Tummy Tuck PCOS

A Tummy Tuck will not cause hormonal shifts. Depending on the woman, a Tummy Tuck is usually done to greatly tighten the stretched-out abdominal wall muscles, remove all skin excess and lift sagging mons oubis.

Laparoscopic ovarian drilling (LOD) is a minimally invasive surgical procedure that can be used as a treatment option for women with polycystic ovary syndrome (PCOS) who are struggling with fertility issues that have not responded to medication. During the procedure, a surgeon uses a thin, lighted tube with a camera attached to it to access the ovaries and make small punctures in them. This helps to reduce the production of androgens, which can improve ovulation and increase the chances of conception. LOD is considered a safe and effective option for women with PCOS who are trying to conceive and have not had success with other treatments.

Tummy Tuck PCOS

If you present any of these symptoms, in addition to being overweight, try an evaluation in a Mexico Bariatric center with one of our Health & Wellness experts, so you will know if your problem fits within a bariatric treatment.

What is the relationship between obesity and polycystic ovaries?

The link between polycystic ovary syndrome and obesity remains uncertain. However, it is good to know that 50 to 65% of PCOS patients also have obesity. This disease has been linked to other conditions such as diabetes and cardiovascular problems.

In recent years, it has been reported that patients with polycystic ovary syndrome and obesity have benefited after a significant weight loss of 5%, as it particularly and remarkably improves insulin resistance, which in turn dramatically restores the menstrual cycle and the function. ovulatory

As recently as 2017, medical research certified bariatric surgery as a safe and effective procedure for those struggling with obesity. For this reason, we openly expose patients to a Gastric Sleeve Mexico as a treatment to counteract morbid obesity and polycystic ovary syndrome.

If you are interested in knowing if bariatric surgery is the perfect choice for you, do not hesitate to consult a Mexico Bariatric center so that they can provide you with all the necessary information and clarify all your doubts and fears.

The impact of bariatric surgery on PCOS and fertility

Some reports have acknowledged that the impact of bariatric surgery on polycystic ovary syndrome really works. For example, a recent study showed that in at least 50 women out of 100 who had been diagnosed with PCOS before surgery, symptoms improved markedly after the intervention, indicating that the effects of bariatric surgery are remarkably positive. Other studies revealed that 44-55% of resolved polycystic ovaries result from bariatric surgery. That is awesome! Isn’t it?

On the other hand, bariatric surgery has been guaranteed to help fertility, to the point of replacing infertility treatments. This type of intervention can greatly influence assisted reproduction techniques, giving better results. It even reduces the high rates of spontaneous abortion.

It goes without saying that the results of  Weight Loss Surgery in Mexico are highly positive and achieve the total normalization of all symptoms. You can be sure that if you choose bariatric surgery, you will get sensational results because the presence of polycystic ovary syndrome will not affect the effectiveness of this surgical intervention.

PCOS Tummy

This results in a variety of symptoms, including irregular periods, infertility, excess body or facial hair, and something called “PCOS belly.”

Though PCOS belly is not a formal medical term, it is colloquially used to refer to the characteristic pattern of central fat accumulation around the abdomen in PCOS patients, says Dr. Fatima Daoud Yilmaz, a board-certified OB-GYN at the PCOS Center at Stony Brook Medicine.

Here’s what you need to know about what PCOS belly is, what causes it, and how to treat it.

What does PCOS belly look like?

Simply put, PCOS belly occurs when there is excess fat accumulating and getting stored in the abdominal region, Daoud says.

So, you’ll likely notice that the rest of your body, like your limbs, will stay relatively stable in size, Daoud says.

Ultimately, the buildup of fat around the midsection will result in what’s known as an “apple-shaped” body.

What causes PCOS belly?

The main causes of PCOS belly are hormonal fluctuations and insulin resistance, says Dr. Shahin Ghadir, a board-certified OB-GYN and reproductive endocrinologist at the Southern California Reproductive Center.

“The reason that the abdominal area begins to gain more weight than other areas of the body is that the insulin resistance increases adipose tissue, which has a tendency to grow for most people in the abdominal area before growing in other areas,” Ghadir says.

