diabetes

Losing weight before conception

Weight loss before baby: Princeton IVF blog
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This time of year is a time when many couples who are having trouble conceiving decide it’s time to start seeking help. That help could come from the OBGYN, a midwife or a fertility specialist. It’s also a time in the year, after indulging during the holidays, when many of us have a few extra pounds to shed.

For those who are overweight, part of that advice will be to lose weight before conception.

While this may not be easy, there are multiple reasons why weight loss before pregnancy is good advice.

  • Being overweight will reduce the chances of you getting pregnant on your own

  • Being overweight will increase the chances that if you do get pregnant, you will miscarry

  • Being overweight will increase the chances of medical complications during pregnancy such as diabetes and high blood pressure.

  • While diet and exercise during pregnancy can help limit weight gain during pregnancy, it is not likely to reduce the likelihood of pregnancy-related complications such as diabetes and hypertension.

Delaying pregnancy and excess weight are both bad for fertility, so delaying pregnancy for weight loss is balancing two risks.

At what point do the risks of delaying pregnancy offset the benefits of weight loss?

  • According to a recent study presented at the American Society for Reproductive Medicine, women in their late 30’s or those have poor ovarian reserve may be best off not delaying childbearing despite the obvious benefits.

Could your fertility be a gauge of your health?

Infertility may mean health risks in the future

Research suggests that women with infertility may be at higher risk for health problems in the future

As a fertility specialist, I hear this all the time. I am healthy and take good care of myself, so there should be no reason I am not be getting pregnant. Naturally, we go on to discuss how one's fertility can be quite separate from your general health, as is quite often the case. Perhaps, though, that is not completely true.

A study out of the University of Pennsylvania and the National Cancer Institute followed women long term for health issues. 

They were mostly followed for cancer related issues, but were also asked about a history of infertility as a part of the study.

What they found though was interesting, including:

  • overall, women with a history of infertility had a 10% risk of dying over the 13 year study time
  • women with a history of infertility had a 20% increased risk of dying from cancer
  • women with a history of infertility had a 44% increased risk of dying from breast cancer
  • women with a history of infertility had a 70% increased risk of dying from diabetes, even though they were no more likely to have diabetes
  • uterine and ovarian cancer were no more common in women with a history of infertility

Does these mean the infertility causes poor health? Probably not, but it does mean that infertility could be sign of underlying health issues.

It means that women with a history of infertility, whether they were treated or not, whether they were successful or not, need to pay attention to their general health.