20. Obese women : not only have a lower
chance of pregnancy
BUT Have lower chance following In Vitro
Fertilization
They require higher doses of gonadotropins and
Have an increased miscarriage rate
Facts about---OBESITY
& ASSISTED REPRODUCTION
21. Surgery is first-line treatment
*BMI more than 37.5 &
No Obesity-Related Co morbities
If dieting and exercise for at least six months has not worked-
**BMI more than 32.5
with obesity-related co-morbidities
If dieting and exercise for at least six months has not worked
Who Needs Surgery for Obesity?
22. There is a Choice
One Size Does Not Fit
All!
Bariatric Surgery or
…………Metabolic Surgery
23. Perhaps it is time to consider
Bariatric Surgery
Bariatric surgery is classified in three types
Purely restrictive surgery
Malabsorptive surgery
Combination of both
SLEEVE GASTRCTOMY IS PREFERRED IN YOUNGER
PATIENTS
24. Is Bariatric surgery safe?
It is a fact that… There are 40 Bariatric
surgeons in INDIA…it is not cup of any surgeon
In Good Hands
it is …as Safe as
Laparoscopic
Cholecystectomy
25. BARIATRIC Surgery Transforms
Life
Bariatric surgery has revolutionized the process
of weight loss.
It has not only given new lease of life to the
INFERTILE patients who are severely obese but
has also helped tremendously in controlling type-
2 diabetes, hypertension, dyslipidaemia,
INFERTILITY and obstructive sleep apnea.
26. Obesity Surgery Cures Diabetes
[magical effect]
80% of patients stop all medication
X
27. Bariatric Surgery Cures
High Cholesterol / High
Blood Pressure
65%-75% of patients stop all
medication
Improves Mobility
Cures Obstructive Sleep Apnea
28. 5 feet 6 inches tall
Ideal Weight ~ 60 kg
Actual Weight ~ 95 kg
Excess Weight ~ 35 kg
50% Excess Weight loss ~ 17.5 kg is easy
Another 30% excess goes with dietary discipline/Exercises
Lose 60%-80% of Excess Weight
Lets take example of excess weight loss
31. Experience of LIFE CARE IVF
on Infertility and Bariatric Surgery
Total cases – 22
All started having periods /20 regular periods
3 had spontaneous pregnancy
4 had pregnancy with IUI &
6 had IVF.. ICSI pregnancy
7 have moved out oversees
2 Have just got married
13 Pregnancies
Delayed Periods,
Hypertension, DM, Cholesterol had
magical relief
33. Start having periods
• Improve ovulation
• Reduce the risk of
miscarriage and
other
complications
during pregnancy
• Look and
feel better
Loose weight to
36. Weight loss is one of the corner stone to
achieve a healthy pregnancy and child birth
37. KNOW ABOUT
SLEEVE GASTROSTOMY
WHICH IS DONE IN A CASES
Laparoscopic sleeve gastrostomy is fast becoming most
popular weight loss surgeries all over the world specially in
young patients. It is among one of the most commonly
done weight loss surgeries at our centre. It is an irreversible
procedure where we reduce the size of the stomach by
almost 60%. The remaining portion of the stomach can only
accommodate 100 to 150 ml of fluid at a time.
Removed portion of the stomach reduces the hunger
hormone called “grehline” to almost negligible amount.
This makes person feel satisfied (early satiety) with tiny
portion of food which helps in quick weight loss. Sleeve
gastrostomy can help in losing between 60 – 80% of the
excess weight in a period of 9-15 months.
38. Simple procedure to perform
The normal pathway of food is maintained
Normal function of the stomach is not altered
Less chances of vitamin and mineral
deficiencies
No dumping syndrome
Hunger hormone (grehlin) levels are
decreased to minimum
ADVANTAGES
39. Dr. YOGESH AGARWALA is among the first few bariatric
surgeons in Delhi who has made weight loss surgery/
bariatric surgery popular in India. He is not only trained
and accredited but also recognised as one of the best
Bariatric surgeon in India SPECIALLY DELHI.
He has been invited as a international faculty around the
world to demonstrate live surgical weight loss
surgeries/LIVE ADVANCED LAPAROSCOPIC SURGERIES
and take lectures. He has trained hundreds of young
practicing surgeons to do LAPAROSCOPIC/ bariatric
SURGERY.
He is a recognised teaching faculty for various
associations and training institutes around the world &
has CHAIRMAN SURGERY/MINIMAL ACCESS SURGERY
FOR OVER 15 YRS
ABOUT OUR
BARIATRIC SURGEON
41. LIFECARE IVF TEAMPROG. DIRECTOR
DR.SHARDA JAIN
9650511339
Medical Director
DR. JYOTI AGARWAL
9910081484
DR. JYOTI BHASKER
9711191648
LAB DIRECTOR
DR. ARUNA SAXENA
9818679090
CO- OPTED FACULTY
DR. SUSHMA VED
9871277242
DR. ABHISHEK PARIHAR
9654684408
JUNIOR EMBRYOLOGIST & COUNSELORS
DR. RASHMI JAIN / DR. INDU TYAGI
Web.www.lifecareivf.com
42. ADDRESS
11 Gagan Vihar, Near
Karkari Morh Flyover,
Delhi - 51
CONTACT US
9650588339
9599044257
011-22414049
WEBSITE :
www.lifecareivf.in
www.lifecarecentre.in
www.lifecareabs.in
ISO 14001:2004 (EMS)
…..Caring hearts, healing hands
ISO 9001:2008
Helpline : 9599044257
Web.www.lifecareivf.in
Helpline : 9910081484