Obesity and menstrual disorders

Best Pract Res Clin Obstet Gynaecol. 2023 Jul:89:102343. doi: 10.1016/j.bpobgyn.2023.102343. Epub 2023 May 11.


Obesity is a growing public health concern and is associated with a range of menstrual disorders, including heavy menstrual bleeding, oligomenorrhea, dysmenorrhea, and endometrial pathology. Investigations may be more logistically challenging in those in the population with obesity, and because of the heightened risk of endometrial malignancy, there should be a low threshold for biopsy to exclude endometrial hyperplasia. Although treatment modalities for women with obesity are broadly similar to those with a normal BMI, additional consideration must be given to the risks associated with estrogen in obesity. Outpatient management of heavy menstrual bleeding is a developing field and outpatient treatment modalities are preferable in the population with obesity to avoid the morbidity associated with anesthetics.

Keywords: Heavy menstrual bleeding; Hormones; Menstrual disorders; Obesity; Surgery.

Publication types

  • Review

MeSH terms

  • Endometrial Ablation Techniques*
  • Female
  • Humans
  • Hysterectomy
  • Menorrhagia* / etiology
  • Menorrhagia* / therapy
  • Menstruation Disturbances / etiology
  • Menstruation Disturbances / therapy
  • Obesity / complications
  • Obesity / epidemiology
  • Obesity / therapy