Dr. Alvarez | Gastric Sleeve

NEW BLOG | ๐—–๐—ฎ๐—ป ๐—š๐—ฎ๐˜€๐˜๐—ฟ๐—ถ๐—ฐ ๐—ฆ๐—น๐—ฒ๐—ฒ๐˜ƒ๐—ฒ ๐—ฆ๐˜‚๐—ฟ๐—ด๐—ฒ๐—ฟ๐˜† ๐—ฅ๐—ฒ๐—น๐—ถ๐—ฒ๐˜ƒ๐—ฒ ๐—ฃ๐—–๐—ข๐—ฆโ“

The reasons behind the decision to undergo vertical sleeve gastrectomy (VSG or gastric sleeve) are as individual as the patients themselves. But itโ€™s usually some combination of health and appearance (no judgment on the appearance partโ€”we all deserve to look and feel our best!).

For some women, however, the driving force behind gastric sleeve is a desire to improve their PCOS. ๐—ฃ๐—ผ๐—น๐˜†๐—ฐ๐˜†๐˜€๐˜๐—ถ๐—ฐ ๐—ผ๐˜ƒ๐—ฎ๐—ฟ๐˜† ๐˜€๐˜†๐—ป๐—ฑ๐—ฟ๐—ผ๐—บ๐—ฒ (๐—ฃ๐—–๐—ข๐—ฆ) is a hormonal condition that plagues about 10 percent of women. Symptoms affect the outsideโ€”acne and facial hair being frequent problemsโ€”and the inside, commonly leading to issues such as diabetes and heart disease. Itโ€™s also the most common cause of infertility in women, as it affects the ability to ovulate.

Scientists donโ€™t have a great explanation for why some women get PCOS, though it seems to be a lovely mix of genetics and behavioral factors. About half of PCOS patients are morbidly obese, which leaves a chicken-and-egg conundrum: which came first, the PCOS or the weight?

๐—ข๐—ป๐—ฒ ๐˜๐—ต๐—ถ๐—ป๐—ด ๐—ต๐—ฎ๐˜€ ๐—ฏ๐—ฒ๐—ฒ๐—ป ๐˜€๐—ต๐—ผ๐˜„๐—ป ๐˜๐—ผ ๐—ฑ๐—ฟ๐—ฎ๐—บ๐—ฎ๐˜๐—ถ๐—ฐ๐—ฎ๐—น๐—น๐˜† ๐—ถ๐—บ๐—ฝ๐—ฟ๐—ผ๐˜ƒ๐—ฒ ๐—ฃ๐—–๐—ข๐—ฆ ๐—ฎ๐—ป๐—ฑ ๐—ถ๐˜๐˜€ ๐—ฒ๐—ณ๐—ณ๐—ฒ๐—ฐ๐˜๐˜€: ๐˜„๐—ฒ๐—ถ๐—ด๐—ต๐˜ ๐—น๐—ผ๐˜€๐˜€. I receive many referrals from OB/GYNs because their patients are stuck in a Catch-22 situation wherein they desperately need to lose weight in order to become pregnant or relieve serious health issues, but PCOS is making it nearly impossible to do so.

While itโ€™s typically difficult for PCOS patients to lose weight, the good news is that VSG often can help when other avenues donโ€™t work. Shedding a significant amount of weight is the gold-standard when it comes to experiencing fewer PCOS symptoms. And, yes, it usually takes a substantial reductionโ€”not a few poundsโ€”before symptoms improve, especially if your goal is to become pregnant. The kind of weight loss that happens with gastric sleeve.

๐—ง๐—ต๐—ฒ ๐—ฒ๐˜ƒ๐—ฒ๐—ป ๐—ฏ๐—ฒ๐˜๐˜๐—ฒ๐—ฟ ๐—ป๐—ฒ๐˜„๐˜€: One study found that every participant whoโ€™d been unable to get pregnant before bariatric surgery was able to conceive within three years of undergoing a procedure.

I do want to add a word of warning here. Itโ€™s certainly possible to get pregnant right after gastric sleeve, but I donโ€™t recommend it. Why? Your body needs time to heal and get to a more stable weight before adding the stress of pregnancy. My advice for women is to wait about twelve months; like everything else related to gastric sleeve, though, I always provide personalized recommendations for each patient.

๐—š๐—ฎ๐˜€๐˜๐—ฟ๐—ถ๐—ฐ ๐˜€๐—น๐—ฒ๐—ฒ๐˜ƒ๐—ฒ ๐—ถ๐˜€๐—ปโ€™๐˜ ๐—ฎ ๐—ฐ๐˜‚๐—ฟ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐—ฃ๐—–๐—ข๐—ฆ, ๐—ฏ๐˜‚๐˜ ๐—ถ๐˜ ๐—ฐ๐—ฎ๐—ป ๐—ฑ๐—ฒ๐—น๐—ถ๐˜ƒ๐—ฒ๐—ฟ ๐—น๐—ถ๐—ณ๐—ฒ-๐—ฐ๐—ต๐—ฎ๐—ป๐—ด๐—ถ๐—ป๐—ด (๐—ฎ๐—ป๐—ฑ ๐—น๐—ถ๐—ณ๐—ฒ-๐—ด๐—ถ๐˜ƒ๐—ถ๐—ป๐—ดโ—) ๐—ฟ๐—ฒ๐˜€๐˜‚๐—น๐˜๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—ฃ๐—–๐—ข๐—ฆ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜๐˜€. With the return of normal ovulation, pregnancy becomes possible. And those nine months will likely be healthier for both mom and baby, thanks to a reduction or elimination of complications often brought on by obesity during pregnancy.

Whether PCOS patients hope to achieve pregnancy or improve other health issues, know that having PCOS wonโ€™t complicate the VSG itself or the recovery. Again, everyone is different, but in general, PCOS doesnโ€™t raise your risk for side effects.

If you have PCOS and are interesting in finding out how gastric sleeve can help, get in touch! Weโ€™d love to get to know your unique story and explore all the ways Endobariatric can help you achieve your dreams.

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