Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Floch, Marine Le; Crohin, Anaïs; Duverger, Philippe; Picard, Aline; Legendre, Guillaume; Riquin, Élise

doi:10.1186/s12978-022-01341-w

Cited by 4 publications

(3 citation statements)

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“…Disordered eating as well as lifelong eating disorders occur more frequently among women seeking fertility treatment compared to the general population ( Freizinger et al, 2010 ; Easter et al, 2011 ; Bruneau et al, 2017 ; Paslakis and de Zwaan, 2019 ; Barbosa-Magalhaes et al, 2020 ; Hecht et al, 2022 ; Le Floch et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

“…Anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) may all cause amenorrhea, irregular menstruation, and hormonal imbalance ( Crow et al, 2008 ; Micali et al, 2014 ; Kimmel et al, 2016 ; Hecht et al, 2022 ; Le Floch et al, 2022 ), resulting in an increased risk of infertility.…”

Section: Introductionmentioning

confidence: 99%

“…Advice such as to lose or to gain weight will adversely affect their pathological, though very diverse, cognitive projects ( Rodino et al, 2016 ; Bruneau et al, 2017 ; Sommerfeldt et al, 2022 ) that characterize women with a history of eating disorders. The identification of eating pathology among IVF candidates is therefore of high importance and strongly recommended ( Janas-Kozik et al, 2021 ; Le Floch et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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IVF-induced pregnancy and early motherhood among women with a history of severe eating disorders

et al. 2023

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BackgroundThere is a higher prevalence of eating disorders among women seeking in vitro fertilization (IVF). Women with a history of eating disorders may be particularly vulnerable to eating disorder relapse during IVF, pregnancy, and early motherhood. The experience of these women during this process has hardly been studied scientifically, despite its high clinical relevance. The overall aim of this study is to describe how women with a history of eating disorders experience the process of becoming a mother through IVF, pregnancy, and the postpartum period.MethodsWe recruited women with a history of severe anorexia nervosa who had undergone IVF (n = 7) at public family health centers in Norway. Semi-openly, the participants were interviewed extensively first during pregnancy, and then 6 months after birth. The 14 narratives were analyzed using interpretative phenomenological analyses (IPA). All participants were required to complete the Eating Disorder Examination Questionnaire (EDE-Q) and were diagnosed (DSM-5) by using the Eating Disorder Examination (EDE), during both pregnancy and postpartum.ResultsAll participants experienced a relapse of an eating disorder during IVF. They perceived IVF, pregnancy, and early motherhood to be overwhelming, confusing, a source of severe loss of control, and a source of body alienation. There were four core phenomena that were reported that were strikingly similar across all participants: “anxiousness and fear,” “shame and guilt,” “sexual maladjustment,” and “non-disclosure of eating problems.” These phenomena persisted continuously throughout IVF, pregnancy, and motherhood.ConclusionWomen with a history of severe eating disorders are highly susceptible to relapse when undergoing IVF, pregnancy, and early motherhood. The process of IVF is experienced as extremely demanding and provoking. There is evidence that eating problems, purging, over-exercising, anxiousness and fear, shame and guilt, sexual maladjustment, and non-disclosure of eating problems continue throughout IVF, pregnancy, and the early years of motherhood. Therefore, it is necessary for healthcare workers providing services to women undergoing IVF to be attentive and intervene when they suspect a history of eating disorders.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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IVF-induced pregnancy and early motherhood among women with a history of severe eating disorders

et al. 2023

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Fertility, Pregnancy, and Maternity in Women with Eating Disorders

Brandt

Paslakis

2023

Eating Disorders

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Attitude and experience of obstetricians and gynecologists toward eating disorders assessment and management in Japan: A nationwide survey

Ogawa,

Komura,

Ono

et al. 2024

J of Obstet and Gynaecol

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AimTo investigate the attitudes and experiences of obstetricians and gynecologists in treating women with eating disorders (EDs) in Japan.MethodsMembers of the Japan Society of Obstetrics and Gynecology were invited to participate in a web‐based survey from March 1 to 31, 2022. We asked about the attitudes of obstetricians and gynecologists toward women with weight loss‐related amenorrhea and their experiences in treating EDs. We also assessed the characteristics of physicians who see many ED patients.ResultsA total of 662 ob/gyns. responded to the survey. While treating weight loss‐related amenorrhea, 25.8% reported screening patients for EDs. 88.5% of respondents reported having treated ED patients. The main medical concerns described when treating pregnant women with ED were fetal growth restriction and preterm delivery. The most common type of ED encountered by participants in both perinatal and infertility care settings was anorexia nervosa. Characteristics of physicians who treated 10 or more EDs per year were being board certified in women's health care and not providing delivery services (OR = 4.809, 1.896). The most common comment regarding optimizing the management of patients with EDs in obstetrics and gynecology practice was the need to implement guidelines for ED management.ConclusionsMany obstetricians and gynecologists in Japan treat patients with ED. Standardized guidelines for the management of EDs for obstetricians and gynecologists are needed.

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Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Cited by 4 publications

References 40 publications

IVF-induced pregnancy and early motherhood among women with a history of severe eating disorders

IVF-induced pregnancy and early motherhood among women with a history of severe eating disorders

Fertility, Pregnancy, and Maternity in Women with Eating Disorders

Attitude and experience of obstetricians and gynecologists toward eating disorders assessment and management in Japan: A nationwide survey

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