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#1 DebnWill

Posted 26 January 2010 - 08:54 PM

I'm about to start my first IVF cycle after several 'natural' cycles didn't result in anything.  My BMI matches my age - 41 - yep, I'm a big porker.  biggrin.gif

My fertility specialist hasn't mentioned my weight at all, and I haven't been too concerned either - I conceived my DS at the same weight without any dramas.

I know all the negatives about being overweight and pregnant... but what I don't know, and would appreciate any info on, is does obesity affect the outcome of IVF?

I know being overweight can affect your chances of conceiving naturally - because of irregular ovulation - but I figure IVF is forced ovulation so does it matter?

Edited by DebnWill, 26 January 2010 - 08:54 PM.

#2 Ms Cranky Pants

Posted 27 January 2010 - 07:19 PM

***Preg and children mentioned***

I was also very overweight before we started IVF.  My dr didn't seem too concerned, but did say that he'd like me to try and lose 10% of my body weight as it can assist conception.

I did that before our second cycle, and we were fortunate enough to conceive twins.  

Also, and I'm sure you already know this, but you will feel so much better through the pregnancy and also post birth if you're a little lighter.

Good luck!

Edited by Ms Cranky Pants, 27 January 2010 - 07:19 PM.

#3 BabyChloe

Posted 27 January 2010 - 09:41 PM

Hi DebnWill,

**preg mentioned**

I am not sure about IVF, but I know for any chance to conceive where there have been difficulties losing weight is supposed to help.  As Ms Cranky Pants suggests, even 10% can help.

Before conceiving DD#1 I had a BMI of about 30 (I am 5'2") and required OIs.  It looks like I am going down that same path atm, however my gynae has suggested I'll need smaller doses now, as I have been very actively trying to get back to a healthy weight range and my BMI is now 25.6.  It has been really hard for me to get my weight down, but now that I am nearly there I feel so dedicated to the cause.  For me my motivation the whole time has been that I was not 'allowed' to think about #2 until back to a better weight.

Wishing you all the best TTC.

#4 DebnWill

Posted 27 January 2010 - 10:36 PM

Thanks, ladies!

#5 BabyChloe

Posted 28 January 2010 - 10:30 AM

DebnWill, I forgot to mention my SIL has a BMI of around 35 and has conceived naturally both times, yet her sister who is the same build has been through 10 rounds of IVF... so sometimes I don't think it makes a difference.

Ultimately if you are worried, ask your FS and see what his/her opinion is.  Best of luck.

#6 pisces00

Posted 01 February 2010 - 10:19 AM

Its true that some larger women concieve naturally and some smaller women have lots of trouble and there is no ryhme or reason for this. But with the stress that your body goes through via pregnancy and also any weight gain that occurs my suggestion would be to lose weight.

For your own health alone, just aim for 500gm to 1kgs per week.  I have had a friend turned down by 4 potential egg donors due to her weight and it was the Dr that advised these donors that they should think  twice about giving such a gift to someone who knows she needs to lose weight but hadnt.

As you have trouble concieving wouldnt you do absolutley everything possible to try to achieve your dream of having a child?  I sincerely hope that you end up with your own child in your arms.

Best of luck and i hope that my comments dont seem harsh.

#7 DebnWill

Posted 01 February 2010 - 10:50 AM

QUOTE (pisces00 @ 01/02/2010, 11:19 AM) <{POST_SNAPBACK}>
As you have trouble concieving wouldnt you do absolutley everything possible to try to achieve your dream of having a child?

I don't have trouble conceiving - I conceived my DS after two 'natural' cycles, weighing the same as I do now.  I've done two natural cycles this time round, but have to go with IVF now because my donor is having a vasectomy so I won't have sperm on tap (so to speak!).

Thanks for the replies, girls.  It seems a higher BMI could be an issue with the absorption of the drugs... or not.  We'll soon find out.

Edited by DebnWill, 01 February 2010 - 10:52 AM.

#8 Earth-Angel

Posted 04 February 2010 - 10:30 AM

DebnWill: my BMI would be very similar to yours and I have concieved via IVF twice and IUI once. I have absolutely no troubles with my FSH doses (gonal-F 300 for IVF cycles) and fell on our first go but ended in m/c and then second cycle (storing up frosties instread of using them) we got a BFP again and are currently 22w pg. Myself and others who ive talked to thru EB have actually had the reverse be true - in that loosing weight made us respond LESS to the drugs and not better! I also lost more than 15% of my weight before starting IVF and it did absolutely didly squat for my cycles etc - talk about infuriating!

The only thing to caution against whilst having such a high BMI is all the additional risk factors - incl hypertension, GD and genetic birth defects (increases by 5% when obese).

#9 dreamingofcats

Posted 04 February 2010 - 09:17 PM

I dont belong in this section as I am not a parent but I am being treated for infertility issues.

I had a BMI of 41 and its not a healthy place to be. Even if your IVF attempts are sucessful the chances increase for PE + GD + pre term births. At a BMI of 41 I was 121kgs, if you add the extra baby weight on of an average of 20kgs, you are quite heavy and that can cause long term stress on joints as well as increased pressure on the heart.

I understand that factoring in your age you need to be on this more promptly, but I would be seriously worried about entering into a pregnancy at that level.

