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Obesity is now a pandemic and undoubtedly the greatest burden facing health services worldwide. Twenty percent of women of childbearing age are thought to be obese. It is well-established that, in women, obesity is associated with reduced rates of ovulation, increased miscarriage rates and poor response to ovarian stimulation during assisted conception.
Male fertility also appears to be similarly adversely affected with evidence of a reduced ejaculate volume, reduced sperm count and increased sperm DNA damage in obese men.