Management of weight loss in obesity-associated male infertility: a spotlight on bariatric surgery

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dc.contributor.authorAbiad, Firass
dc.contributor.authorAwwad, Johnny T.
dc.contributor.authorAbbas, Hussein A.
dc.contributor.authorZebian, Dina
dc.contributor.authorGhazeeri, Ghina S.
dc.contributor.departmentSurgery
dc.contributor.departmentObstetrics and Gynecology
dc.contributor.departmentEmergency Medicine
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T12:12:45Z
dc.date.available2025-01-24T12:12:45Z
dc.date.issued2017
dc.description.abstractIn recent years, there has been a paralleled increase between male obesity and infertility rates. Obesity is associated with impaired hypothalamic-pituitary-gonadal axis, aberrant semen parameters, and subfertility or infertility. Weight loss is strongly recommended for the management of obesity-associated infertility. Lifestyle modifications that include caloric restriction and increased physical activity have a short-lived impact. Bariatric surgery is a better and more durable weight loss alternative. Comprehensive information about the benefits of weight loss on obesity-associated male infertility following bariatric surgery is still emerging. In this review, we discuss the hormonal, physical and environmental mechanism contributing to obesity-associated infertility. We then assess weight loss approaches, which include lifestyle modification, medical and surgical approaches, that can improve fertility in obese men. This review focuses also on bariatric surgery for the management of obese men seeking fertility treatment. Anecdotal evidence suggesting that bariatric surgery can impair fertility is also discussed. © 2017 The British Fertility Society.
dc.identifier.doihttps://doi.org/10.1080/14647273.2017.1317369
dc.identifier.eid2-s2.0-85032897026
dc.identifier.pmid28460579
dc.identifier.urihttp://hdl.handle.net/10938/32865
dc.language.isoen
dc.publisherTaylor and Francis Ltd
dc.relation.ispartofHuman Fertility
dc.sourceScopus
dc.subjectBariatric surgery
dc.subjectInfertility
dc.subjectMale reproductive function
dc.subjectObesity
dc.subjectSperm parameters
dc.subjectWeight loss
dc.subjectHumans
dc.subjectInfertility, male
dc.subjectMale
dc.subjectTreatment outcome
dc.subjectHeredity
dc.subjectHuman
dc.subjectHyperinsulinemia
dc.subjectHypothalamus hypophysis gonad system
dc.subjectInfertility therapy
dc.subjectInsulin resistance
dc.subjectLeydig cell
dc.subjectLifestyle modification
dc.subjectMale infertility
dc.subjectPsychological aspect
dc.subjectReview
dc.subjectSertoli cell
dc.subjectSperm
dc.subjectSurgical approach
dc.subjectWeight reduction
dc.subjectBody weight loss
dc.subjectComplication
dc.titleManagement of weight loss in obesity-associated male infertility: a spotlight on bariatric surgery
dc.typeReview

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