Al Qurashi Abdullah A, Qadri Syeda Hafsa, Lund Sejal, Ansari Ushna Sunain, Arif Amna, Durdana Amatul Rehman, Maryam Rabeata, Saadi Mahinn, Zohaib Muhammad, Khan Muhammad Khuzzaim, Waseem Areesha, Dar Sophia, Almas Talal
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
Ann Med Surg (Lond). 2022 Jun 15;80:103881. doi: 10.1016/j.amsu.2022.103881. eCollection 2022 Aug.
•Currently natural lifestyle modification is recommended over bariatric surgery in the management of infertility in obese men and women, despite natural weight loss often being an ineffective method to both lose and maintain weight loss in these individuals.•Through this meta-analysis and systematic review, we provide evidence that bariatric surgery effectively improves fertility outcomes for men and women by measurements of hormone levels and improvements in sexual function index scores.•This study demonstrates the importance and even cruciality of bariatric surgery in obese men and women who struggle with reproductive health, especially when finding it difficult to lose and maintain weight. It also proves that it is vital to continue to create and expand our knowledge with evidence-based medicine to help this cohort of patients.
•目前，在肥胖男性和女性不孕症的治疗中，尽管自然减重通常是这些人减肥和维持体重减轻的无效方法，但仍推荐自然生活方式改变而非减肥手术。•通过这项荟萃分析和系统评价，我们提供证据表明，减肥手术通过测量激素水平和改善性功能指数得分，有效改善了男性和女性的生育结果。•这项研究证明了减肥手术对于患有生殖健康问题的肥胖男性和女性的重要性甚至关键性，尤其是在难以减重和维持体重的情况下。它还证明，继续以循证医学的方式创造和扩展我们的知识以帮助这一患者群体至关重要。
