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Determinants of Pre-Conception Nutrition- weight

Determinants of Pre-Conception Nutrition- weight. Dr. Eeson Sinthamoney MD (Mal), MRCOG (London), DFFP (UK) Fellowship in Reproductive Medicine (Singapore/UK) Obstetrician, Gynaecologist & Fertility Specialist Pantai Hospital Kuala Lumpur. Weight and fertility.

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Determinants of Pre-Conception Nutrition- weight

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  1. Determinants of Pre-Conception Nutrition- weight Dr. Eeson Sinthamoney MD (Mal), MRCOG (London), DFFP (UK) Fellowship in Reproductive Medicine (Singapore/UK) Obstetrician, Gynaecologist & Fertility Specialist Pantai Hospital Kuala Lumpur

  2. Weight and fertility • At present, the best method of determining the appropriateness of one’s weight is to measure their body mass index (BMI) • Under-weight versus over-weight : both have issues • The recommended BMI range is between 18.5 and 24.9 kg/m2. • probability of pregnancy is reduced by 5% for every unit of BMI that exceeds 29kg/m2.

  3. Weight and fertility • women who are overweight or obese require a higher dose of stimulation medication, have a lower chance of getting pregnant (reduced by approximately 30%) and have an increased miscarriage rate (increased by approximately 30%). • negative effects of excessive weight on fertility appear to be reversible

  4. Weight and fertility

  5. Weight and fertility • In males, the effect of obesity on fertility less studied • Obesity leads to lower testosterone levels and other endocrine abnormalities, higher scrotal tempreture and higher rates of erectile problems. • Many studies have shown an increased likelihood of abnormal sperm parameters among overweight men and risk for sub-fertility among couples in which the male partner is obese, other studies have failed to show this association.

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