Now accepting Telehealth appointments. Schedule a virtual visit.

High BMI and Risks in IVF

With the increasing prevalence of obesity in the United States, and with the associations between obesity and infertility (ovulation dysfunction, insulin resistance, androgen excess), more and more patients with obesity are seeking infertility care. With the obesity epidemic in this country the question of “When do surgical risks outweigh benefits?” must be asked. Perhaps an easier question to answer, however, is “To what degree are high Body Mass Index (BMI) patients at risk in the IVF (egg retrieval) setting?” A study just published from Harvard Medical School by Romanski and colleagues on class III (BMI 40-49.9 kg/m2) and class IV (BMI 50 or greater kg/m2) obesity attempts to answer the latter question.

This was a five plus year-long study of 144 patients with BMI at 40 kg/m2 or greater compared to 1,016 age-matched women with normal, overweight, and obese BMIs. Serious complications were uncommon across all BMI groups, although minor complications (oxygen desaturation, requirement for oral/nasal airway, etc.) were more common among class III and class IV patients. As expected, obese patients in these two groupings also had more frequent diagnoses of gastroesophageal reflux disease, hypertension, diabetes, asthma, and sleep apnea. These patients were also more likely to require more intravenous sedation medications, have longer egg retrieval procedures and require transabdominal egg retrieval.

The authors conclude that egg retrieval procedures can be safely performed in the outpatient setting for patients with BMI greater than 40 kg/m2; however, with the increased anesthetic requirements, longer procedure times and frequency of minor complications there should be “the presence of adequate personnel, training, and equipment to perform basic and emergency airway management.”

Reference: https://doi.org/10.1016/j.fertnstert.2018.10.015

You Might Also Enjoy...

Telehealth: The Advantages of Telemedicine

Struggles to get to the clinic? Trying to reduce your exposure to COVID-19, as well as other contagious illnesses, and still need to see your doctor? Telehealth is safe and easy — receive quality care from anywhere.

Tips for Keeping Safe During Coronavirus | CRM Orlando

With the World Health Organization declaring the Coronavirus a pandemic and cities forcing many businesses to close, we know it can be a stressful and scary time. We also know that for many couples who are trying to conceive, time is of the essence,...

6 Ideas for a Fertility Friendly Valentine’s Day

Infertility has been known to put a strain on even the strongest of relationships. Between the stress, treatments, and frustrations couples face on their path to parenthood, keeping the romance alive during treatment can feel impossible.

5 Tips for Those Trying to Conceive in 2020

Make the decision to start or grow your family can be a happy and exciting time for couples. But while many think achieving and maintaining a healthy pregnancy is as easy as just trying, certain things can stand in the way of success.