| dc.description.abstract |
Obesity has significant consequences for the reproductive system, dependingupon the amount and distribution of body fat. Epidemiological evidence clearlyshows that being overweight contributes to menstrual disorders, infertility,miscarriage, poor pregnancy outcome, impaired fetal well-being and diabetesmellitus. Central adiposity is particularly important in clinical sequelaeassociated with an increased body mass index. The advent of assistedreproduction highlights the problems of being overweight, and the use ofgonadotrophins in ovulation induction and in vitrofertilization is more difficult when the subject is overweight. Weight losshas marked effects on improving the menstrual cycle and promoting spontaneousovulation and fertility. Results indicate that fertility is improved throughexercise and sensible eating patterns when conducted in a group environment.The mechanisms for this are unclear but may be associated with changes insensitivity to insulin. |
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