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Last Updated: Jan 10, 2023
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Can Being Overweight Cause Infertility

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Dr. Pradeep AggarwalAesthetic Medicine Specialist • 15 Years Exp.MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
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Being overweight can be as problematic as being underweight. Both the situations can have an effect on the infertility in a woman. Usually, the body stores the sex hormones in the fat layers. That is why, if a person is underweight, she can have infertility issues, as there is not enough storage space for the hormones. In the same way if a person is overweight, then there is an excess of fat tissues and the amount of the hormone estrogen released is usually more than that the body can handle. This leads to a disruption of the chemicals and proteins, leading to adverse reactions and infertility.

Common Weight Related Infertility Reasons

Being overweight is somewhat linked with the Polycystic Ovary Syndrome (PCOS) and an increase in estrogen hormone. Also, there is a greater chance of a luteal phase defect. Let us see how these can affect a woman:

  1. Estrogen: This hormone is produced by the fat cells, and if there is too much of estrogen production, then the body reacts to it in a similar manner when birth control pills are taken. Ovulation may or may not occur, and if it does, it might be inadequate. And the inadequate ovulation leads to luteal phase defect.
  2. Polycystic Ovary Syndrome (PCOS): This is basically an endocrine disorder with a combination of many symptoms. Symptoms are pain, irregular cycles, ovulatory pain, ovarian cysts, excessive body hair and heavy menstrual bleeding. Diagnosis for PCOS helps in determining the treatment for weight loss.
  3. Luteal Phase Defect: The luteal phase refers to the phase between the ovulation and the menses. The ideal time period for this phase is 14 days. LPD is generally caused by improper ovulation, and thus improving the quality of the follicles is necessary to correct the situation.

How Does Being Overweight Affect Conception Rate

As per a study which was published in the British Medical Journal, if women are too lean or too obese, they can have difficulty in conceiving and that fat distribution has an effect on the body. Women who have a large waist-hip ratio have difficulty in conceiving, and apple shaped women also face the same trouble. Usually, women who have PCOS have an apple shaped body.

Risk of Miscarriage Due To Being Overweight

Women suffering from PCOS and obesity have more chances of miscarriage as compared to others. The reason is that women with PCOS have increased LH, which tends to affect the pregnancy. However, it is noticed that even if excess fat does not play any role in pregnancy, women with PCOS have excess weight which creates high risk as compared to the others.

Finding Help for Overweight Issues is a Good Idea

Seeking help if you are overweight is always advisable. Consulting a good gynecologist can help along with weight management and fertility treatment. You shouldn't have any hesitations, and all the questions should be asked freely so as to get a holistic idea of the treatment. The doctor might suggest some tests and also conduct a physical examination of the lymph nodes and the abdomen, to check the ovaries and the uterus. Post physical examination, an internal examination of the cervix to check for infections is done, and if need be, a pap smear might be collected and sent to the lab for culture. At times, a trans-vaginal or an abdominal ultrasound might also be done to rule out the possibilities of abnormalities or others cysts. Tests to check the levels of hormones are also done.

It is always a wise decision to know how being overweight can impact the chances of becoming pregnant. Working towards losing weight and getting it under healthy BMI levels, can lead to the restoration of the hormones and in turn make you healthier.

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