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Body mass index and intercourse compliance.
Kelly Pagidas1, Sandra A Carson1, Peter G McGovern2
1Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Fertility and Sterility
|June 23, 2009
Summary
Body mass index (BMI) did not affect intercourse compliance in women with polycystic ovary syndrome (PCOS). Despite lower ovulation rates, women with higher BMI were more compliant with intercourse during ovulatory cycles.
Area of Science:
- Reproductive endocrinology
- Infertility research
- Obesity medicine
Background:
- Polycystic ovary syndrome (PCOS) is a common cause of infertility.
- Elevated body mass index (BMI) is frequently observed in women with PCOS.
- Intercourse compliance is a critical factor in achieving pregnancy.
Purpose of the Study:
- To examine the association between body mass index (BMI) and intercourse compliance.
- To analyze data from the Reproductive Medicine Network's Pregnancy in Polycystic Ovary Syndrome (RMN PPCOS) Trial.
Main Methods:
- Post hoc analysis of data from the RMN PPCOS Trial.
- Involved 626 infertile women with PCOS (mean age 28.1 years, mean BMI 35.2 kg/m²).
- Primary outcome measures were intercourse compliance and BMI.
Main Results:
- Overall, BMI was not significantly associated with intercourse compliance.
- Women with BMI ≥ 35 kg/m² had lower ovulation rates compared to those with BMI < 35 kg/m².
- However, women with BMI ≥ 35 kg/m² showed a trend towards higher intercourse compliance during ovulatory cycles.
Conclusions:
- Body mass index is not a determinant of intercourse compliance or noncompliance in infertile women with PCOS.
- Elevated BMI in women with PCOS does not correlate with reduced adherence to intercourse recommendations.
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