Obstetrics and Gynecology
shereef elshwaikh; Ahmed Ossman; muhammad el-masry; ahmed swelam; yasmin elmasry
Articles in Press, Accepted Manuscript, Available Online from 24 December 2023
Abstract
Aim: To evaluate changes in serum AMH levels, fertility and metabolic conditions in reproductive-age severely obese women, after bariatric surgery.
Design: prospective cohort study.
Methods: This study had been conducted on marked obese women who were referred to BS in Tanta university hospital. the ...
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Aim: To evaluate changes in serum AMH levels, fertility and metabolic conditions in reproductive-age severely obese women, after bariatric surgery.
Design: prospective cohort study.
Methods: This study had been conducted on marked obese women who were referred to BS in Tanta university hospital. the AMH and other hormones (FSH- LH- free Testosterone- SHBG- fasting Insulin) levels had been measured as part of their evaluation will be reviewed before and after (6) months the surgery. The involved women were in reproductive age between 18 and 40 years old. With BMI > 36 kg/m2 and < 42 kg/m2.
Results: From 64 female who had been enrolled, 50 patients only completed the 6 months follow up , and it was found there was a significant difference as regard the weight and the BMI , fasting insulin level and regular menstrual pattern after 6 month follow but other fertility factors including were improved but had no significant difference .
Also 20 cases (40%) had a spontaneous ovulation after 6 moth follow up after BS , and by comparing them to those who had no spontaneous ovulation ,there was a significant effect on weight reduction on occurrence of spontaneous ovulation , BMI parameter, and the level of change of BMI, regular menstrual cycle, while the other fertility related parameters although improved but failed to show any significant relationship .
Conclusion: BS and reduction of the weight had a positive effect on the reproductive performance of obese female.
Farzaneh Rashidi Fakari; Masoumeh Simbar; Marzieh Saei Ghare Naz; Fahimeh Rashidi Fakari
Volume 3, Issue 3 , September and October 2018, , Pages 115-122
Abstract
Aims: Women’s empowerment refers to empowering women to make independent decisions about significant life issues. Women’s empowerment affects demographic processes and fertility behaviors. The aim of this review was to investigate the factors related to empowering Iranian women’s fertility ...
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Aims: Women’s empowerment refers to empowering women to make independent decisions about significant life issues. Women’s empowerment affects demographic processes and fertility behaviors. The aim of this review was to investigate the factors related to empowering Iranian women’s fertility behaviors.
Information and Methods: This review examined all related studies conducted from 1997 to 2017 in Google Scholar, PubMed, Elsevier, Scopus, Proquest, Irandoc, SID, and Magiran using some keywords, i.e., fertility, empowerment, decision-making, and childbearing.
Findings: 31 articles related to the objective of the current study were finally selected and examined. The studies demonstrated that factors associated with empowering Iranian women’s fertility behaviors could be classified into four main categories: contextual, economic, socio-cultural, and moral and emotional factors.
Conclusion: Empowering women’s fertility behaviors is related to the contextual, economic, socio-cultural, and moral-emotional factors. By planning and making policies aimed at improving women’s position and educational and occupational facilities, improving social services and quality of life, and creating equal opportunities for getting access to facilities and credits, indicators of human development empowerment and women’s fertility behaviors can be promoted