The Female Patient: Pregnancy and Gynecologic Issues in the Bariatric Surgery Patient

  • Giselle Hamad
  • George M. Eid


Polycystic ovary syndrome (PCOS) affects nearly 7% of reproductive age females (1). The syndrome was initially named Stein-Leventhal syndrome for the physicians who recognized in 1935 a clinical triad of hirsutism, amenorrhea, and obesity. Since then, the National Institutes of Health (NIH) has updated this definition to: “amenorrhea and hyperandrogenism, existing after the exclusion of all the secondary causes.” The etiology of PCOS remains unclear, although there are a number of theories, including obesity as a prominent hypothesis. One theory suggests increased gonadotropin-releasing hormone (GnRH) pulsatility as the culprit, and another theory points to ovarian dysfunction and dysregulation of androgen synthesis (2). The role of genetics in PCOS is similarly uncertain.


Bariatric Surgery Gastric Bypass Morbid Obesity Obese Woman Adjustable Gastric Banding 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Giselle Hamad
    • 1
  • George M. Eid
    • 1
  1. 1.Department of Surgery, Magee-Women’s HospitalUniversity of Pittsburgh Medical CenterPittsburghUSA

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