OBESITY & INFERTILITY

Obesity is a condition where a person has accumulated so much body fat that it might have a negative effect on their health. It is determined by the BMI (Body Mass Index) which is calculated and indicates whether a person is underweight, overweight or obese.

HARMFUL EFFECTS OF OBESITY ON FERTILITY

The incidence of infertility has been increasing over the past two decades, alongside the increase in overweight population, worldwide. After extensive research, studies show that obesity can hurt the fertility of a couple and their chances of pregnancy.

Ovulatory Dysfunction

Obesity in women has been shown to cause Ovulatory Disorders in women, the most common being PCOS. This results in lesser quantity of eggs being produced and a decrease in the quality of the eggs.

Luteal Phase Disorders

Obesity has been linked to Luteal Phase Disorders, where there is a lack of progesterone (a pregnancy support hormone) which signals the lining of the uterus to grow. Without this hormone, the patient can have trouble getting pregnant or staying pregnant, resulting in miscarriage.

Male Infertility

Overweight and obese men have worse sperm quality than men of healthy weight. Being overweight or obese can also cause hormonal changes that reduce fertility and decrease the chances of conception.

HARMFUL EFFECTS OF OBESITY IN PREGNANCY

Obesity during pregnancy can cause many complications, leading to a high risk pregnancy. Hight risk pregnancies can cause harm to both mother and child and may result in still birth, pre term labour or miscarriage. Some of these complications are:

Diabetes

Obesity has been linked to diabetes for decades and research is still being done, as to which is the cause and which the effect. If the mother has diabetes during pregnancy, it can pose potential threats to both mother and child, such as:

This is a condition in which the baby grows too large due to the excess insulin from the mother. This leads to difficulty during delivery and an increase in risk of injury to the baby during birth.

The baby can develop hypoglycemia or low blood sugar shortly after delivery due to high levels of insulin.

Jaundice in new borns, a yellow discoloration of the skin and eyes,  is often attributed to diabetes during pregnancy.

Hypertension

Obesity is a predisposing factor to Hypertension or high blood pressure. Hypertension during pregnancy can be difficult to manage and could lead to preeclampsia and other complications.

Deep Venus Thrombosis (DVT)

DVT is a risky complication of obesity in both normal and operative delivery, especially in the post partum period.

Labour Difficulties

Overweight and obese women have longer labors than women of normal weight. It can be harder to monitor the baby during labor. Obese women tend towards a cesarian delivery.

Infection

Obesity predisposes to infections of Both the urinary tract and peurperial sepsis which could cause increased morbidity in the mother.

MANAGEMENT OF OBESITY

Despite the risks, it is possible to conceive and have a healthy pregnancy through strict diet and exercise regimens.

There is clear therapeutic benefit in weight reduction, both in adolescent girls & couples trying to conceive. Recent studies have proven beyond doubt, that even 5 – 10 % reduction from preexisting BMI can enhance fertility and reduce the risk of abortion.

NAGAMANI WOMEN WELLNESS CENTER

Diet and exercise regimens require the expertise of trained physiotherapists and nutritionists, to avoid fads like crash diets (which may end up causing more harm) as well as to exercise the right amount, in the right way, without straining or sustaining injuries. 

Our Women Wellness Center comprises of female professionals who are trained in these fields. They create personalized regimes, combining nutrition and exercise, that are tailor made to suit the patient after a thorough assessment, in order to achieve steady and gradual weight loss in a healthy manner.

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