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How Being Overweight Can Affect Pregnancy and Fertility

Pregnancy

vania dinda |
Haibunda

Tuesday, 04 Apr 2023 21:05 WIB

Jakarta

Good hormone balance regulates the menstrual cycle. However, for mothers who are overweight and obese, have higher levels of a hormone called leptin, which is produced in fat tissue.

This can upset the balance of hormones and lead to reduced fertility. So being overweight or obese can affect your fertility to get pregnant.

Causes of fat people difficult to get pregnant

Quoted from Your Fertility, how much body fat is distributed, can affect the menstrual cycle through a series of hormonal mechanisms. The more overweight you are and the more belly fat, the greater the risk of difficulty getting pregnant.


Excess weight, especially excess belly fat, is related to insulin resistance or when the body must produce more insulin to maintain normal blood sugar levels and decreased levels of sex hormone binding globulin (SHBG), a protein involved in the regulation of the sex hormones androgen and estrogen .

This can increase the risk of irregular menstrual cycles, and can further reduce fertility. One study found that women who were obese were much less likely to become pregnant within one year of stopping contraception, compared to women of normal weight (66.4 percent of obese women became pregnant within 12 months, compared to 81.4 percent). percent of women with normal weight).

Changes in the balance of hormones that regulate the menstrual cycle, which are triggered by being overweight and obese can also increase the risk of anovulation (when no eggs are released by the ovaries). So, mothers with a body mass index (BMI) above 27 are three times more likely to be unable to get pregnant due to not ovulating, when compared to mothers who have normal weight.

Many overweight women continue to ovulate, but the quality of the eggs they produce seems to diminish. The evidence for this is that among ovulating women, each BMI unit above 29 reduces the chances of achieving pregnancy within 12 months by about 4 percent.

This means that if you have a BMI of 35, the chances of getting pregnant within a year are 26 percent lower, and for women with a BMI of 40 the chances are 43 percent lower compared to women with a normal BMI or between 21 and 29.

If you and your partner use IVF to get pregnant, the chances of having a live birth will also be lower for mothers who are overweight or obese, compared to mothers who have a normal BMI.

In addition, when compared to mothers who have a normal weight range, the probability of giving birth to a live baby with IVF is only reduced by 9 percent, while for mothers who are overweight and who are obese it is reduced by 20 percent.

Not only in women, being overweight can also affect male fertility. This is likely due to a combination of factors, including hormonal problems, sexual dysfunction and other health conditions linked to obesity such as type 2 diabetes and sleep apnea as both are associated with decreased testosterone levels and erectile problems.

So it is estimated that if a man’s weight increases by 10 kg, it can also reduce his fertility by 10 percent. This is presumably because obesity not only reduces sperm quality, but also changes the physical and molecular structure of sperm cells.

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Watch the video about distinguishing a distended belly due to pregnancy or fat

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