If you're more than 100 pounds overweight and are considering lap band, gastric bypass, or duodenal switch surgery to lose weight, you may be wondering about the effects of this surgery on your fertility -- as well as the effects of pregnancy on your new body. While these operations can be extremely effective in assisting permanent weight loss, they come with their own set of lifestyle changes, which can sometimes become complicated by pregnancy. Read on to learn more about the expert recommendations when it comes to pregnancy and various weight loss operations.
Should you get pregnant before you have weight loss surgery?
If you're a candidate for bariatric surgery, it's possible that your weight is already negatively impacting your fertility. In some situations, excess weight can cause insulin resistance, which may affect ovulation. Despite this, and while it's generally best to become pregnant when you're at a healthy weight, if you're nearing advanced maternal age, you may want to try to conceive before your operation. Most surgeons will recommend that you refrain from trying to conceive for at least two years after your operation, and after you've stabilized at a healthy weight. If you're already concerned about your fertility, postponing the conception process for two years or more can add even more pressure to a stressful situation.
How will weight loss surgery impact a future pregnancy?
If you're in no rush to have children, you'll undoubtedly benefit from having weight loss surgery before conceiving. In fact, having weight loss surgery before conception has been linked to lower rates of gestational diabetes, preeclampsia (high maternal blood pressure) and cesarean sections for otherwise high-risk mothers. You'll also find it easier than before to bounce back after pregnancy and regain a healthy weight. However, there are a few extra steps you'll need to take to improve both your own health and that of your unborn child.
First, you'll need to keep in regular contact with both your weight-loss surgeon and your obstetrician to keep them abreast of any physical changes. For example, if you have a lap band, your surgeon may need to adjust it slightly to allow you to consume enough protein and carbohydrates to help your baby grow. This lap band can then be reduced again after you've finished breastfeeding and no longer need the extra calories.
You'll also need to take a high-quality multivitamin or prenatal vitamin, both before and during pregnancy. Because certain surgeries (like gastric bypass and surgery by duodenal switch surgeons) can inhibit the absorption of some fat-soluble minerals, taking a regular multivitamin can help ensure both you and your baby have all the nutrients you need to be healthy.
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