October 1, 2025Open Access

The Role of Bariatric Surgery in Enhancing Fertility among Women with Significant Obesity

EEEman Bahaa ElgendyRoyal College of Surgeons in Ireland - Bahrain RAReem Abdulla AbduljalilRoyal College of Surgeons in Ireland - Bahrain SAShehab Al-AnsariRoyal College of Surgeons in Ireland - Bahrain

Key Points

Pregnancy was achieved by 35.8% of women post-bariatric surgery, indicating a positive influence on reproductive outcomes.
Women who became pregnant had a significantly higher pre-surgery BMI and average BMI drop compared to those who did not conceive.
Logistic regression analysis showed that additional factors, including age and artificial reproductive therapy, did not significantly impact pregnancy rates.
Higher pre-surgery BMI and greater BMI loss are associated with increased pregnancy success post-surgery, emphasizing the relevance of weight management.

Abstract

Abstract Objectives Bariatric surgery is a long-term treatment for obesity that leads to significant weight loss that impacts reproductive health. This study explored how bariatric surgery affects pregnancy rates post-surgery. Methods This retrospective study was conducted at Bahrain Defense Force Hospital in 2019–2022 and included 310 women of reproductive age who had bariatric surgery before planning pregnancy. Data were analyzed using standard statistical tests, with p P = 0.95, P = 0.25, and P = 0.72). Conclusion Higher pre-surgery BMI and greater BMI loss were linked to higher pregnancy success after bariatric surgery.

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