Obesity and Gynecology, Second Edition

Obesity and Gynecology: A Focused Clinical Reference

Obesity is not a side issue in gynecology; it shapes diagnosis, treatment choices, surgical risk, and reproductive outcomes. Obesity and Gynecology, Second Edition gathers that reality into a single reference edited by Tahir A. Mahmood, Sabaratnam Arulkumaran, and Frank A. Chervenak. Across 30 chapters, contributors examine how obesity influences gynecologic and obstetric care from adolescence through menopause.

From Adolescence and PCOS to Infertility Care

Early sections consider adolescent obesity, puberty, and polycystic ovary syndrome, including the links between obesity and infertility, hirsutism, recurrent miscarriage, and assisted reproduction. The discussion extends into male reproductive function, semen quality, and medical or surgical interventions intended to improve fertility outcomes in obese women planning pregnancy.

Contraception, Sexual Health, and General Gynecology

The book explores contraceptive efficacy and safety in women with obesity, including long-acting methods, bariatric surgery considerations, and intrauterine devices. It also covers sexual health and function, pelvic ultrasound, menstrual disorders, incontinence, pelvic organ prolapse, and the practical management of gynecologic conditions in patients with higher body mass index.

Surgery, Thrombosis, and Cancer Risk

Surgical chapters address preoperative evaluation, anesthesia, thromboprophylaxis, open and minimally invasive approaches, and postoperative care. Separate chapters examine venous thromboembolism and the relationship between obesity and female cancers, including breast cancer, endometrial and other gynecologic malignancies, and implications for prevention and treatment.

Long-Term Health Across the Lifespan

The final chapters connect obesity with cardiovascular disease in reproductive health, osteoporosis, menopause, and hormone replacement therapy. Rather than treating each topic in isolation, the book keeps returning to shared mechanisms, risk assessment, and the clinical decisions that change when obesity is part of the picture.

Who Will Find It Useful

This second edition is written for gynecologists, obstetricians, reproductive medicine specialists, residents and fellows, and allied clinicians who manage women with obesity. It offers a structured overview for practitioners who need evidence-based context without losing sight of day-to-day patient care.

What Makes This Edition Notable

With contributions from international clinicians and researchers, the text combines epidemiology, pathophysiology, and management guidance. It is a practical reference for anyone seeking a clearer understanding of how obesity affects gynecologic practice, fertility, surgery, and long-term women’s health.