Basically, everyone knows that gastric reduction surgery is one of the effective methods for severe obesity and an effective treatment for the associated metabolic syndrome (including hyperinsulinemia, diabetes, polycystic ovary syndrome, menstrual disorders, infertility, sleep apnea syndrome, hypoxemia, fatty liver, etc.). At the same time, more and more patients want to know whether the reduction of stomach surgery for women will affect fertility? What are the problems that obese women encounter in terms of fertility? Obesity-related factors account for about 70% of women with non-organic infertility. The most common type of obese women is polycystic ovary syndrome, which is characterized by irregular menstruation, hirsutism, acanthosis nigricans, and infertility after marriage. Authoritative data reported that the infertility rate of obese women is about 76%. Can obesity also lead to male infertility? Infertility can also occur in men who are obese, and the rate of infertility in men with severe obesity is around 20%. The causes of infertility may be related to obesity-induced hyperinsulinemia, as well as obese women exhibiting hyperandrogenism and men exhibiting feminization, high levels of progesterone and estrogen, and gynecomastia. Does weight loss surgery affect fertility? Weight loss surgery will improve fertility. Almost all obese women with polycystic ovaries will improve, and the infertility rate can be improved by more than 90%, while for male infertility can also be significantly improved, with studies showing that it can improve male infertility by more than 27%. In short, weight loss surgery can improve the chances of pregnancy and give fat people the right to be mothers (fathers)! Will pregnancy after weight loss surgery affect fetal development? First of all, it should be clear that the chances of getting pregnant without weight loss are very low, and obese women will have a higher chance of miscarriage even if they get pregnant. After weight loss surgery, hormone levels are normal and the conception rate is high. In addition, although you seem to be eating less than before surgery, but enough for you, your weight will not reach the wasting after surgery, that is, normal weight, in 1999 Canada had a long-term follow-up of women after weight loss surgery, the majority of women after weight loss surgery, the majority of the nutritional elements in the normal range, in the process of pregnancy, depending on the type of surgery, may need additional vitamin and mineral supplementation, that is Oral intake can meet all the needs during pregnancy! So don’t stress even if you’re pregnant, just remember to come see your doctor and a supplement regimen will be suggested to you! And give birth to a healthy baby, and mothers who lose weight afterwards give birth to babies with a significantly lower rate of obesity! When is the ideal time to get pregnant? According to most studies, it is recommended to get pregnant more than 1 year after the surgery, because most of the weight loss surgery will reach its maximum in about 1 year, that is, in the process of continuous weight loss is consuming excess absorption, the weight is still unstable, so in the 1 year after the surgery it is recommended to use contraception, use devices to prevent pregnancy, do not use hormonal drugs such as oral contraceptives. What if I get pregnant within a short period of time after weight loss surgery? Pregnancy in the early post-operative period may lead to miscarriage, and it is important to remember to use contraception at this time when your hormone levels are unstable and estrogen and progesterone are still adjusting themselves. If you get pregnant unexpectedly after 6 months post-op, then you should first go to your hospital’s OB/GYN department to have your hormone, vitamin, and other levels evaluated and supplemented as required. Of course there are some differences between the different procedures.