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Obesity and Fertility

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Dr Sarita Bajaj, Prayagraj, Uttar Pradesh    27 November 2019

  • Obesity in men and women is associated with impaired reproductive function.
  • Preconceptional counseling for obese couples should address the reproductive and maternal-fetal consequences of obesity.
  • Lifestyle modification is the first-line treatment for obesity, followed by adjunctive medical therapy.
  • Elimination of tobacco, alcohol and stress management may be of more immediate benefit in achieving conception. Bariatric surgery is an important adjuvant to lifestyle modification and medical therapy for weight loss, but pregnancy in women should be deferred for 1 year post-op.
  • The excess reproductive morbidity associated with obesity may increase with longer duration, making the current trends among children and young adults particularly critical in terms of their future reproductive potential.
  • Conveying the impact of these lifestyle changes on future progeny can serve as a powerful tool for obese people to modify their behavior.

Reproductive urologists and endocrinologists must learn about the importance of paternal preconception health.

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