PCOD, Obesity & Infertility – Understanding the Link Polycystic Ovarian Disease (PCOD) is often aggravated by obesity, leading to hormonal imbalances, insulin resistance, and infertility. Bariatric surgeries have emerged as powerful tools for weight reduction, hormonal regulation, and fertility restoration in obese women with PCOD. Among the surgical options, Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB) are most popular. But which one works best for fertility? ⚖️ Sleeve Gastrectomy vs Roux-en-Y Bypass: Key Differences Mechanism: Sleeve Gastrectomy (SG): Restrictive (reduces stomach size) Roux-en-Y Gastric Bypass (RYGB): Restrictive + Malabsorptive Hormonal Changes : Sleeve Gastrectomy (SG): Lower ghrelin (hunger hormone) Roux-en-Y Gastric Bypass (RYGB): Strong insulin, GLP-1 effect Weight Loss: Sleeve Gastrectomy (SG): 50–60% of excess weight Roux-en-Y Gastric Bypass (RYGB): 60–80% of excess weight Insulin Resistance: Sleeve Gastrectomy (S...
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