MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
You correctly answered out of 5 questions
Does obesity have an influence on fertility?
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As the degree of obesity increases, the amount of fat deposition in the body increases. This extra fat secretes excess hormones, thus leading to a hormonal imbalance which in turn affects fertility.
Obesity affects fertility in
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In females, the excess estrogen secreted by the extra deposits of fat in the body due to obesity interfers with ovulation leading to irregular periods and infertility. Sperm with high amount of damaged DNA is significantly more common in obese men than in normal-weight men. Ejaculation volume is also affected. Altered male hormones can also lead to erectile dysfunction which is the major cause of infertility in obese men.
Bariatric surgery improve the chances of fertility in a morbidly obese lady (where obesity is the cause of infertility)
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In those obese infertile ladies who are unable to lose weight by diet and exercise, bariatric surgery helps them lose 80 to 90% of the extra kilos thus bringing them to normal weight. Eventually the hormones come into balance and ovulation gets on track and chances to conceives are back to normal.
Which of the following is true :
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This is very true as the intake of the mother has to be good enough, so that it can take care of the nutrition of both the mother and the baby. This normally takes 8 to 10 months as the stomach size stretches gradually.
What is the risk if a morbidly obese person conceives:
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As we all know, fat is not just fat. It is an endocrine organ secreting a wide variety of hormones. In morbid obesity when these hormones are in excess it leads to an hormonal imbalance. This, associated with the chronic inflammatory state that is seen in morbid obesity leads to insulin resistance thus leading to gestational diabetes. Similarly, this hormonal imbalance and chronic inflammation leads to abortions as well as premature delivery.