Woman weighs 114 kg, it's hard to lose weight due to PCOS! Weight loss surgery helped me lose 55 kg and conceive

Women who are overweight and have polycystic ovary syndrome and want to lose weight and get rid of polycystic ovary syndrome have a glimmer of hope in having a child. Currently, weight loss surgery and lifestyle adjustments can help realize their dreams!

Ms. He, who was 23 years old at the time, had a plump figure since childhood, but she didn't care about it. However, when she was around 20 years old, her weight increased uncontrollably, reaching 114 kg at her heaviest, and her body mass index (BMI) was 42 kg/m2. Disturbed by this, she sought help from the Chi Mei Hospital's Special Weight Loss Clinic. After a series of examinations and evaluations by Dr. Lin Yifeng, chief physician of the Metabolic Weight Loss Center and general and gastrointestinal surgery, a nutritionist, and a physician from the Department of Psychiatry, she underwent laparoscopic sleeve gastrectomy (gastric reduction surgery).

Within half a year after the operation, through her own efforts and the help of the surgery, Ms. He successfully reduced her weight to 59 kg, reaching her ideal weight. What is encouraging is that the polycystic ovary syndrome, which had caused her to have irregular menstruation for a year and still had irregular periods despite medication, improved six months after the surgery. Her menstrual cycle became regular and she even conceived naturally a year and a half later. She successfully welcomed two lovely daughters and did not gain any weight again after giving birth.

Prevention and treatment of obesity: Lifestyle changes → Drug treatment → Bariatric surgery

Bariatric surgery is not the first choice that all doctors will recommend to their patients. During the first visit to the doctor, the doctor and the patient will discuss weight loss strategies (diet/exercise, medication and bariatric surgery) with the patient through shared decision-making (SDM) to enhance the patient's motivation to lose weight. The nutritionist will then provide a personalized diet course plan. In addition, in addition to nutritional intervention, exercise assistance is also needed to enhance the weight loss effect. If the weight loss results from lifestyle adjustments, diet, exercise and medication are still not satisfactory, the patient can be transferred to general and gastrointestinal surgery for weight loss surgery after evaluation by a psychiatrist.

Lin Yifeng, attending physician of the Metabolic Weight Loss Center and General and Gastroenterological Surgery at Chi Mei Hospital. (Photo courtesy of Chi Mei Hospital)

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