Treatment FAQ

what is the weight limit for ivf treatment

by Abigail Romaguera Published 2 years ago Updated 2 years ago
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To put the BMI

Body mass index

Body mass index is a value derived from the mass and height of a person. The BMI is defined as the body mass divided by the square of the body height, and is universally expressed in units of kg/m², resulting from mass in kilograms and height in metres.

calculations into a real life patient scenario, the ideal BMI for IVF treatment for a male of average height of around 1.82m (5ft 10”) is between 133lbs (60kg) and 209lbs (95kg). For a female patient with an average height of just over 1.70m (5ft 5”), the ideal BMI for IVF treatment is between 118lbs (53.5kg) and 186lbs (84kg).

Achieving a BMI between 18.5 and 40 is necessary before starting fertility treatment, and to avoid medical complications, it must be under 40 before starting an IVF cycle. A higher BMI could be reflective of high muscle mass for those that work out regularly.

Full Answer

What is the BMI limit for IVF?

What is the BMI limit for IVF? We treat women with a BMI up to 35 but we would advise you about how your weight can negatively affect your outcome, as part of our ‘whole body’ approach.

Are there any safety restrictions for IVF treatment?

Safety restrictions still in place. Find out more This information was correct at the time of publishing. It may not reflect our current practices, prices or regulations. What’s the age limit for IVF? Is there a maximum BMI for IVF treatment? And would my lifestyle affect IVF outcome?

What are the risks of IVF for overweight women?

General anaesthesia is a risk: IVF patients with a BMI of 35 or more are routinely refused treatment. But clinics have also learned to manage overweight IVF patients better. Improved counselling and patient communication can prepare patients with poorer prognoses.

What are the chances of having a healthy baby using IVF?

Your chances of having a healthy baby using IVF depend on many factors, such as your age and the cause of infertility. In addition, IVF can be time-consuming, expensive and invasive. If more than one embryo is implanted in your uterus, IVF can result in a pregnancy with more than one fetus (multiple pregnancy).

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Can you have IVF if overweight?

National guidelines on obesity and infertility are very clear; your weight can affect your fertility. Guidelines indicate that your chances of getting pregnant with IVF are better if your BMI is between 19 and 30. A BMI over 30 has a significant negative effect on IVF pregnancy success rates.

Does weight matter for IVF?

There's no question obesity decreases the chance of getting pregnant, but for IVF, body weight as a factor is unclear.” There is some good news for any woman who is overweight or obese and trying without success to get pregnant. Data shows a weight loss as small as 5%-10% can improve pregnancy outcomes.

Is there a weight limit for 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 ...

Can you get fertility treatment if you are overweight?

Being overweight or underweight can also reduce the efficacy of fertility treatments and can increase the risk of pregnancy complications.

What weight is too heavy to get pregnant?

It's a numbers game: A BMI between 25 and 30 is overweight. A BMI that's over 30 is considered obese. To optimize your health before — and during — pregnancy, aim for a BMI below 25.

Why does being overweight affect IVF?

Obese women undergoing IVF require higher doses of gonadotrophins, respond poorly to ovarian stimulation and have fewer oocytes harvested. Obesity is associated with lower fertilization rates, poor quality embryos and higher miscarriage rates.

Do I need to lose weight for IVF?

If you are struggling with infertility or considering IVF, and you also happen to live in a larger body, chances are your RE (reproductive endocrinologist, aka fertility doctor) has recommended you lose weight. Some clinics may even limit access to IVF treatment to women below a certain BMI.

Can BMI 40 do IVF?

Key points: Doctors are advised not to provide obese women with IVF because of numerous risks for the mother and baby. Professor Kelton Tremellen says the blanket cut-off for patients who have a BMI over 35 needs to go.

Does obesity affect egg quality?

Many women who carry excess weight still ovulate, but it appears the quality of the eggs they produce is reduced. The evidence for this is that among women who ovulate, each unit of BMI above 29 reduces the chance of achieving a pregnancy within 12 months by about 4%.

What BMI is best for fertility?

You should aim for a BMI of between 20 and 25, as this will optimise your chances of conception. Even in these modern times, nature knows best. If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition.

Does BMI affect IVF success?

These data demonstrate that women with an elevated BMI produce more follicles, stimulate quicker, and require less gonadotropins during IVF. However, BMI did not have a significant effect on pregnancy outcome rates.

But what about fat women?

Another criteria placed on access to fertility treatment in the majority of areas is a BMI limit of 30. This is not a limit placed by the NICE guidelines and the evidence that a BMI of 30 as a suitable restriction is insufficient.

