The objective of this narrative review is to advocate for improved comprehensive care of patients with obesity and infertility. Persons with an increased body mass index have less successful reproductive outcomes, and recently, new medications to treat neuroendocrine hormone imbalances are producing meaningful weight loss akin to surgical interventions. For the first time, obesity is publicly being recognized as a disease. These medications contain the newest generation of glucagon-like peptide 1 receptor agonists and deserve our attention for several reasons: regardless of body mass index, many patients will be using them; it is necessary to understand the mode of action, side effects, and implications for anesthetic procedures and pregnancy; and it is important to evaluate when they could be used to improve health outcomes and/or access to fertility care.
Keyphrases
- weight loss
- body mass index
- weight gain
- bariatric surgery
- insulin resistance
- metabolic syndrome
- high fat diet induced
- healthcare
- roux en y gastric bypass
- type diabetes
- end stage renal disease
- physical activity
- palliative care
- gastric bypass
- quality improvement
- ejection fraction
- glycemic control
- peritoneal dialysis
- prognostic factors
- working memory
- pain management
- preterm birth
- pregnant women