What medical weight management is

The number on the scale says little on its own. What matters is what it is made of: how much fat, muscle and water the body holds, and where the fat is distributed. That is why, at the visit, we offer individualized follow-up that combines your medical history, an examination and a body composition analysis using bioimpedance.

Bioimpedance estimates body composition by measuring how a very weak electrical current passes through the body. It is quick and painless. It is an estimate, so we always interpret it together with the rest of your medical information and, when needed, with blood tests.

How we do it

• First assessment: gynecological and obstetric history, medication, habits, measurements and bioimpedance.
• Realistic, personalized goals, designed for your health and agreed with you.
• Regular check-ups to see how your body composition changes, not just your weight.
• Referral to other professionals (nutrition, endocrinology or others) when necessary.
• When indicated, medical treatments for weight loss, including incretin-type medicines (GLP-1 receptor agonists and dual GLP-1/GIP agonists).

Drug treatments for weight loss, such as incretin-type medicines (GLP-1 receptor agonists and dual GLP-1/GIP agonists), are prescription medicines. They are only prescribed after an individual medical assessment, require a prescription and must be used under strict medical supervision. They are not suitable for everyone and do not replace healthy lifestyle habits.

Bioimpedance is usually not recommended during pregnancy or with pacemakers or other implanted electrical devices. We will assess this with you at the visit.

Why weight matters for women’s health

Excess weight, and also very low weight, are linked to common problems in gynecology and obstetrics. Here are some examples.

Fertility

High or low weight can disrupt ovulation and make pregnancy harder. Reaching pregnancy at a healthy weight is one of the measures that helps most.

Pregnancy

Weight before pregnancy and weight gained during pregnancy are linked to the risk of gestational diabetes, hypertension, preeclampsia and the type of delivery. That is why it is useful to plan and monitor it.

Polycystic ovary syndrome

Insulin resistance and excess abdominal fat can worsen cycle irregularities, excess hair growth and difficulty getting pregnant. International guidelines place lifestyle habits as the first step of treatment.

Menopause

With menopause, fat distribution changes, tending to accumulate in the abdomen, and muscle mass decreases. This is associated with higher cardiovascular and metabolic risk. Body composition gives more information than the scale.

Cancer, especially endometrial

Excess weight is an established risk factor for endometrial cancer and is also associated with other tumors, such as breast cancer after menopause. Maintaining a healthy weight is part of prevention. If you have bleeding after menopause, always get it checked.

General health

Excess weight is also linked to type 2 diabetes, hypertension, cardiovascular disease, sleep apnea and joint pain.

Who it is for

• Women who are trying to conceive or want to prepare for pregnancy.
• Women with polycystic ovary syndrome or cycle irregularities.
• Women in perimenopause and menopause.
• Any woman who wants to look after her weight with medical guidance.

Frequently asked questions