Objective:

To evaluate the effects of bariatric surgery on clinical, biochemical, and radiological outcomes in women of reproductive age, focusing on weight loss, hormonal levels, ovarian morphology, and clinical findings, and to highlight its significance for reproductive health.

Key Findings:

• Postoperative weight loss was associated with significant hormonal changes, including specific reductions in androgens.
• Improvements in PCOS symptoms, including reduced insulin resistance and lower androgen levels, were observed.
• Bariatric surgery positively impacted fertility and pregnancy outcomes, with increased conception rates.

Interpretation:

Bariatric surgery leads to hormonal and metabolic improvements that can enhance reproductive health in obese women, with potential implications for clinical practice.

Limitations:

• The study excluded patients using hormonal contraceptives and those with a history of ovarian surgery, which may limit the generalizability of the findings.
• Long-term hormonal changes and individual variations in outcomes require further investigation.

Conclusion:

Bariatric surgery is effective in improving reproductive hormone levels and ovarian morphology, potentially enhancing fertility and pregnancy outcomes in women with obesity, underscoring the need for further research.