Weight and Infertility - Fellowship in Reproductive Medicine in India

It is crucial for patients and future fertility specialists to comprehend the relationship between weight, fertility, and treatment options including IUI and IVF. While lifestyle modifications are crucial for enhancing reproductive health, ovulation, sperm quality, and overall chances of conception can all be directly impacted by a high or low BMI. In-depth knowledge of how ovulation disorders, BMI, and treatment outcomes like IUI or IVF are managed in clinical practice is provided by IVF courses in Bangalore for those seeking advanced training. This ensures that specialists are prepared to help patients on their path to healthier fertility.

A normal BMI is usually considered between about 18 and 25, but it can vary a lot depending on your body type. How can BMI affect your fertility? If you're at a high BMI, it can affect ovulation and cause irregular menstrual periods. It can also affect sperm function as well.

But importantly, having a high BMI can also be associated with other medical conditions such as high blood pressure or diabetes to mention a few. And these independently can also affect your fertility. So the first step is to have a consultation with your fertility specialist to talk about your individual health needs.

If you have a high BMI, we often work in a multidisciplinary team with dieticians, exercise physiologists, general practitioners as well to help look at the aspects of your life that you can improve in order to help improve your fertility. And it's important to realise that a small change in your BMI can really do wonders for your fertility. We're not talking about making major changes, just even a change as small as 5% in your weight can improve ovulation and also improve sperm function and increase your chances of getting pregnant.

I think it's really important not to make sudden major changes to your weight. We're really aiming for a healthy lifestyle that's maintainable for slow gradual changes so that you don't shock your body into having a lot of weight loss or a lot of weight gain. Many people don't realise that a high BMI can affect male fertility as well as female fertility.

Increased weight can certainly affect sperm function and can contribute to an abnormal sperm test. By reducing your weight and achieving a normal BMI, you can certainly improve your sperm function and therefore improve your chances of conception. So how does BMI affect ovulation? If you have a high BMI, it can cause hormonal changes in the body so that the signalling processes from your brain to your ovaries aren't as efficient and therefore you may not be ovulating as often or even at all.

Some people with a high BMI may develop a condition called polycystic ovary syndrome and often in this condition people will ovulate very infrequently, maybe once every three to six months. And if you're only releasing an egg once every three to six months, over the course of a year you're going to have fewer opportunities to get pregnant. Similarly, having a low BMI can also cause hormonal changes and again affect the signalling function from the brain to the ovaries and stop the ovaries from ovulating.

Like having a high BMI, if you're not releasing eggs it can make it much more difficult to get pregnant.

When it comes to your chances of conceiving, controlling your BMI is one area that you actually do have control over and you can feel so out of control when it comes to fertility. This is often a time where you can really make yourself as healthy and as possible and know that you're always doing something really good for your fertility but not only that, but your chances of having an ongoing uncomplicated pregnancy and a healthy baby as well.

IUI as a treatment option

Whenever IUI fails, it is always you know not very happy news for those who are undergoing treatment and they always feel stressed out and what next. So, what is this IUI? IUI is basically done in certain cases, where the sperm count is either slightly low, there is an unexplained infertility, where you do not know what is the cause, the tubes are normal. In such cases, what we do is, we take the husband's sperm, process it and at the time of ovulation, we will monitor and do the procedure that is insert the sperm inside the uterus, hoping that pregnancy will occur.

The success rate of IUI is around 15 percent roughly, 15 to 20 percent and sometimes this IUI fails because the success rate is itself 15 to 20 percent. What are the reasons for IUI failure? So, the most common reason for IUI failure is age. So, IUI is more successful in a younger age group than when you are nearing 40.

Also, the egg quality, one thing we cannot assess in the IUI is the egg quality. Most of the common causes of failure of IUI is probably the egg quality, which only we know when we extract the eggs in IUI, IVF, but otherwise in IUI, we cannot assess the egg quality. Also, many a times sperm itself is a problem because IUI, the indication, one of the indications is low sperm count.

So, if the sperm is abnormal, the egg is abnormal or the embryo is abnormal, then again IUI can fail. Other reasons are the timing of IUI, whether it was done at the time when the egg ruptured, was it monitored properly, ovulation, was the lining good, endometrial lining good, all these things also impact the success rate of IUI. IUI can be tried maximum 3 to 4 times and more than that it is not advisable because doing the same procedure again and again will just you lose out on the time and the cost and the finances.

So, it is better then you should proceed for IVF. You have to talk of course to your IVF specialist and discuss what are the causes and what could be the reason why it failed, but it gives you a hint that you are a candidate who might require an IVF or ICSI. In IVF or ICSI, you need some preparation before going on for it directly.

First is you have to heal yourself because once you are too much stressed out, then the results are not good because we need people who are relaxed. So, one of the things is you have to take a break and get a little relaxed and then go on to IVF. I think this information will be useful.

Medline Academics

Under the direction of Padma Shri Prof. Dr. Kamini Rao, Medline Academics has been training students for Post Doctoral Fellowship in Reproductive Medicine for many years and is still the most popular medical program in this field. One of the best fellowship programs in the nation is offered by the Fellowship in Reproductive Medicine (FRM) and the Fellowship in Embryology (FIE), which offer a hybrid mode of education. Students can attend all online modules at their convenience, while weekly classes through the Live Contact Program cover nearly all of the most sought-after topics in the field. Before trainees can handle real patients, they must finish their simulation training at a centre in Bangalore that has world-class simulation training facilities. It features the best simulation training and top-notch training tools available at this training facility.

We at Dr. Kamini Rao Hospitals are aware of how important lifestyle choices, weight, and BMI may be for both treatment outcomes and fertility. Our staff provides comprehensive, evidence-based care, from managing issues like PCOS, inconsistent ovulation, or low sperm quality to helping couples navigate treatment options like IUI and IVF. Being a top IVF hospital in Bangalore, we guarantee that each couple receives individualized care on their path to parenthood by combining cutting-edge reproductive technologies with a holistic approach that takes into account nutrition, physical fitness, and mental health.