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What are the disadvantages of bariatric surgery for obese women with PCOS?

Daniel A. Dumesic, MD
Reproductive Endocrinology
Bariatric surgery for obese women with polycystic ovary syndrome (PCOS) is a double-edged sword. This is because their profound weight loss is associated with tremendous shifts in their metabolism -- including the potential loss of critical fat-soluble vitamins. So it is recommended that surgery should be performed and conception be delayed for one full year, until the nutritional status of the woman is appropriate to sustain a normal pregnancy. This is an important feature, particularly when dealing with individuals in the latter part of their 30s who are trying to balance conception with adequate health.

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