Obesity Clinical Trial
Official title:
Health-related Quality of Life, Sexuality and Hormone Status After Bariatric Surgery
The purpose of this study is to characterize the hormonal status in fertile women undergoing laparoscopic gastric bypass, pre- and postoperatively, and evaluate if there is a correlation between health-related quality of life and proposed hormone changes post-operatively.
Sex hormone levels in women with obesity are altered in comparison to normal weight
subjects. Most previous studies have focused on questionnaire surveys, and on the
emotional/psychological aspect of health-related quality of life (HRQoL). It has been shown
that bariatric surgery can affect reproductive ability, but the relationship between
hormonal changes and HRQoL has been sparsely studied.
Hormone balance is affected by fat allocation, insulin levels and liver function, and these
factors are all influenced postoperatively. Also body image and altered body mass
composition can influence sexuality in diverse ways.
This leads us to theorize that liver production of SHBG will change after surgery and impact
serum concentrations of sex hormones. Normalized levels of testosterone and estrogen may
lead to reduced symptoms of hyperandrogenism, restitution of normal menstrual cycles and
changes in sexual functioning.
The focus of this study is to analyze sexual and health-related quality of life through
questionnaire analyses, and to investigate levels of sex hormones pre- and postoperatively
in women undergoing bariatric surgery. Results from questionnaire analyses and hormone data
will be tested for possible correlations.
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