Obesity is a common problem worldwide. Overweight and obesity are often linked to various health problems such as diabetes, heart disease, stroke, osteoartitis, and reproductive disorders with complaints are most often experienced is menstruation irregular and infertility. But the weight was also influential on the public health issues and reproductive.
Normal weight is an international standard used to judge the ideal whether or not your weight is BMI (Body Mass Index), using the ratio of weight and height. To calculate BMI, the trick is very simple. BMI equals weight divided by height.
BMI = Weight (kg) / higher ² (m)
BMI has been proven as an effective measurement of clinically and a lot of research that suggests low possibilities to impregnate in people with a BMI of more than 25 or less than 18,5.
Obesity and infertitas
Although a lot of women who have had children are obese, and it is women who are obese may be pregnant, plenty of research suggests that women who are overweight (BMI ≥ 25) and obesity (BMI ≥ 30) triples have a possibility to infertile women compared with normal weight.
The distribution of fat in the abdomen in women with excess body weight or obese significantly affects the function and hormone-hormone production (androgen and estrogen) that play a role in ovulation. Therefore, women who are overweight or obese are more likely to experience ovulatory irregularity so that menstruasinya becomes irregular and infertile.
Although the exact mechanism is unclear, high levels of circulating insulin and insulin resistance related instrumental. In terms of reproduction, high circulating insulin levels play a role in the onset of ovulatory ganggguan, that in turn sparked increased androgen and estrogen from the ovaries of body fat. Both will inhibit ovulation.
Even, infertility treatment success rates are lower on the overweight panita. A lot of research that shows evidence that the increase in BMI is associated with increased need for drugs to treat infertility, like clomiphene citrate or gonadotropin injection. Insemination procedure on the infertility is unclear is why the shows success rates redahnya in women with a BMI of more than 30 and many studies showed low IVF success rates with along with increased BMI.
Pregnancy and problems associated with obesity
In pregnant women, excess fat in the body are associated with increased risk of miscarriage in the 3 the first month. In women with a BMI of more than 30, the risk may be increased to 3 x for even more, Although the overweight also increased the risk of light.
When pregnancy has passed 3 month, There is also an increased risk of fetal abnormalities. Spina bifida 3 times more common in women who are obese and those risks remain high even though the consumption of folic acid supplements given. The risk of stomach and heart disorders also increased 2-3 times daily in women who are overweight.
The risk of the occurrence of diabetes in pregnancy and hypertension also increases 2-3 x. This can trigger premature birth, induction of labor, Caesarean operations and an increased risk of a baby born dead. In addition there is more risk of complications such as infection after childbirth, bleeding, and tromboemboli, in women with excess body weight compared to a normal weight.
Recently, a study showed a link between obesity in the mother with cardiovascular disease in offspring as adults. And also, rates of type II diabetes mellitus in adult higher retrieved on whose mother has the above normal weight while pregnant. Given that obesity and insulin resistance is not just genetic but also obtained, increased maternal insulin sensitivity before conception through diet or activity not only improves maternal health but also the health of their children later. Although still needed further research on this subject.
What can be done in excess body weight?
Women who are overweight or obese should be aware of the risk of infertility and poor baby born. They also need to know that the success of the treatment is lower if their BMI increased. Supplemental folic acid should be given.
Several studies report that weight loss in women who are overweight or obese, regular menstruation and pregnancy cause Even the success rate in IVF programs increased along with weight loss in women infertile due to other causes not related to ovulation (as a result of infertility or tubal interruption man factor). Weight loss is not easy to do. The most successful way to help women who have excess weight is good behavior. Exercise and a good diet is a more effective way than just concentrating on low calorie diet. It is very well done before the start of infertility treatment and continued during early pregnancy.