Expert: John Pilcher, MD - 12/2/2009

Question
hello sir,
i m 28 yrs old female and suffering from PCOD as well as Thyroid since 2004 which has resulted into sudden weight gain, no periods, and infertility.
i m on Thyrox 50 for my thyroid(hypothyrodism) and is now in control.
as for pcod and other gynaec problems i have gone through laproscopy and than IVF treatment and am blessed with twin baby boys in 2007
but after their birth i m not able to have my periods and gaining weight like anything.
i m 5.4" with 96 KG weight i would like to know which surgery would be appropriate for me and also as i m Indian resident is such a surgery possible here if yes than where?????


Answer
Ma'am,
It does sound as if a bariatric surgical procedure is reasonable for you.  Since the abnormalities of metabolism are prominent in your case (PCOD, especially) then I would think mostly of a gastric bypass or a gastric sleeve in preference to a gastric band.

I regret that I am not familiar with the geographic details of bariatric surgery in India, but I know there are a number of excellent surgeons in the country.  I recommend you begin a surgeon search by asking your Ob physician, and if not helpful then use internet search.  Make sure you like the surgeon in person before surgery, however.

Best of luck!
Dr JP