Obese couple will face more more Infertility problems

Obese couple will face more  Infertility problems









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Obese couple will face more  Infertility problems
Psted on 23rd March 2015
Obesity, which is an important health issue, is a common problem among women of reproductive age. Obesity and overweight involves an abnormal and excessive fat accumulation that negatively affects the health of the body. According to the World Health Organization (WHO), if the body mass index (BMI) equals to or is greater than 25 kg/m2, it is considered overweight, whereas if the BMI equals to or is greater than 30 kg/m2, it is considered obesity
Obesity brings out many problems such as social, psychological, demographic, and health problems. It is related to increased health risks such as diabetes mellitus, hypertension, coronary heart disease, and osteoarthritis and is linked to various malignancies, particularly endometrium, breast, and colon cancers. Obesity also plays a significant role in reproductive disorders, particularly in women. It is associated with anovulation, menstrual disorders, infertility, difficulties in assisted reproduction, miscarriage, and adverse pregnancy outcomes
A couple trying to conceive may face an extra challenge when both the man and the woman are overweight or obese, new research suggests
The researchers analyzed data from 47,835 couples who participated in a nationwide study of pregnancy outcomes in Denmark. Women in the study completed four interviews over a period of two years, giving information for both themselves and their partners on weight, height, previous pregnancies, smoking, and socioeconomic status
A total of 8.2% of the women, 6.8% of the men, and 1.4% of the couples in the study were obese, defined as having a body mass index (BMI) of 30 or more. BMI looks at weight in relation to height and is used as an indicator of body fat.
As measured by BMI, a 5-foot-2-inch person who weighs 165 pounds or more is considered obese, as is a 6-foot-tall person who weighs 220 or more.
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1..... The prevalence of obesity is increasing significantly worldwide. The International Obesity Task Force reported that 1,1 billion adults are overweight. They also reported that 312 million of them are obese
Approximately 3,4 million adults die each year because of health problems associated with obesity and being overweight. Of these, 44% of the problems are related to diabetes, 23% to ischemic heart disease, and between 7% and 41% to some malignancies associated with overweight and obesity
2....    The prevelence of obesity has increased in developed countries because of a change in lifestyle, including reduced physical activity, changes in nutrition style, and an increased calorie intake . However, some other factors such as endocrine disorders, hormonal disorders, psychological disorders, and use of some drugs such as steroids and antidepressants may lead to obesity. The World Health Organization reported that 60% of women are overweight (≥25 kg/m2) in the United States and most European countries and 30% of these are obese (≥30 kg/m2) and 6% of these are morbidly obese (≥35 kg/m2
3..... The relationship between obesity and reproductive functions has been known for many years and it is still being explored The negative effects of obesity on reproductive consequence are well known. However, it is difficult to describe the mechanism of how obesity affects the reproductive system because it is complex and multifactorial. Several mechanisms are involved in the relationship of fertility and obesity. The insulin resistance and leptin levels are increased and hyperandrogenemia occurs in obese women. Similarly, anovulation, changes in adipokine levels and the HPG axis, and steroidogenesis in obese women affects the reproductive system
4.... Because of reduced pregnancy rates, increased miscarriage rates, and increased pregnancy complications, live birth rates decrease in obese women in both natural and assisted conceptions. Obesity may impair reproductive functions by affecting both the ovaries and endometrium. The HPG axis deteriorates because of changes in hormonal and some substrate levels. The levels of luteinizing hormone (LH), androstenedi-one, estrone, insulin, triglycerides, and very low density lipo-protein are increased and high density lipoprotein levels are decreased in obese women. Because of these changes, the HPG axis deteriorates and different gynecological effects occur
5... Overweight and obese men have worse sperm quality than men who are a healthy weight. Being underweight can also reduce a man’s sperm quality and therefore his fertility.
6.....Being overweight or obese can cause hormonal changes that reduce fertility and make men less interested in sex. Men who are very overweight are also more likely to have problems getting and keeping an erection. Together, these factors reduce the chances of fathering a child.
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