What would you do?
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Anonymous
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I had my first DD via FET in 2022.
Getting ready to do another FET this month. The issue I’m struggling with is: I’ve never lost all the baby weight I gained with my first and am still about 15 pounds heavier than I was pre-pregnancy, putting me solidly at an overweight BMI (BMI of 27). I’ve looked at some studies that talk about implantation failure due to obesity but I’m wondering if being overweight will have a negative effect on the process. We only have one embryo left so if this does not work we’re looking at another egg retrieval and at that point I will be 37. Would you wait another cycle and try to lose weight or would you go ahead with the FET ASAP with the idea in mind that it’s better to do another egg retrieval sooner than later (if that is necessary)? And yes, I already asked the nurse at my clinic who was not terribly helpful. |
Anonymous
| I asked a Dr this and she told me to get pregnant. I regret taking that advice because I had a failed induction followed by C section complications. The induction may have failed due to being overweight. Being overweight also increases various pregnancy risks, and it will be that much more difficult to get rid of excess weight with two babies. Really buckle down for 3-6 months. That short span of time will not hurt your odds much in the event you need another egg retrieval. |
Anonymous
| Go ahead and go for it. 27 is barely overweight. Just be super careful about eating when you do get pregnant and don't gain 40 lbs. |
Anonymous
If she is overweight already the 40lb gain is almost inevitable. |
Anonymous
Why? |
Anonymous
Because people who are already overweight had bad habits and hormones in place that will tend to cause them to gain excessive weight, plus the vast majority of women in general gain around 40lbs when they should be gaining closer to 25. |
Anonymous
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Do the transfer.
I did IVF at 37 BMI 36. Very very fat. First transfer worked and I didn't gain a pound. I was lost a few during pregnancy and after the swelling went down post delivery I was 25 lbs less than transfer day. Our REI had zero concerns about transfer. Said age was much more a factor than weight |
Anonymous
Weird. |
Anonymous
| Proceed and look into eating an anti-inflammatory diet. Your nutrition matters more than 10 pounds here or there. |
Anonymous
| This is OP. Thanks everyone for the advice!! I think I will go ahead and try for this cycle. |
Anonymous
This is OP. I will do that, thanks!! |
Anonymous
| Just wanted to chime in and say that I have been successful with two transfers with a BMI of 25-26. I also managed to keep weight gain to a reasonable level with both pregnancies (despite what that awful PP said). There are some studies that say that IVF is more successful if you lose weight beforehand, but they are only looking at patients with BMIs over 30. I would not waste time trying to lose weight before heading into another cycle. |
Anonymous
I still have ongoing health issues from that C sec. I am not awful. Sometimes the truth is not nice. Epidemiology and Trends in Gestational Weight Gain in the United States Deputy et al reported on GWG adequacy in a study using the Pregnancy Risk Assessment Monitoring System (PRAMS) for women who had full-term singleton deliveries from 28 states. Pre-pregnancy BMI was a self-reported value and total GWG was obtained from the birth certificate files. After weighting, the final sample size represented approximately 30% of births in the United States from 2010–2011. In their analysis, 20.9% and 47.2% of all women had inadequate or excessive GWG, respectively.16 (Figure 1) Overweight and obese class I (BMI 30–34.9 kg/m2) women had the highest prevalence of excessive GWG (64.1% and 63.5%, respectively). Although underweight women were least likely to exceed GWG goals (aOR 0.50, 95%CI 0.40–0.61), class II and III obese women had higher odds for both excessive GWG (aOR 2.31, 95%CI 1.94–2.75; aOR 2.07, 95%CI 1.63–2.62, respectively) and inadequate GWG (aOR 1.25, 95% CI 1.01–1.55; aOR 1.86, 95% CI 1.45–2.36, respectively) compared to normal weight women. Given that the prevalence of overweight and obese women aged 20–39 years is 58.5% according to NHANES data from 2011–2012 and that overweight and obese women have the highest prevalence of excessive GWG, the trends in excessive GWG are predicted to continue.17 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701873/ |
Anonymous
| Ask them to prescribe you metformin. Wait 3 months. Then do the transfer. |