Abstract | PURPOSE OF REVIEW: RECENT FINDINGS: Eighteen percent of children and adolescents have a body mass index greater than the 95th percentile, with 4% of adolescents being greater than the 99th percentile. Gynecologic morbidities identified in obese adolescents include anovulatory complications such as acute menorrhagia, polycystic ovary syndrome and endometrial hyperplasia, and cancer. When conventional dietary and behavioral therapy fail to result in weight loss, specific criteria have been identified to justify bariatric surgery in extremely obese adolescents. Bariatric surgery in adult women often results in resumption of ovulatory menses, resolution of clinical and laboratory evidence of hyperandrogenism, and return of fertility. Adolescents are at risk for unintended pregnancies, and there are special concerns regarding pregnancy in bariatric patients. Specific contraceptive methods have particular potential risks, benefits, and drawbacks for use in obese adolescents. SUMMARY:
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Authors | Rachel J Miller, Stavra A Xanthakos, Paula J Adams Hillard, Thomas H Inge |
Journal | Current opinion in obstetrics & gynecology
(Curr Opin Obstet Gynecol)
Vol. 19
Issue 5
Pg. 427-33
(Oct 2007)
ISSN: 1040-872X [Print] England |
PMID | 17885457
(Publication Type: Journal Article, Review)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Body Mass Index
- Child
- Contraceptives, Oral
(therapeutic use)
- Female
- Follow-Up Studies
- Gastric Bypass
- Gastroplasty
- Genital Diseases, Female
(complications, diagnosis)
- Gynecology
(methods, trends)
- Humans
- Obesity, Morbid
(complications, surgery)
- Polycystic Ovary Syndrome
(diagnosis, etiology)
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