ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2019
Conception rates and contraceptive use after bariatric surgery among women with infertility: Evidence from a prospective multicenter cohort study.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis.Human reproduction update · 2021Pooled it
- Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020Pooled it
- Impact of Laparoscopic Sleeve Gastrectomy on Menstrual Regularity and Spontaneous Pregnancy in Morbidly Obese Women: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Observational
- The Relationship Between Obesity, Bariatric Surgery, and Infertility: A Systematic Review.Life (Basel, Switzerland) · 2025Review
- Predicting pregnancy at the first year following metabolic-bariatric surgery: development and validation of machine learning models.Surgical endoscopy · 2025Article
- Nitrate-Nitrite-Nitric Oxide Pathway, Oxidative Stress, and Fertility Outcomes in Morbidly Obese Women Following Bariatric Surgery: A Systematic Review.Biomedicines · 2024Review
- The Effectiveness of Bariatric Surgery on Treating Infertility in Women-A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Maternal and Neonatal Outcomes of Pregnancy within 7 years after Roux-Y Gastric Bypass or Sleeve Gastrectomy Surgery.Obesity surgery · 2023Article
- Benefits and Risks of Bariatric Surgery on Women's Reproductive Health: a Narrative Review.Obesity surgery · 2023Review
- Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons.Obesity surgery · 2023Article
- Maternal Nutritional Status and Pregnancy Outcomes Post-bariatric Surgery.Obesity surgery · 2022Review
- Associations of Pregnancy After Bariatric Surgery with Long-Term Weight Trajectories and Birth Weight: LABS-2 Study.Obesity (Silver Spring, Md.) · 2020Article
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Authors and funding
14 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundLack of prospective trials have resulted in a dearth of information regarding postbariatric surgery conception rates in women with a preoperative history of infertility.
objectiveTo examine associations between preoperative history of infertility and postbariatric surgery conception.
settingA multicenter cohort study at 10 United States hospitals (2006-2009).
methodsParticipants completed a preoperative reproductive health questionnaire, with annual postoperative assessments for up to 7 years until January 2015. This report was restricted to women 18- to 44-years old with no history of menopause, hysterectomy, or hormone replacement therapy. The primary outcomes were postoperative (0 to <90 mo) conception rate, early conception rate (0 < 18 mo), and postoperative unprotected intercourse with a male partner while not trying to conceive.
resultsOf 740 eligible women, 650 (87.8%) provided required responses. Median interquartile range (IQR) preoperative age was 34 (30-39) years and follow-up was 6.5 (5.9-7.0) years. Nulliparous women with a preoperative history of infertility represented 8.0% (52/650) of the total cohort, 63.5% (33/52) of whom had never conceived. Compared with women without this history, these women had a higher postoperative conception rate (121.2 [95% confidence interval (CI), 102.3-143.5]/1000 versus 47.0 [95%CI, 34.2-62.9]/1000 woman-yr; P < .001), early conception rate (115.4 [95%CI, 96.1-138.5]/1000 versus 33.9 [95%CI, 23.6-47.1]/1,000 woman-yr; P < .01), and a higher risk of unprotected intercourse (ARR 1.48 [95% CI, 1.14-1.90], P = 0.003).
conclusionAfter bariatric surgery, preoperative history of infertility and nulliparity was associated higher conception rates and unprotected intercourse.
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