Response to “Reproductive Function Abnormalities and Bariatric Surgery: is a Matter of Time?”

Excerpt

In this interesting commentary entitled “Reproductive function abnormalities and bariatric surgery: is a matter of time?” the authors postulate that duration of reproductive and metabolic disease among women with polycystic ovary syndrome (PCOS) may inform likelihood of success after bariatric surgery. In our retrospective review of women with PCOS that underwent bariatric surgery at the Cleveland Clinic Foundation, most but not all women had improvements in reproductive and cardio-metabolic disease postoperatively. Preoperative free testosterone and ovarian volume appeared to have relevance in predicting benefits postoperatively. Duration of disease, however, was not considered and, as highlighted by this commentary, few have previously evaluated this feature in considering long-term health outcomes among women with PCOS. …