The journey to pregnancy is different for everyone. Some couples seem to get pregnant by just talking about sex, while others find themselves struggling with infertility for months or even years.
Infertility is a common problem, according to the Centers for Disease Control and Prevention (CDC). Twelve percent of American women ages 15 to 44, regardless of marital status, have trouble getting pregnant or carrying a pregnancy to term.
And while, in most cases, individuals have no control over the factors that contribute to infertility, there are also some modifiable factors that can play a role in getting pregnant. For example, research shows us that being at a healthy weight is beneficial when it comes to conceiving. Of course, it’s important to note that being overweight or underweight is not a reliable form of contraception, and being at a healthy weight does not guarantee fertility—but your weight can impact your baby-making abilities.
First, let’s talk about what we mean by being at a “healthy weight.”
Being at a healthy weight will mean different things to different people, and it depends a lot on your specific health history. Since weight is often associated with certain health markers, health conditions, or even medications, all of those factors may be more important than the actual number on the scale. So speak honestly with your health care provider about your overall health and what a “healthy weight” means for you, as it’s a very individualized measure.
That brings us to BMI (body mass index). Although BMI isn’t a comprehensive tool, it’s going to be referenced a lot here, and that’s simply because a lot of the research we have on fertility uses BMI as a diagnostic tool, even though it has known limitations. Your BMI is an indirect measure of body fat calculated by dividing your weight (in kilograms) by your height (in meters). You can use a BMI calculator like this one, provided by the CDC. It’s an easy, though very limited, screening tool, and it doesn’t take into consideration things like muscle mass, nutrition habits, activity, medical history, or basically anything other than your height and weight. In other words, some healthy people have a high BMI and some people with a normal BMI aren’t as healthy as they think.
Obviously, your BMI can’t tell you everything, so a more thorough assessment could be provided during a physical exam with your doctor. As a side note, when you ask your doctor any questions about weight (or any other issues), you should never feel as though you’re being judged. As doctors, we’re here to help not to judge.
Now let’s dive into how weight affects fertility.
Weight can influence the amount of estrogen in your body.
Most people know that their ovaries produce estrogen, however, a lot of people don’t know that adipose tissue (fat cells) also produces some estrogen. When you’re at a healthy body weight, you have a higher probability of producing an appropriate amount of estrogen, but when you’re overweight or obese, your adipose tissue produces more estrogen than necessary—which can prevent regular ovulation. Without getting too in the weeds, your body requires a fine balance of hormones to ovulate properly, and having too much estrogen can throw off that balance.
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