Body Weight And Fertility - Is There Any Relationship?

Body Weight And Fertility - Is There Any Relationship?

Many diabetic and/or obese women with a BMI of more than 30 wish to conceive, but they are afraid of the risks if any associated with such a pregnancy. The reason for their fear is that their doctors might have warned them about the complications associated with these issues and pregnancy. Even though, they wish to conceive, the first and foremost problem they face is the difficulty in conceiving.

Yes, body weight and fertility has a correlation and reports state that excess weight can increase the production testosterone and other male hormones in women and this can bring about a negative impact on the ovulation cycle. For instance, PCOS, which is the most common reason for infertility in women, is caused due to hormonal disorder and it is also a condition that is linked to obesity as well. PCOS can be treated with some healthy lifestyle changes such as bringing down the intake of calories and engaging in regular physical activities with a view to normalize the weight.

Unhealthy diet can also hinder ovulation:

With a view to reduce weight, women should never move to starvation mode. The reason is that starvation and unhealthy diet can also hinder the natural ovulation process.

Overweight/obesity and IVF:

If an obese woman opts for IVF treatment, the thing to remember is that obese women have poorer response to this treatment. The reason is that either the eggs produced will be lower quality or only a fewer eggs can be retrieved by the health care provider during an IVF cycle. Even, reports also state that there will be difficulty in embryo transfers as well.

Excess weight during pregnancy:

Even, if obese women manage to get pregnant, higher weight during pregnancy will significantly increase the risk of development of serious complications like preeclampsia and gestational diabetes. The other risks involved, when obese women conceive are:

• Greater chance of miscarriage

• Greater chances of C-section delivery and even postoperative complications

• Stillbirth

• Higher chances of surgical complications during dilation and curettage

Low weight and infertility:

Not only overweight women, but also underweight women with a BMI of less than 18.5 will have infertility issues due to hormonal issues. These women also have irregular menstrual cycle and the ovulation gets impaired due to lesser estrogen production due to low fat storage in the body. However, the solution here is simple. Yes, underweight women can take foods with higher fat content for ovulation restoration and this will also eliminate the need for hormonal therapy.

Low weight during pregnancy:

Reports state that underweight women are 72% likely to experience miscarriage during the first trimester. But, the chances of miscarriage were brought down by about 50% among women, who took prenatal vitamins with rich folic acid content. Also, pregnant women, who are underweight, are more likely to deliver smaller babies and this can lead to long-term health problems in such babies.

So, there is connection between weight of the body and fertility in women and so those in child-bearing age are recommended to maintain a healthy body weight.

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# Nishith 2017-03-18
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# Dr. Naresh 2017-03-19
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