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Obesity and contraception: controversy?

Authors Goldberg RD, Cardamone SC, Murthy AS

Received 21 July 2011

Accepted for publication 12 September 2011

Published 10 January 2012 Volume 2012:3 Pages 1—8

DOI http://dx.doi.org/10.2147/OAJC.S17405

Review by Single-blind

Peer reviewer comments 3

Rebecca D Goldberg, Stefanie C Cardamone, Amitasrigowri S Murthy
Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY, USA

Abstract: Obesity is increasing worldwide and is affecting the reproductive health of women. Contraceptive considerations are difficult in obese women given concerns about efficacy and comorbid conditions. Once surgical treatment of obesity has occurred and weight loss initiated, fertility risks increase and unintended pregnancy can result; often at the time of greatest weight loss. Family planning counseling in the obese patient must account for both preoperative conditions as well as postoperative return to fertility.

Keywords: obesity, contraception, bariatric surgery

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