Vertical Sleeve Gastrectomy and Pregnancy: Everything You Need to Consider

If you’re considering Vertical Sleeve Gastrectomy (VSG) as a weight-loss solution and are also planning for pregnancy, you’re not alone. Many women who undergo bariatric surgery have questions about how it may impact their fertility and what effect it could have on pregnancy. At Tampa Weight Loss Institute, under the expert guidance of Dr. Amit Taggar, we’re here to provide clear, evidence-based insights and support as you navigate this important journey. Here’s what you need to know about pregnancy after VSG, and how we can help you achieve your goals for both fertility and a healthy pregnancy.

What is Vertical Sleeve Gastrectomy?

Vertical Sleeve Gastrectomy, or VSG involves removing about 80% of the stomach, leaving a sleeve-like structure. This drastically reduces the stomach’s capacity, making it easier to feel full with smaller portions. As a result, most patients experience significant and sustainable weight loss. It improves your overall health, including lowering the risk of type 2 diabetes, high blood pressure, and sleep apnea.

vertical sleeve gastrectomy illustration

Fertility and Bariatric Surgery: What You Should Know

Losing excess weight through bariatric surgery, like VSG, can have a significant positive impact on fertility. Obesity can cause hormonal imbalances, insulin resistance, and irregular menstrual cycles, all factors that can impair your ability to conceive. Fortunately, studies show that weight loss surgery can help correct these imbalances and improve fertility.

Research published in Journal of Clinical Endocrinology & Metabolism suggests that women who undergo bariatric surgery are more likely to conceive within a year of surgery. Many women who struggled with infertility due to obesity find that their fertility improves after weight loss (Legro et al. (2007).

Pregnancy After Vertical Sleeve Gastrectomy: What You Need to Consider

While VSG can enhance fertility and help you achieve your pregnancy goals, there are a few important factors to keep in mind:

1
Nutrient Deficiencies and Supplementation
After VSG, your stomach can hold less food, which may affect your ability to absorb essential nutrients. For women who are planning a pregnancy, this is especially important, as deficiencies in iron, calcium, folate, and vitamin B12 can impact both your health and the development of your baby. For this reason, Dr. Taggar strongly advises all patients to start prenatal vitamins and supplements prior to conceiving.
A study published in Obesity Surgery highlighted the importance of these supplements, noting that women who had bariatric surgery should prioritize taking vitamins to ensure optimal health during pregnancy (Saber et al., 2019).
2
When is the Right Time to Try for a Baby?
Timing is everything. Experts recommend waiting at least 12 to 18 months after VSG before trying to conceive. This allows your body to stabilize after significant weight loss and ensures that your nutritional levels are better regulated. Getting pregnant too soon after surgery can increase the risk of complications like nutrient deficiencies and excess weight gain, which can complicate both pregnancy and the surgical outcome.
3
Monitoring Weight and Health During Pregnancy
Managing your weight during pregnancy is key to ensuring both your health and the development of your baby. After VSG, many patients experience reduced hunger and smaller appetites, which may make it harder to consume the necessary number of calories during pregnancy. It's important not to gain excessive weight, as this could pose risks for you and your baby.
4
Postpartum Care and Support
After childbirth, women who have had bariatric surgery may face challenges, such as breastfeeding difficulties and managing weight. The reduced calorie intake associated with VSG can sometimes impact milk production, but with the right diet and supplementation, most women can successfully breastfeed their babies. Dr. Taggar emphasizes the importance of maintaining a balanced diet and staying active postpartum to manage your weight and ensure long-term health.

Key Takeaways: What You Should Remember

Pregnancy after VSG can be a healthy and rewarding experience when properly planned. Here are the key points to keep in mind:

  • Improved fertility: Weight loss surgery can improve hormonal balance and fertility, making it easier to conceive.
  • Nutrient deficiencies: You’ll need to take prenatal vitamins and supplements to avoid deficiencies that could impact both you and your baby.
  • Timing is critical: Wait at least 12-18 months after surgery before trying to conceive to ensure your body is ready.
  • Nutritional care: Work closely with Dr. Taggar to maintain proper nutrition and manage weight during pregnancy and postpartum.

While this article is focused on pregnancy after VSG, it’s also helpful to be aware of the common changes and adjustments your body may experience after surgery. Most patients do incredibly well, especially with the right support and follow-up care. If you’d like to better understand what to expect in the months and years after surgery—from nutritional needs to possible digestive changes—visit our guide on vertical sleeve gastrectomy complications and conditions after treatment. It’s all about helping you stay informed and empowered on your journey.

Want to learn more?

Dr. Amit Taggar and the Tampa Weight Loss Institute team specialize in personalized care, ensuring that your weight loss journey is optimized for better reproductive health. If you’re struggling with infertility due to excessive weight, bariatric surgery might just be the solution to give you a better chance at conception.

Our team is here to guide you through every step of your weight loss journey, ensuring that you’re fully supported as you prepare for motherhood.

Call us today for more information or to book your consultation. Let’s work together to help you achieve the healthy, fulfilling pregnancy you wished for!

Author

  • Dr. Amit Taggar Headshot

    Dr. Amit Taggar is a board-certified, fellowship-trained bariatric surgeon and the founder of Tampa Weight Loss Institute. Recognized globally for his expertise in robotic weight loss surgery, Dr. Taggar specializes in Roux-en-Y gastric bypass, vertical sleeve gastrectomy, duodenal switch, and complex bariatric revisions. He has trained surgeons from around the world and performed live surgical demonstrations at major international conferences. Committed to empowering patients on their weight loss journey, Dr. Taggar emphasizes a comprehensive approach to long-term success, integrating advanced surgical techniques with personalized aftercare. At Tampa Weight Loss Institute, he leads a team dedicated to transforming lives through compassionate, patient-centered care.