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[quote=Anonymous][quote=Anonymous]Was your BMI over 40? I had a very high BMI and no one every said anything to me about it at SG. When I brought it up, they said it would help to lose weight.[/quote]

It was not. I cant remember now, but yes over 30 ie into obesity range. I am tall and have a muscular frame from playing sports and being active. I am not thin but BMI is a notoriously poor measurement for capturing the health of people like me.  This happened a few years ago (2015); maybe policies at SGF have changed or my doctor made this decision herself.  Either way I wasted time working with a nutritionist and I wish I had not been so naive to think that of course the doctor knew better and had no other reasons for the decision.  Now I know you have to ask questions, advocate for yourself and always seek second opinion immediately.

I have asked every RE I have spoken with since about this issue (including a family friend who does research on fertility issues at NIH).  The only close answer I got is that overweight people can have elevated estrogen levels that in turn means they wont respond to the meds as readily or need higher doses (ie since e level is higher to begin with there less room for it to go up before approaching OHSS). Second, broadly overweight people are more likely to experience surgery complications. However if you read about that, complications mostly stem from doctors not being willing to spend the time/effort to figure out how to treat overweight patients.[/quote]

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