Take me for example

I would describe my experience as a fat woman as being typical. I started being aware of food and dieting before puberty. I have been on upwards of 20 different diets, losing weight, then gaining even more weight. Spending all my time, energy, and money focused on trying to become a socially acceptable size.

Fat is not the problem

The problem, I believe, is that these women are forced to relive this cycle of restricting their calories and extreme exercising to lose weight to reach an arbitrary goal. In my experience, extreme calorie restriction and punishing exercise are yet two more stressors on the body – specifically designed to STOP FERTILITY.

Can I have a baby at 50?

At Manchester Fertility for all treatments we can help you have a baby up to the age of 50. In IVF or ICSI, you can use either your own eggs or donor eggs. If you’re over the age of 44, we would typically recommend treatment with donor eggs to help you conceive, as success rates for IVF with own eggs are generally so low for women in this age group.

Should I lose weight before IVF?

So it’s important to ensure that both of you are as healthy as you can be, before you start fertility treatment. If your BMI is high, even though we can treat you, we would always recommend losing weight before your IVF, ICSI or IUI cycle starts so there’s nothing that could compromise the chances of pregnancy for you.

Does BMI affect fertility?

Women with a high BMI also have a higher risk of pregnancy complications. BMI isn’t just an issue for women undergoing fertility treatment however. It’s just as important for your partner too. If he’s significantly overweight, it can affect sperm. Studies have shown that obesity can affect sperm motility - how well sperm moves - with ...

Is in vitro fertilization successful?

Treatments such as in vitro fertilization (IVF) have proven extremely successful , though a number of health conditions can affect the results of fertility treatments.

Is BMI a good weight?

While the body mass index (BMI) does have some flaws at an individual level, it is a good overall guide for general ideal weight for someone’s height. The normal range is optimal for most people of average build. Athletes or people with a fair amount of muscle mass may be over this ideal range, which is why the metric can be misleading, but again, it’s a good general guide to consider for the majority of the population.

What is the purpose of IVF?

In vitro fertilization (IVF) is a complex series of procedures used to help with fertility or prevent genetic problems and assist with the conception of a child. During IVF, mature eggs are collected (retrieved) from ovaries and fertilized by sperm in a lab. Then the fertilized egg (embryo) or eggs (embryos) are transferred to a uterus.

How many cells are in an embryo after fertilization?

Three days after fertilization, a normally developing embryo will contain about six to 10 cells. By the fifth or sixth day, the fertilized egg is known as a blastocyst — a rapidly dividing ball of cells. The inner group of cells will become the embryo. The outer group will become the cells that nourish and protect it.

What causes fewer eggs to be fertilized?

Fallopian tube damage or blockage makes it difficult for an egg to be fertilized or for an embryo to travel to the uterus. Ovulation disorders. If ovulation is infrequent or absent, fewer eggs are available for fertilization. Endometriosis.

How are eggs removed during in vitro fertilization?

During in vitro fertilization, eggs are removed from mature follicles within an ovary (A). An egg is fertilized by injecting a single sperm into the egg or mixing the egg with sperm in a petri dish (B). The fertilized egg (embryo) is transferred into the uterus (C).

Can IVF be done anonymously?

Or IVF may involve eggs, sperm or embryos from a known or anonymous donor. In some cases, a gestational carrier — a woman who has an embryo implanted in her uterus — might be used. Your chances of having a healthy baby using IVF depend on many factors, such as your age and the cause of infertility.

Why do I have to have multiple eggs during IVF?

If you're using your own eggs during IVF, at the start of a cycle you'll begin treatment with synthetic hormones to stimulate your ovaries to produce multiple eggs — rather than the single egg that normally develops each month. Multiple eggs are needed because some eggs won't fertilize or develop normally after fertilization.

Does IVF cause multiple births?

Multiple births. IVF increases the risk of multiple births if more than one embryo is transferred to your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.

Does weight affect fertility?

For starters, it’s long been known that carrying extra weight can lower female (and male) fertility. Excess weight can alter hormone production and ovarian function.

Can obesity cause IVF?

Obesity can also complicate IVF, Dr. Greves says. Quick refresher: During in vitro fertilization, a doctor retrieves a woman’s eggs, fertilizes them in a lab to create embryos, and then implants those embryos back into her uterus.

Portion Size

It is very common for people to eat more than they need. Ideally, our dietary intake should match our physical activity levels to keep our weight in balance. If you used to exercise every day and stopped, you have to eat less. Some clients report a habit of finishing each meal despite the portion size due to how they were brought up.

