Obesity - A Reproductive Hurdle. Are we prepared for this challenge?

About 30% of the world population is obese or overweight. Risk factors in childhood lead to development of obesity in adults. We see anovulatory menstrual cycles, infertility, miscarriage, pregnancy complications in women with a high body mass. Problems associated with obesity epidemics lead to significant economic and social costs. Correction of lifestyle provides limited effect because it doesn’t lead to significant improvements of ultimate outcomes as pregnancy, ovulation or regular menstrual cycle except the reduction of risk of pre-eclampsia and shoulder dystocia. Health technology assessment revealed that the cost per year of life adjusted for its quality for bariatric surgery compared with non-surgical correction of obesity are in acceptable economic limits and bariatric surgery is a cost effective method.

obesity, women, polycystic ovaries, pregnancy complications, ovulatory menstrual cycle, bariatric surgery