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Obesity Care in Obstetrics and Gynecology

CE / CME

Obesity Management During Women’s Reproductive Years: Expert Insights to Your Clinical Queries

Physician Assistants/Physician Associates: 1.00 AAPA Category 1 CME credit

Nurse Practitioners/Nurses: 1.00 Nursing contact hour

Physicians: maximum of 1.00 AMA PRA Category 1 Credit

Released: October 29, 2025

Expiration: October 28, 2026

Activity

Progress
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Course Completed

Your patient is Pat (34 years old; G0P0). She and her partner are motivated to conceive “as soon as possible” and have already been trying for 12 months. She has a history of polycystic ovary syndrome (PCOS), weighs 220 lb (100 kg), and has a BMI of 37 kg/m2. She would like metabolic/bariatric surgery to quickly lose ≥40 lb (18 kg) and get her BMI below 30 kg/m2 so she can conceive. Which of the following would you provide as best advice in shared decision-making to identify reasonable treatment goals?

Your patient Pat, who is now 36 years old and G1P1, is in your office for a well-woman exam. She had a child 1 year ago. She is enrolled in a weight management program to improve her lifestyle management, but she has only lost 5 lb (2 kg) in 3 months, and she is still 30 lb (14 kg) above her prepregnancy weight of 200 lb (91 kg). She is currently not breastfeeding and would like to start trying for another pregnancy in about 12-18 months but would really like to get back to her prepregnancy weight before then, which would require approximately 13% weight loss. Considering Pat’s goals and pregnancy plans, what would you recommend as the best option?

After discussing treatment options with you, your patient Pat (36 years old; G1P1) decides to add an incretin-based AOM to her treatment plan. She also tells you that she has been diagnosed with metabolic dysfunction–associated steatotic liver disease (MASLD) and had her gallbladder removed since her last pregnancy. How should she be counseled about incretin-based AOMs?

Introduction

In this module, an expert in obstetrics and gynecology (OB/GYN) and obesity medicine discusses obesity management during reproductive years and provides insights on fertility, PCOS, pregnancy planning, postpartum and perimenopausal weight gain, and weight-related comorbidities. Take home strategies focused on personalized weight management approaches for patients at different stages in their reproductive journey.  

The key points discussed in this module are illustrated with thumbnails from the accompanying downloadable PowerPoint slidesets, which can be accessed here or by clicking any of the slide thumbnails in the module alongside the expert commentary. 

Clinical Care Options plans to measure the educational impact of this activity. Some questions will be asked twice: once at the beginning of the activity and then once again at the end of the activity. Your responses will be aggregated for analysis, and your specific responses will not be shared. 

Before continuing with this educational activity, please take a moment to answer the following poll questions. 

How many people living with obesity do you provide care for in a typical week?

For those who practice in academic or community settings, please indicate your practice setting: