Hormonal
Bariatric surgery improves periconception maternal health by normalizing hormonal axes and restoring menstrual cycle regularity, which leads to increased fertility, without increasing the risk of miscarriages or congenital malformations.
If you are considering bariatric surgery and plan to conceive, expect that your fertility will likely improve and menstrual cycles will become regular. However, you must commit to lifelong vitamin supplementation and regular monitoring to prevent deficiencies. Postpone pregnancy until weight loss stabilizes and vitamin levels are normalized to ensure optimal health for you and the fetus.
After bariatric surgery, hormonal axes normalized and menstrual cycle regularity was restored, resulting in increased fertility. Overall, there were no short-term risks for reproductive outcomes such as the increased risk of miscarriages or congenital malformations.
Why this rating
Based on a systematic review and meta-analysis of 51 articles, though quality scores varied (median 5/10).
Source
The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis
Katinka Marianne Snoek et al. · Human Reproduction Update · 2021
DOI 10.1093/humupd/dmab022
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