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Association of Overweight and Consistent Anovulation among Infertile Women with Regular Menstrual Cycle: A
Christiane Ricaldoni Giviziez1, Eliane Gouveia de Morais Sanchez1, Yanna Andressa Ramos de Lima2
1Unidade Acadêmica de Ciências da Saúde, Universidade Federal de Jataí, Jataí, GO, Brazil.
Objective:
It has been suggested that excess body weight could represent a risk factor for infertility outcomes. The present study aimed to evaluate the association of overweight and anovulation among infertile women with regular menstrual cycles.
Methods:
We conducted a retrospective case-control study with consistently anovulatory patients undergoing assisted reproduction treatment. The patients were stratified into normal weight (body mass index [BMI]: 18.5-24.9kg/m2) and overweight (BMI: 25.0-29.9kg/m2).Those with polycystic ovary syndrome or obesity were excluded. The groups were matched for age, duration of infertility, prolactin, follicle stimulating hormone (FSH), thydroid stimulating hormone (TSH), luteinizing hormone (LH), and estradiol levels.
Results:
Overweight was significantly associated with anovulation, when using the World Health Organization (WHO) criteria for anovulation: progesterone levels > 5.65 ng/ml and ultrasonography evidence of follicle collapse (odds ratio [OR]: 2.69; 95% confidence interval [CI95%]: 1.04-6.98).
Conclusion:
Body mass index above the normal range jeopardizes ovulation among non-obese infertile women with regular menstrual cycles.
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