This document discusses the relationship between obesity and female infertility. It states that obesity significantly increases a woman's risk of infertility, decreasing her chances of pregnancy by 5% for every BMI unit over 27.5. Obese women have lower success rates with infertility treatments like IVF and higher miscarriage risks. Bariatric surgery is presented as an effective treatment for severe obesity, improving fertility by aiding weight loss and metabolic issues like PCOS, diabetes, and high blood pressure. The experiences of patients who underwent bariatric surgery at Life Care IVF are shared, with many going on to get pregnant naturally or with treatment after the procedure.

1. Bariatric SURGERY & Female
Infertility
DR . SHARDA JAIN
DR. JYOTI AGARWAL
DR. YOGESH AGARWALA
Web.www.lifecareivf.com www.lifecareabs.in

2. ISO 14001:2004 (EMS)
…..Caring hearts, healing hands
ISO 9001:2008
Helpline : 9599044257
Web.www.lifecareivf.in
Helpline : 9910081484
Helpline : 01122414049, 9650588339

3. OBESITY IS A Global
Epidemic

4. SUBTRACT 2.5
in each category for INDIANS
MOST COMMONLY USED INDEX TO
QUANTIFY OBESITY IS BMI

5. Morbid obesity is a disease.
It creates HAVOC in woman's Life
beside infertility
We must treat
her as a
whole being
Make her
aware og the
same.

6. Morbid Obesity is not just
about weight
Obesity Causes Early Death due to
so many complications in young ladies

7. MORBID Obesity causes
Diabetes

8. MORBID Obesity Causes High
Blood Pressure

9. MORBID Obesity Causes High
Cholesterol

10. Morbid Obesity increases
risk of cancer by 3 to 4 times .

11. MORBID Obesity Causes Bone & Joint
Problems & decreases mobility
markedly

12. MORBID Obesity Causes
Depression & they do not like to mix

13. “At present, surgery is
the only effective
treatment for
Morbid obesity.”
National Institute of Clinical Excellence, UK

14. Are obese women at
risk of infertility ?

15. An Obese Woman is about
Thrice as likely to be Infertile
as a normal woman
Yes

16. Another fact..
About Obesity and Infertility
Chances of
pregnancy is
reduced by 5%
for every BMI
unit that exceeds
27.5 kg/m2 in
Indian women

17. Obesity is strongly
associated with
PCOS

18. CENTRAL PLAYER ………
P
C
O
D
Both seed & soil are defective

19. Your weight is effecting
your fertility

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

29. Restore Fertility &
Improves her Mental Health

30. BARIATRIC Surgery is
Extremely Cost-Effective in the
Long-Run for morbidly Obese
woman

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

32. Pre-Pregnancy Counseling
When ever possible, pregnancy
should be delayed till weight
loss stabilizes for 12-24
months after surgery

33. Start having periods
• Improve ovulation
• Reduce the risk of
miscarriage and
other
complications
during pregnancy
• Look and
feel better
Loose weight to

34. Want to ENHANCE FERTILITY …!!
get Bariatric Surgery
Before

35. ENHANCED FERTILITY after
Bariatric Surgery

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

40. Thank
you
FOR CORRECT ADVISE

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