Book contents
- 50 Big Debates in Reproductive Medicine
- Series page
- 50 Big Debates in Reproductive Medicine
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Section I Limits for IVF
- 1A Female Age 42 Years Should Be the Upper Limit for Conventional IVF/ICSI Treatment
- 1B Female Age 42 Years Should Be the Upper Limit for Conventional IVF/ICSI Treatment
- 2A Women with a BMI over 40 Should Be Refused Fertility Treatment
- 2B Women with a BMI over 40 Should Be Refused Fertility Treatment
- 3A Female Age of Menopause Is a Fair Limit for Ovum Donation
- 3B Female Age of Menopause Is a Fair Limit for Ovum Donation
- 4A Social Egg Freezing Should Be Available Up To the Age of 40 Years
- 4B Social Egg Freezing Should Be Available Up To the Age of 40 Years
- Section II IVF Add-ons
- Section III The Best Policy
- Section IV Embryology
- Section V Ethics and Statistics
- Section VI Male-factor Infertility
- Section VII Genetics
- Section VIII Ovarian Stimulation
- Section IX Hormones and the Environment
- Index
- References
2A - Women with a BMI over 40 Should Be Refused Fertility Treatment
For
from Section I - Limits for IVF
Published online by Cambridge University Press: 25 November 2021
- 50 Big Debates in Reproductive Medicine
- Series page
- 50 Big Debates in Reproductive Medicine
- Copyright page
- Contents
- Contributors
- Foreword
- Introduction
- Section I Limits for IVF
- 1A Female Age 42 Years Should Be the Upper Limit for Conventional IVF/ICSI Treatment
- 1B Female Age 42 Years Should Be the Upper Limit for Conventional IVF/ICSI Treatment
- 2A Women with a BMI over 40 Should Be Refused Fertility Treatment
- 2B Women with a BMI over 40 Should Be Refused Fertility Treatment
- 3A Female Age of Menopause Is a Fair Limit for Ovum Donation
- 3B Female Age of Menopause Is a Fair Limit for Ovum Donation
- 4A Social Egg Freezing Should Be Available Up To the Age of 40 Years
- 4B Social Egg Freezing Should Be Available Up To the Age of 40 Years
- Section II IVF Add-ons
- Section III The Best Policy
- Section IV Embryology
- Section V Ethics and Statistics
- Section VI Male-factor Infertility
- Section VII Genetics
- Section VIII Ovarian Stimulation
- Section IX Hormones and the Environment
- Index
- References
Summary
Class III female obesity impairs both natural and assisted conception and increases obstetric complications and postnatal chronic diseases in the offspring, leading to higher economic costs. Weight reduction before conception may improve these undesirable outcomes. To date, no well-designed randomised trials of intervention programs for weight reduction with adequate follow-up and monitoring by a multidisciplinary team and a significant number of patients have been published in the field of assisted reproduction. Considering the demonstrated economic and health consequences, morbidly obese women should be refused fertility treatment. However, weight loss options, associated infertility factors and ethical considerations should also be taken into account in the decision-making process.
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- 50 Big Debates in Reproductive Medicine , pp. 8 - 10Publisher: Cambridge University PressPrint publication year: 2021