with infertility caused by obesity, weight loss either by non surgical methods or weight loss surgery (also known as bariatric surgery) has emerged as an option. This surgical procedure aims to decrease the size of the stomach. In some cases redirect the system.
The non surgical way for weight loss is the Swallow pill balloon and the endo balloon.
The common types of weight loss surgery include Roux- en –Y gastric bypass, gastric sleeve and Mini gastric bypass.
Benefits of Weight Loss Surgery for Female Infertility;
Improved Balance of Hormones and resolution of Ovarian Dysfunction
Bariatric surgery often leads to significant weight loss, which helps restore hormonal balance. This can regularize cycles, improve ovulation function thereby increasing the chances of getting pregnant.
Reduction in Inflammation;
Weight loss surgery can reduce inflammation in the body decreases oxidative stress and Reactive oxygen species, which has a beneficial impact on the uterus and the ovaries. Lower levels of inflammation may create a environment for embryo implantation and promote a healthier pregnancy.
Conclusion;
The relationship, between obesity and female infertility is a complex issue that requires a holistic approach involving disciplines of gynecology and bariatric surgery
Weight loss surgery has emerged as a solution, for addressing fertility issues linked to obesity bringing hope to women facing difficulties in conceiving. However it is crucial for individuals to gather all the information and seek guidance from healthcare experts in order to understand the advantages and factors to consider when opting for weight loss surgery ensuring a healthier and more promising path, towards improved fertility.
