The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study
Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, t...
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| Veröffentlicht in: | Obesity surgery 2020-11, Vol.30 (11), p.4505-4509 |
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| creator | Różańska-Walędziak, Anna Bartnik, Paweł Kacperczyk-Bartnik, Joanna Czajkowski, Krzysztof Walędziak, Maciej |
| description | Introduction
Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use.
Materials and Methods
It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion.
Results
Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3;
p
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| doi_str_mv | 10.1007/s11695-020-04840-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7524851</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2423800811</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-cd22ecb6dbe54437bd0d3c3c6a20a2ed1b4bcca3766b483289224129cb78336d3</originalsourceid><addsrcrecordid>eNp9kc9u1DAQhy0EokvhBTigSFy4hI7HjuNckNoVfyoVcdjlbNmOt3WVxIvtIO2tD9En5EnwsqUFDpwsa775ecYfIS8pvKUA7UmiVHRNDQg1cMmhFo_IgrYgyxXlY7KATkAtO2RH5FlK1wBIBeJTcsRQCNo1fEHW6ytXnY9bbXMVNtWZjl7n6G21muOli7sqTNVnN6UcZz1Up2YKcdSDz96lHze3ulrGkFK9cjb7MBViled-95w82eghuRd35zH5-uH9evmpvvjy8Xx5elFb3vJc2x7RWSN64xrOWWt66JllVmgEja6nhhtrNWuFMFwyLJsgp9hZ00rGRM-OybtD7nY2o-utm3LUg9pGP-q4U0F79Xdl8lfqMnxXbYNcNrQEvLkLiOHb7FJWo0_WDYOeXJiTQo5MAki6R1__g16HOZaVCyV4w6iQXVsoPFB2_y_Rbe6HoaD20tRBmirS1C9pSpSmV3-ucd_y21IB2AFIpTQVLQ9v_yf2J7wvo-4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2645316897</pqid></control><display><type>article</type><title>The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Różańska-Walędziak, Anna ; Bartnik, Paweł ; Kacperczyk-Bartnik, Joanna ; Czajkowski, Krzysztof ; Walędziak, Maciej</creator><creatorcontrib>Różańska-Walędziak, Anna ; Bartnik, Paweł ; Kacperczyk-Bartnik, Joanna ; Czajkowski, Krzysztof ; Walędziak, Maciej</creatorcontrib><description>Introduction
Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use.
Materials and Methods
It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion.
Results
Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3;
p
< .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (
p
< .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration;
p
< 0.46).
Conclusion
Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-020-04840-6</identifier><identifier>PMID: 32661954</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery ; Birth control ; Cross-Sectional Studies ; Female ; Gastrointestinal surgery ; Humans ; Hyperandrogenism ; Medicine ; Medicine & Public Health ; Menstrual Cycle ; Menstruation ; Menstruation Disturbances - epidemiology ; Menstruation Disturbances - etiology ; Obesity, Morbid - surgery ; Original Contributions ; Questionnaires ; Surgery</subject><ispartof>Obesity surgery, 2020-11, Vol.30 (11), p.4505-4509</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-cd22ecb6dbe54437bd0d3c3c6a20a2ed1b4bcca3766b483289224129cb78336d3</citedby><cites>FETCH-LOGICAL-c474t-cd22ecb6dbe54437bd0d3c3c6a20a2ed1b4bcca3766b483289224129cb78336d3</cites><orcidid>0000-0002-9873-8833</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-020-04840-6$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-020-04840-6$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32661954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Różańska-Walędziak, Anna</creatorcontrib><creatorcontrib>Bartnik, Paweł</creatorcontrib><creatorcontrib>Kacperczyk-Bartnik, Joanna</creatorcontrib><creatorcontrib>Czajkowski, Krzysztof</creatorcontrib><creatorcontrib>Walędziak, Maciej</creatorcontrib><title>The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction
Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use.
Materials and Methods
It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion.
Results
Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3;
p
< .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (
p
< .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration;
p
< 0.46).
Conclusion
Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.</description><subject>Bariatric Surgery</subject><subject>Birth control</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Hyperandrogenism</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menstrual Cycle</subject><subject>Menstruation</subject><subject>Menstruation Disturbances - epidemiology</subject><subject>Menstruation Disturbances - etiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Questionnaires</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc9u1DAQhy0EokvhBTigSFy4hI7HjuNckNoVfyoVcdjlbNmOt3WVxIvtIO2tD9En5EnwsqUFDpwsa775ecYfIS8pvKUA7UmiVHRNDQg1cMmhFo_IgrYgyxXlY7KATkAtO2RH5FlK1wBIBeJTcsRQCNo1fEHW6ytXnY9bbXMVNtWZjl7n6G21muOli7sqTNVnN6UcZz1Up2YKcdSDz96lHze3ulrGkFK9cjb7MBViled-95w82eghuRd35zH5-uH9evmpvvjy8Xx5elFb3vJc2x7RWSN64xrOWWt66JllVmgEja6nhhtrNWuFMFwyLJsgp9hZ00rGRM-OybtD7nY2o-utm3LUg9pGP-q4U0F79Xdl8lfqMnxXbYNcNrQEvLkLiOHb7FJWo0_WDYOeXJiTQo5MAki6R1__g16HOZaVCyV4w6iQXVsoPFB2_y_Rbe6HoaD20tRBmirS1C9pSpSmV3-ucd_y21IB2AFIpTQVLQ9v_yf2J7wvo-4</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Różańska-Walędziak, Anna</creator><creator>Bartnik, Paweł</creator><creator>Kacperczyk-Bartnik, Joanna</creator><creator>Czajkowski, Krzysztof</creator><creator>Walędziak, Maciej</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9873-8833</orcidid></search><sort><creationdate>20201101</creationdate><title>The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study</title><author>Różańska-Walędziak, Anna ; Bartnik, Paweł ; Kacperczyk-Bartnik, Joanna ; Czajkowski, Krzysztof ; Walędziak, Maciej</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-cd22ecb6dbe54437bd0d3c3c6a20a2ed1b4bcca3766b483289224129cb78336d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Bariatric Surgery</topic><topic>Birth control</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Hyperandrogenism</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menstrual Cycle</topic><topic>Menstruation</topic><topic>Menstruation Disturbances - epidemiology</topic><topic>Menstruation Disturbances - etiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Questionnaires</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Różańska-Walędziak, Anna</creatorcontrib><creatorcontrib>Bartnik, Paweł</creatorcontrib><creatorcontrib>Kacperczyk-Bartnik, Joanna</creatorcontrib><creatorcontrib>Czajkowski, Krzysztof</creatorcontrib><creatorcontrib>Walędziak, Maciej</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Różańska-Walędziak, Anna</au><au>Bartnik, Paweł</au><au>Kacperczyk-Bartnik, Joanna</au><au>Czajkowski, Krzysztof</au><au>Walędziak, Maciej</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>30</volume><issue>11</issue><spage>4505</spage><epage>4509</epage><pages>4505-4509</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Introduction
Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use.
Materials and Methods
It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion.
Results
Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3;
p
< .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (
p
< .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration;
p
< 0.46).
Conclusion
Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32661954</pmid><doi>10.1007/s11695-020-04840-6</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9873-8833</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bariatric Surgery Birth control Cross-Sectional Studies Female Gastrointestinal surgery Humans Hyperandrogenism Medicine Medicine & Public Health Menstrual Cycle Menstruation Menstruation Disturbances - epidemiology Menstruation Disturbances - etiology Obesity, Morbid - surgery Original Contributions Questionnaires Surgery |
| title | The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study |
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