Efectos de la obesidad en la reproducción humana femenina

Abstract

Obesity has a significant adverse impact on the reproductive outcome. It influences not only the possibility of conception but also the response to fertility treatment, and increases the risk of spontaneous abortion, congenital anomalies and complications of pregnancy, as well as possible adverse effects on the long-term health of the mother and the mother. baby. Women should aim for a normal BMI before starting any form of fertility treatment. The treatment should be deferred until the BMI is less than 35 kg / m2, although in those with more time (for example, less than 37 years, normal serum FSH level) a weight reduction at a BMI of less than 30 kg / m2 is preferable.Physicians should consider deferring treatment to women outside of these guidelines. Women should be provided with assistance to lose weight, which includes psychological support, dietary advice, exercise classes and adequate weight-reducing agents or bariatric surgery. Even a moderate weight loss of 5 to 10% of body weight may be enough to restore fertility and improve metabolic markers.