Should women with high body mass index be denied fertility treatments?

被引:0
|
作者
Shaikh, Sadaf [1 ,3 ]
Srivastava, Garima [1 ]
Homburg, Roy [1 ,2 ]
机构
[1] Homerton Univ Hosp, Homerton Fertil Ctr, London, England
[2] Queen Mary Univ London, Dept Reprod Med, London, England
[3] Homerton Univ Hosp, Homerton Fertil Ctr, London E9 6SR, England
关键词
Obesity; high BMI; infertility; assisted reproductive techniques; infertility treatment; INFERTILE WOMEN; OVULATION INDUCTION; PREGNANCY OUTCOMES; ISOLATED OBESITY; WEIGHT-LOSS; LIFE-STYLE; OVERWEIGHT; IMPACT; IVF; COMPLICATIONS;
D O I
10.1080/14647273.2022.2152741
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Obesity is an emerging global epidemic with a negative impact on fertility. Almost all guidelines and policies have a stringent limit of body mass index (BMI) to access fertility services which has promoted a debate amongst fertility practitioners globally. Proponents of placing such a limit point to the negative impact of elevated BMI on the outcome of fertility treatment, its cost effectiveness and the risk it poses to the intending mother and unborn child. Opponents of placing a restriction base their arguments on the lack of conclusive, robust evidence regarding the variables along with the ethical dilemmas of promoting discrimination and stigmatization by denying a couple their basic right of parenthood. In this review, we analyse these medical and ethical dilemmas in the light of current evidence. The focus is on female infertility.
引用
收藏
页码:1179 / 1184
页数:6
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