Does Obesity Impact Fertility?

Does Obesity Impact Fertility?

A recent study published in Fertility and Sterility has once again revealed the importance of maintaining a healthy diet and healthy weight during your fertility journey.

We’ve posted before about the importance of omega-3 fatty acids and the important role they play in sperm and egg quality, even helping relieve some of the symptoms of endometriosis, however this new study has shown the impact an unhealthy weight can have on fatty acid composition.

There are good and bad fatty acids, some we consume with fast food and sugary drinks, and there are the fatty acids that are vital for energy in humans that assist with important structural components of cells, heart health, and brain function and development.

This study was the first to look at fatty acid composition in human oocytes and the impact it may have on oocyte quality. When looking at weight and fatty acid composition, the women who had a normal body mass index (BMI) had higher levels of saturated fatty acids and lower levels of mono-saturated fatty acids. Women who were obese or had a higher BMI tended to have lower levels of omega-3 fatty acids, therefore revealing they had a very different fatty acid composition to the women with a normal BMI.

The researchers analysed the fatty acid concentrations in the follicular fluid surrounding the growing oocyte and discovered that women who were obese had lower levels of saturated fatty acids and polyunsaturated omega-3 fatty acids. Given that omega-3 is essential for embryo development at a cell signalling level, it could contribute to the reason behind poor IVF outcomes in many obese women.

Another factor to consider is the impact fatty acids can have during oocyte and embryo cryopreservation, high lipid concentrations contributing to cryodamage. Vitrification is a highly sophisticated and successful method of cryopreservation in the IVF industry. However, it is still unknown whether fatty acid composition can have an impact on the freezing and warming process. Further research must be made regarding this; however, this initial study has revealed a reasonable explanation for why many women with high BMIs may see adverse outcomes when undergoing IVF treatment.

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FAQs about improving natural fertility

Will stress affect my ability to get pregnant?

Yes, chronic stress can impact fertility by disrupting hormonal balance and ovulation patterns. Managing stress through relaxation techniques, regular exercise, adequate sleep, and mindfulness practices may help optimise your chances of conception. Consider speaking with a counsellor if stress feels overwhelming.

How does my partner's health affect our fertility?

Sperm health accounts for about 40% of conception challenges. Your partner can improve sperm health by maintaining a healthy weight, avoiding excessive heat exposure (hot tubs, saunas, tight clothing), limiting alcohol, quitting smoking, managing stress, and taking a multivitamin with antioxidants. Sperm takes about 3 months to develop, so lifestyle changes need time to show results.

When during my cycle am I most fertile?

Your fertile window typically spans 5-6 days, ending on ovulation day. For a regular 28-day cycle, this usually falls between days 10-15, with peak fertility 1-2 days before ovulation. Track your cycle using ovulation predictor kits, basal body temperature, or cervical mucus changes to identify your unique pattern. Having intercourse every 1-2 days during this window optimises your chances.