Breaking the Link: Obesity, Male Infertility, and the Role of Weight Loss Surgery

Table of Contents

While there is evidence documenting the impact of obesity, on health its effect on male fertility often goes unnoticed. Recent studies have highlighted a link between obesity and male infertility prompting researchers to explore remedies. Among these solutions weight loss surgery has emerged as an intervention offering hope for individuals dealing with the complex intersection of obesity and reproductive health.

Understanding the Connection Between Obesity and Male Infertility;

Obesity affects fertility through mechanisms that underscore the intricate relationship between body weight and reproductive function. These include

Scrotal hyperthermia : Obesity causes a lot of fat accumulation in the thighs, groin, and scrotal region. This in turn raises the temperature in the scrotum which is then transmitted to the testis, affecting its function

Chronic epididymitis: As obesity itself is a chronic inflammatory state, obese people are seen to have inflammation/ swelling in the epididymis which is closely associated with the testis. This inflammation affects the sperm function.

Erectile dysfunction: Obesity can cause erectile dysfunction due to the oxidative stress inflammation, insulin and leptin resistance associated with obesity. Erectile dysfunction could be a major cause for male infertility

Sperm DNA fragmentation : Increase in adipocytes leads to increase in peripheral aromatization of testosterone to estradiol. Increase in adipocytes also leads to increase in proinflammatory cytokinesis and increased reactive oxygen species also called ROS.  This ROS in turn leads to Sperm DNA fragmentation & and sperm epigenetic changes.

Central and peripheral resistance : Obesity can also lead to central and peripheral resistance. There is reduced GNHR from the hypothalamus in the brain which disrupts the pituitary axis which in turn results in decreased LH and FSH resulting in decreased testosterone and spermatogenesis. Which in turn affects fertility.

Mechanical Causes: Extreme degree of obesity causes the penis to be buried within the scrotal area which could cause problems for sexual  intercourse and this in turn could by a cause for Male infertility.

Obstructive sleep apnea: Can also be a contribution factor for Male infertility

Weight Loss Surgery as a Solution;

Similar to its role in addressing female infertility issues, weight loss either by non surgical methods or weight loss surgery (also known as bariatric surgery) has emerged as a potential solution, for tackling male infertility related to obesity.

The non surgical way for weight loss is the Swallow pill balloon and the endo balloon.

The common types of surgery for weight loss are roux- en- Y gastric bypass, gastric sleeve and Mini gastric bypass. There are many things to consider;

1. Patience; It’s crucial for men to wait an amount of time after weight loss surgery before trying to conceive. This gives the body time to stabilize and adjust to the changes ensuring reproductive health.

2. Nutritional Considerations; After weight loss surgery individuals need to follow a planned plan. Proper nutrition is essential for health and fertility

3. Consultation with Healthcare Professionals; Men who are considering weight loss surgery as a solution for infertility should consult with healthcare professionals such as bariatric surgeons. A thorough evaluation will help determine the course of action based on health and fertility concerns.

In conclusion addressing the connection between obesity and male infertility is a health challenge that requires attention and proactive management. Weight loss surgery offers hope for men struggling with obesity related infertility by improving health. However it’s crucial for individuals to have informed discussions with healthcare professionals when making decisions related to weight loss surgery.

Share:
Picture of Dr. Tulip
Dr. Tulip

Dr. Tulip is an advanced laparoscopic and Bariatric surgeon practicing in Bangalore at TODS- Dr. Tulips Obesity and Diabetes Surgery Centre

More Posts
Send Us A Message
Google Love Notes
D.s Suma
D.s Suma
DR.Tulip madam and Kavitha madam were amazing I Had a gastric bypass surgery last month I reduced 10 kgs of weight much more to go I started my second life with this Iam very grateful to dr. Tulip
Sai kiran Reddy
Sai kiran Reddy
GOOD PLACE TO GET UR WEIGHT LOSS AND GET UR DIABETES CURED
Dhanush.G
Dhanush.G
After trying for a baby for 7 long years, bariatric surgery helped me. I conceived a year ago and and am a proud mother after shedding 30 kilos
Sankarsh rakesh
Sankarsh rakesh
Huge tummy sagging I had. Confused to do lipo or tummy tuck. Finally did tummy tuck , have flat tummy I dreamed. . Thanks to Dr Tulip and team.
Mahadev Prasad S
Mahadev Prasad S
Lost 20kgs in 4 months for wedding , but also regained 4kgs within 2 months. What doctor told is right only. I should have done Stapler surgery
Anuradha Suryakanth
Anuradha Suryakanth
Gastric bypass, a very wonderful surgery that my uncle underwent. I could notvsee him suffer, his diabetes was uncontrolled, he could not sleep without a CPap machine , breathless after taking few steps. But 4 months since surgery, he has lost 32 kgs, insulin has stopped, only one diabetes medicine he is taking. He no longer uses CPAP machine. He has become positive once again. Thanks to Dr Tulip and team for all the guidance before, during and after surgery. My uncle is in safe hands
Aryan Vishnu
Aryan Vishnu
10 minutes and swalow balon done. I have no discomfort and tummy feeling full. Nevery knew it was really so smooth. Hope I lose 17kgs.
Fusion Flow
Fusion Flow
After 2 years of gastric bypass surgery, I am still maintaining my weight of 69kgs. Before I was 157kgs with knee pains, breathing difficulty, diabetes, blood pressure. Now not taking any diabetes, bp treatment. I walk 5kms every day.
DARSHAN K S (DIDDU)
DARSHAN K S (DIDDU)
I was happy with my consultation with Dr Tulip which was for 45min. I am clear which procedure to choose.