Furthermore, there is a vicious cycle that occurs with insulin resistance and hyperandrogenism — which is the body making too many male hormones.

Daoud says when the body is in a state of insulin resistance, it makes hyperandrogenism worse. The hyperandrogenism stimulates fat accumulation in the body, particularly in the midsection, and ultimately, having more fat in the body worsens insulin resistance, and the cycle keeps feeding itself, she says. 

Together, this leads to weight gain, especially in the belly. The ongoing cycle can make it really difficult to get rid of this fat, as it continues to accumulate in the midsection. 

How to Treat PCOS Belly

There is no singular quick fix or treatment for PCOS belly.

“PCOS belly is merely a symptom of PCOS, and you can’t spot reduce fat,” Daoud says. Therefore, she says it’s necessary to address the PCOS itself as a whole to manage the condition.

If you are overweight, overall weight loss can help. Diet and exercise are two of the most effective and important ways to control and improve the symptoms of PCOS — including PCOS belly, Ghadir says.

While you might see specific PCOS exercises or diets advertised, Daoud says the simple key to weight loss with PCOS is to be in a caloric deficit where you burn more calories than you consume.

Working with a nutritionist can help you determine a diet that works best for your individual situation and ideal daily calorie intake. As you lose weight overall, you will lose fat from your belly, too.

If diet and exercise alone aren’t helping you lose weight and you are struggling with insulin resistance, your doctor may prescribe you medications known as insulin sensitizers, such as metformin, Ghadir says. This can help the insulin in your body work more optimally.

Additionally, your doctor may refer you to someone who specializes in obesity medicine and can prescribe you weight loss-specific medications that can either affect your ability to absorb fat or to curb your hunger, Daoud says. Your doctor will determine if this type of medication could benefit you, and which one is best.

Furthermore, to treat PCOS as a whole and address other symptoms such as hair thinning, excess facial and body hair, and infrequent and unpredictable periods, your doctor may prescribe anti-androgen medications or hormonal birth control, says Daoud. However, these are not prescribed specifically for weight loss.

For the best results, Daoud says you should work with a team of specialists who can work together to holistically manage your PCOS — such as a primary care doctor, OB-GYN, endocrinologist, and nutritionist. By addressing all aspects that play into your PCOS, you can achieve better symptom relief.

Bariatric Surgery

Gastric bypass and other weight-loss surgeries — known collectively as bariatric surgery —involve making changes to your digestive system to help you lose weight. Bariatric surgery is done when diet and exercise haven’t worked or when you have serious health problems because of your weight.

Today’s metabolic and bariatric operations have been refined over the course of many decades and are among the best studied treatments in modern medicine. They are performed with small incisions using minimally invasive surgical techniques (laparoscopic and robotic surgery). These advancements allow patients to have a better overall experience with less pain, fewer complications, shorter hospital stays and a faster recovery. These operations are extremely safe, with complication rates that are lower than those of common operations such as gallbladder removal, hysterectomy, and hip replacement.

The goal of these operations is to modify the stomach and intestines to treat obesity and related diseases. The operations may make the stomach smaller and also bypass a portion of the intestine. This results in less food intake and changes how the body absorbs food for energy, resulting in decreased hunger and increased fullness. These procedures improve the body’s ability to achieve a healthy weight.

Below is a list and explanation of the common procedures that the American Society for Metabolic and Bariatric Surgery supports. Each surgery has its own advantages and potential drawbacks. Your bariatric surgeon will review your health history and work with you to determine which surgery is best for you.

Sleeve Gastrectomy

The Laparoscopic Sleeve Gastrectomy, often called the “sleeve”, is performed by removing approximately 80% of the stomach. The remaining stomach is the size and shape of a banana.

The Procedure

1. The stomach is freed from organs around it.
2. Surgical staplers are used to remove 80% of the stomach, making it much smaller.

