The effects of patient obesity in gynaecological practice

Obesity is an increasing problem in the developed world, is more common in women than men and affects gynaecological practice in three ways. It has a direct effect in terms of increased risk of polycystic ovarian syndrome problems with ovulation induction, and endometrial carcinoma. It has an indirect effect in terms of difficulty in pelvic examination and imaging techniques. Obesity also leads to technical difficulties at surgery and an increase in morbidity and mortality post-operatively.