Snacks

The number of snacks you need a day is individual. But please think about why you snack? If you are hungry all the time, make sure your meals are balanced and contain a fair amount of protein and vegetables and slow absorbing carbohydrates. Examples of slow absorbing carbohydrates are listed below:

Meal Pattern

I think there is still no consensus on the number of meals we should eat a day. However, it is a well-known fact that irregular eating is unhealthy and may contribute to weight gain. Therefore, I recommend eating within an hour or two from the time you wake up. Keep the gaps between meals to a maximum of 5-6 hours.

Cooking Methods

Think about how much oil or butter you are using when preparing your meals. I usually suggest sticking to a teaspoon of oil or butter per person as a guide. A similar rule applies to sauces and dressings. However, it depends on whether you are using a full or low-fat variety. Remember to limit regular mayonnaise to a teaspoon.

Eating Out and Takeaway Food

I think that an occasional restaurant meal or a takeaway now and again will not cause any harm. However, regular takeaway/convenience food consumption may cause weight gain and boost the intake of salt and unhealthy fats. Limit yourself to a maximum of one takeaway/restaurant meal a week. This can also help to save some pennies.

Desserts

Have you got a sweet tooth? Please don’t worry because it is still possible to lose weight. Try making your own desserts. Measure ingredients carefully. Whenever possible, use low-calorie substitutes, e.g. natural sweeteners, low-fat yoghurt, chia seeds, and plant-based kinds of milk.

Eating When Not Hungry

Many people turn to food when stressed or bored. However, if you want to lose weight efficiently, every time you get an urge to have something to eat, ask yourself whether you really need it? Try a drink first, especially if it’s late at night.

What is the best BMI for IVF?

The best thing a prospective IVF patient can do is to get their BMI into the normal range. Or close to it. So if you’re nervous, set a realistic target. A BMI of 30 is better than 32, and 28 is better than 30. Don’t feel stigmatised.

What is the normal BMI for PCOs?

It found that live birth rates were significantly lower for women with a BMI of 30 or more. (A normal BMI is 18.5 to 24.9.) PCOS patients, often with high BMIs, had poorer prognoses too.

Is general anaesthesia safe for IVF?

Improved counselling and patient communication can prepare patients with poorer prognoses. Safer protocols for PCOS patients are now the norm.

Can FSH medication help with high BMI?

More creativity in FSH medication regimes can counter, to some extent, negative aspects of high-BMI patients . And add-on treatments, such as blood thinners and low-dose steroids, may improve outcomes for overweight IVF patients too. But there’s no getting way from it.

Do obese women need gonadotrophins?

Obese women (i.e. with a BMI of 30 or more) often require higher doses of gonadotrophins (always a risk). They may respond less well to ovarian stimulation and produce fewer eggs. Embryos can be lower quality. Fertilisation rates are lower. And miscarriages sadly happen more often.

Is obesity a factor in IVF?

Obesity is on the rise. It’s well-known that being overweight affects fertility and pregnancy outcomes. When it comes to IVF, findings have become clearer in the last 10 years (when IVF has come into its own). A 2019 study looked at data from 21 previous studies.

Can IVF patients with a BMI of 35 be treated?

Treating overweight patients is a challenge for IVF clinics. General anaesthesia is a risk: IVF patients with a BMI of 35 or more are routinely refused treatment.

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But What About Fat Women?

  • Another criteria placed on access to fertility treatment in the majority of areas is a BMI limit of 30. This is not a limit placed by the NICE guidelines and the evidence that a BMI of 30 as a suitable restriction is insufficient. In fact, BMI alone as a measure is pretty meaningless. BMI was created to look at populations of health, not individual...
See more on scarymommy.com

Take Me For Example.

  • I would describe my experience as a fat woman as being typical. I started being aware of food and dieting before puberty. I have been on upwards of 20 different diets, losing weight, then gaining even more weight. Spending all my time, energy, and money focused on trying to become a socially acceptable size. I stopped eating fat, cut out the carbs, joined the gym, did a juice detox, …
See more on scarymommy.com

Fat Is Not The problem.

  • The problem, I believe, is that these women are forced to relive this cycle of restricting their calories and extreme exercising to lose weight to reach an arbitrary goal. In my experience, extreme calorie restriction and punishing exercise are yet two more stressors on the body – specifically designed to STOP FERTILITY. After all, if food was scarce or you had to run away fro…
See more on scarymommy.com

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