How it Works

The new stomach holds less food and liquid, helping reduce the amount of food (and calories) that are consumed. By removing the portion of the stomach that produces most of the “hunger hormone”, the surgery has an effect on the metabolism. It decreases hunger, increases fullness, and allows the body to reach and maintain a healthy weight as well as blood sugar control. The simple nature of the operation makes it very safe without the potential complications from surgery on the small intestine.

Advantages

1. Technically simple and shorter surgery time
2. Can be performed in certain patients with high risk medical conditions
3. May be performed as the first step for patients with severe obesity
4. May be used as a bridge to gastric bypass or SADI-S procedures
5. Effective weight loss and improvement of obesity related conditions

Disadvantages

1. Non-reversible procedure
2. May worsen or cause new onset reflux and heartburn.
3. Less impact on metabolism compared to bypass procedures.

Roux-en-Y Gastric Bypass (RYGB)

The Roux-en-Y Gastric Bypass, often called the “gastric bypass”, has now been performed for more than 50 years and the laparoscopic approach has been refined since 1993. It is one of the most common operations and is very effective in treating obesity and obesity related diseases. The name is a French term meaning “in the form of a Y”.

The Procedure

1. First, the stomach is divided into a smaller top portion (pouch), which is about the size of an egg. The larger part of the stomach is bypassed and no longer stores or digests food.
2. The small intestine is also divided and connected to the new stomach pouch to allow food to pass. The small bowel segment which empties the bypassed or larger stomach is connected into the small bowel approximately 3–4 feet downstream, resulting in a bowel connection resembling the shape of the letter Y.
3. Eventually, the stomach acids and digestive enzymes from the bypassed stomach and first portion of the small intestine will mix with food that is eaten.

How it Works

The gastric bypass works in several ways. Like many bariatric procedures, the newly created stomach pouch is smaller and able to hold less food, which means fewer calories are ingested. Additionally, the food does not come into contact with the first portion of the small bowel, which results in decreased absorption. Most importantly, the modification of the food course through the gastrointestinal tract has a profound effect on decreasing hunger, increasing fullness, and allowing the body to reach and maintain a healthy weight. The impact on hormones and metabolic health often results in improvement of adult onset diabetes even before any weight loss occurs. The operation also helps patients with reflux (heart burn) and often the symptoms quickly improve. Along with making appropriate food choices, patients must avoid tobacco products and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.

Advantages

1. Reliable and long-lasting weight loss
2. Effective for remission of obesity-associated conditions
3. Refined and standardized technique

Disadvantages

1. Technically more complex when compared to sleeve gastrectomy or gastric band
2. More vitamin and mineral deficiencies than sleeve gastrectomy or gastric banding
3. There is a risk for small bowel complications and obstruction
4. There is a risk of developing ulcers, especially with NSAID or tobacco use
5. May cause “dumping syndrome”, a feeling of sickness after eating or drinking, especially sweets.

Adjustable Gastric Band (AGB)

The Adjustable Gastric Band is a device made of silicone that is placed around the top part of the stomach to limit the amount of food a person can eat. It has been available in the United States since 2001. The impact on obesity related diseases and long-term weight loss is less than with other procedures. Its use has therefore declined over the past decade.

The Procedure

1. This device is placed and secured around the top part of the stomach, creating a small pouch above the band.

How it Works

The feeling of fullness depends upon the size of the opening between the pouch and the rest of the stomach. The opening size can be adjusted with fluid injections through a port underneath the skin. The smaller opening of the band restricts how much food can pass through the stomach normally. It is less successful against type 2 diabetes and has modest effects on the metabolism.

Advantages

1. Lowest rate of complications early after surgery
2. No division of the stomach or intestines
3. Patients can go home on the day of surgery
4. The band can be removed if needed
5. Has the lowest risk for vitamin and mineral deficiencies

Disadvantages

1. The band may need several adjustments and monthly office visits during the first year
2. Slower and less weight loss than with other surgical procedures
3. There is a risk of band movement (slippage) or damage to the stomach over time (erosion)
4. Requires a foreign implant to remain in the body
5. Has a high rate of re-operation
6. Can result in swallowing problems and enlargement of the esophagus.