Weight loss to improve fertillity outcomes: how far should we go?

A gastric Band is a special inflatable band which is placed around the top portion of the patient’s stomach, creating a small pouch that limits or reduces the amount of food which you are able to eat at any one time. Cheap gastric band surgery in France is provided by our hospitals in France who will fit a surgical Lap band around your stomach which is adjustable, which enables the Practitioner to either inflate the band to tighten it or deflate it to loosened the band to help the patient. 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. These factors result in increased time to conception, and lower implantation and pregnancy rates following both spontaneous and assisted conception in those couples where either the female or male partner or both are obese. Fertility problems therefore remain a key issue for many obese and overweight individuals: a problem compounded by the fact that most clinical commissioning groups restrict NHS funding of IVF to those couples where the female partner has a body mass index (BMI) of 30 or less. There is little doubt that weight loss improves both fertility and reproductive outcomes. Reductions in BMI are associated with a return of ovulatory cycles, improved sperm counts, improved conception rates for both spontaneous and assisted conception, and improvements in outcomes for mothers and their babies – not to mention the long term health benefits associated with weight loss Read more…

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