FWIW, I spent 12mnths using clomid + metformin, I had ovarian drilling done as well all at that 121kgs. I am now taking six months off while I focus on weight loss, and have already lost 8kgs and feel fitter and feel like my body is more prepared for a pregnancy.

These are just my minds thoughts, I dont intent to offend you.

Edited by MissMayhem, 04 February 2010 - 09:17 PM.

#10 DebnWill

Posted 06 February 2010 - 08:47 PM

No offence taken.  I should have mentioned that I weighed the same as I do now when I conceived my DS - and lost 30kgs while I was pregnant.  Not from dieting - from morning sickness that lasted six months!!  

I agree - having a BMI of 41 is very high and has many health implications - I know them well.  My concern was about whether my weight would affect my chances with IVF.

I'm confident that I'll lose weight (again) if I happen to fall pregant.  It's the best weight loss technique I know biggrin.gif

#11 Earth-Angel

Posted 13 February 2010 - 04:02 PM

DebnWill: I certainly wish pg was a weightloss cure for me LOL! but I am quite abnormal in that regard and dont tend to loose weight at all - and even gain weight on a quite a controlled diet while pg. No idea how that works...

As for increased risk of GD and PE. I know SOOOO many women who are 150kg+ (from North America) that didnt have any such complications in pg at all. There is an increased risk but it is very slight at 5%.

#12 DebnWill

Posted 15 February 2010 - 03:53 PM

Thanks for your posts - I'm feeling a lot more positive now.

#13 jorgo

Posted 16 February 2010 - 05:32 PM

lucky you !
I cant find an FS to touch me untill my BMI is 35 or under ( which would be about 3 more kg down)
I dont see the issue when there are plenty of woment alot bigger then me pg with no issues and they know PCOS affects weight and they know what kind of lifestyle i've always had and have been rigid about for the last 2 yrs

Fs says to me weight affects AC  ( no i dont know how he didnt explain that) and he knows from experience not to bother touching us till its at BMI 35 or under

its at the point where its ticking me off majorly! 3 bloooody kg ! just help me now by the time i'm 3kg down i probly still wont be pg lol.

good luck

#14 DebnWill

Posted 20 February 2010 - 02:23 PM

QUOTE (jorgo @ 16/02/2010, 06:32 PM) <{POST_SNAPBACK}>
I cant find an FS to touch me untill my BMI is 35 or under

You should come to Canberra!  I 'shopped around' for a FS that I liked so ended up seeing four specialists and not one single one mentioned my weight.  NOT ONE!!!  In fact, the only comment about my lifestyle was I got was I should stop drinking Diet Coke.

I ended up conceiving my first child via TB on the second attempt - so as natural as you can as an SMC.  My BMI was 39.

I think some doctors use weight as an excuse.  I'd strongly encourage you to look at other FS in your area.

#15 ~DiDiSGiRl~

Posted 02 March 2010 - 11:22 PM

You should come to Canberra! I 'shopped around' for a FS that I liked so ended up seeing four specialists and not one single one mentioned my weight. NOT ONE!!! In fact, the only comment about my lifestyle was I got was I should stop drinking Diet Coke.

I ended up conceiving my first child via TB on the second attempt - so as natural as you can as an SMC. My BMI was 39.

I think some doctors use weight as an excuse. I'd strongly encourage you to look at other FS in your area.

ditto to this, I conceived twice whilst I was at my biggest (BMI about 38) although my twins were conceived after I lost about 5kg and on my 8th transfer....

#16 carita

Posted 07 March 2010 - 01:13 PM

I don't really belong in this section because I'm not a parent, but DH & I are TTC #1 with AC...HOWEVER, I was really interested to hear about this Diet Coke suggestion DebnWill. Did you get any further information about it or just advice to stop drinking it? I have to say, I'm totally addicted. I admit it...not good I know. I've been going for the caffine-free stuff lately.

Keen to hear more...

#17 CheekyBuggers

Posted 07 March 2010 - 01:24 PM

In my case weight loss does help, I haven't had to have ivf but went through abit of OI and only when i lost 30kg did i respond and fall preg, I really do not like being 'bigger' and then preg, I get so much preg problems so I'm going to loose weight before trying again but then you also will have to consider your age into the equasion, I'd take the risk and the problems then rather chance missing out.

#18 Tammy Swanson

Posted 16 March 2010 - 09:26 PM

Good luck to you in the coming months! I just thought I would add something that my PP have not.

I am currently seeing a FS for #2 as my cycles are becoming further and further apart so I am about to start on Clomid and although I am not a very high BMI above what I should be (29 when i should be under 25).
I asked my FS  on why I am not conceiving or ovulating regularly for #2 if I am only slightly larger than when I conceived straightaway last time??  He answered that I conceived almost 5 years ago as my DD is almost 4 too and I noticed your DS was born in early 06 which means you would have conceived in 05 which is 5 years ago too and the FS said to me that alot can happen to the body in 5 years esp if you are over the age of 35 which I am  sad.gif  So although you had no trouble conceiving last time at the same weight you may not have the same luck as the body has been put under more stress since having DS#1.

All the best and fingers crossed for you  biggrin.gif

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