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Female obesity and assisted reproductive technologies
Banu Kumbak1, Engin Oral, Orhan Bukulmez
1IVF Unit, Department of Obstetrics and Gynecology, Fırat University Medical School, Elazig, Turkey.
Obesity negatively impacts fertility treatments, leading to poorer outcomes in women undergoing assisted reproductive technologies (ART). Further research is needed to understand these effects and guide treatment policies.
Area of Science:
- Reproductive Endocrinology
- Obesity Medicine
- Infertility Research
Background:
- Obesity is a global epidemic, affecting nearly half of reproductive-age women.
- Obese women undergoing assisted reproductive technologies (ART) exhibit unfavorable ovarian stimulation and reduced ART success rates.
- Increased body mass index is linked to lower pregnancy and live-birth rates and higher miscarriage rates.
Purpose of the Study:
- To investigate the impact of obesity on assisted reproductive technologies (ART) outcomes.
- To explore the association between body mass index (BMI) and fertility treatment success.
- To review maternal, perinatal, and neonatal complications in obese pregnancies.
Main Methods:
- Literature review of studies investigating obesity and ART.
- Analysis of data on ovarian stimulation, oocyte retrieval, and pregnancy rates in relation to BMI.
- Examination of factors such as age and polycystic ovary syndrome (PCOS) in obese women.
Main Results:
- Obese women show increased gonadotropin use, fewer follicles, and lower oocyte yield during ART.
- Higher BMI correlates with reduced pregnancy and live-birth rates and increased miscarriage.
- Maternal, perinatal, and neonatal complications are elevated in obese pregnancies.
Conclusions:
- Obesity presents significant challenges for fertility treatments and pregnancy outcomes.
- The underlying mechanisms of adverse effects in obese women require further elucidation.
- Ethical and social considerations surrounding fertility treatment access for obese women are debated, with a need for patient counseling on weight management.
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