Posts Tagged ‘BMI’

Obesity is a factor in IVF success

Tuesday, July 5th, 2011

We have said it before and now a new study in the July 2011 edition of Obstetrics & Gynecology again confirms it: obesity has an adverse effect on the chance of IVF success.

They reviewed the records of 1,721 women undergoing their first IVF cycle with their own eggs. Women with a normal BMI were compared with women with class II obesity (BMI 35-39.9) and class III obesity (BMI >40). They found lower numbers of fertilized eggs and lower peak estrogen levels when correcting for age and numbers of eggs. Most importantly women with class III obesity had a 50% lower clinical pregnancy and live birth rate.

The message here is simple and clear: it is advisable for women to maintain a normal weight before, during and after attempting to conceive. For further information on lifestyle issues see our Lifestyle & Fertility pages.

IVF success-does a woman’s weight matter?

Tuesday, December 21st, 2010

This is one of a series of news items from abstracts of studies presented at the Annual Meeting of the American Society for Reproductive Medicine as complied by Dr. David Meldrum, Scientific Director of Reproductive Partners. We appreciate the enormous amount of work it takes to compile and comment on these abstracts.


  You bet it does.  

893 women were analyzed for the effects of weight on IVF outcome. Compared to women with a normal BMI, women with BMI over 35 had significantly lower peak estrogen level, number of eggs retrieved, total embryos, a 60% lower birth rate, and a 29% greater incidence of immature eggs. Underweight women also had a higher incidence of egg immaturity.

 

These factors together with the marked increase of extreme prematurity in pregnancy makes a strong case that women with a BMI over 35 should reduce before being offered IVF, even by surgical means if required. These findings also may suggest that dosing of fertility drugs and hCG is inadequate in these very heavy women. It is also possible that the hCG may be injected into buttock fat where absorption may be poor rather than in the muscle where it’s intended to go.

 

The lower oocyte maturity in underweight women could be due to dietary factors.

 

For more information see our Lifestyle pages where you can link to Dr. Meldrum's website for detailed information

 

 

 For more information see our Lifestyle pages where you can link to Dr. Meldrum's website for detailed information

RPMG’s Dr. Wisot quoted in Life & Style

Friday, March 12th, 2010

RPMG's Dr. Arthur Wisot was quoted in the March 22nd issue of Life & Style. He commented on the effect on the extremes of weight on the ability to conceive. In a story on E! anchor Giuliana Rancic's difficulty conceiving, he pointed out the effects of very low and very high BMI (body mass index) on the reporoductive process. Dr. Wisot, who does not treat Rancic, stated that "the ideal is to get pregnant in the normal-weight category."

Obesity impairs IVF success

Monday, March 8th, 2010

One of the issues I discuss with new patients when it's pertinent is weight loss in order to improve the chance of IVF success.

The latest evidence supporting this is in an article in the February 2010 edition of Fertility & Sterility looking at the outcomes in different groups based on BMI (body mass index as kilograms per square meter). They compared lean (<20 kg/m2); normal (20–24.9 kg/m2); overweight (25–29.9 kg/m2); and obese (≥30 kg/m2) women in 6500 IVF cycles. Although there was no difference in insemination procedure, fertilization rate, day of transfer, mean number of embryos transferred and cryopreserved embryos, percentage of blastocyst transfers, or embryo quality on day 2 and 3 among groups, pregnancy and live birth rates were reduced progressively with each category of increase in BMI. In addition, the cumulative pregnancy rate after four IVF cycles was reduced as BMI increased.

This confirms other studies that being obese or even just overweight overweight has a negative effect on IVF success.