Infertility Info & Support

Discussion in 'The Hens' Nest' started by Comet, Jan 4, 2017.

  1. Cashmere Bandit

    Cashmere Bandit Minion moocher

    I'm reading over my fertility clinic welcome packet, and it mentions that for most of their fertility treatments you need to be under a BMI of 40 kg/m2 (which I am), but some of them you need to be under a BMI of 35 kg/m2 (which I am not, but I'm actively losing weight and I'm very close).

    I'm assuming that I need to be under 35 for IVF, but I'm curious if anyone has a clinic with similar rules? I just don't want to be disappointed when I go in and I'm told they can't do anything till I lose ten more pounds. My consult is on the 14th, so I might be able to drop what I need to by then regardless.

    Also my doctor looks like he should be guest starring on Grey's Anatomy. This neither affects my level of care or how comfortable/uncomfortable I am with him, it just sort of made me laugh.
     
  2. CoolWife

    CoolWife Chicken

    Fuck that fatphobic shit though.
     
  3. Erie

    Erie Florida AF

    I’m not sure what her exact BMI was but a good friend of mine went through the IVF process a couple years ago and sadly lost the baby around 22 weeks. They wouldn’t let her go through the process again until she lost some weight, they seemed to think it may have contributed? I remember thinking that was bs at the time but, just remembered it in response to your post. She was around 180-190lbs and 5’5” or 5’6”.
     
  4. megatron

    megatron Wordsmith Staff Member

    Because a person’s weight is clearly the only measure of health :angry:

    Also BMI wasn’t even invented by an actual
    physician/doctor. It was created by a physicist for math reasons, not health reasons. And the fact that most medical practitioners still use BMI as a (primary) measure of health is fucked up.
     
  5. user4917

    user4917 Chicken

    Interesting, I’ve never been given any dietary restrictions for IVF beyond alcohol and caffeine!

    re: the BMI, I wonder if there is data to indicate that certain BMI ties into chances of success. It sucks but a lot of clinics are strict about what they will and won’t try in terms of treatment and I think some of that has to do with not wanting their success rates to go down. So for example, because my current embryos were made at Clinic A, Clinic B didn’t just accept them by default, they had to look at the data and decide whether the embryos met Clinic B’s criteria.

    Anecdotally I have also seen a lot of people in IVF fb groups complaining that certain clinics refuse to treat them at all if their chances of ultimate success seem too low.
     
  6. moose

    moose RINGWORM GIRL :(

    I’m with @CoolWife. There is sooo much fat shaming and fat phobia associated with pregnancy. I vividly remember giving birth and them immediately saying they needed to blood sugar checks on the baby because I am diabetic. Uh, except I’m not. Just fat. I had to have them pull up the numerous glucose tests so they would believe that a fat person is not diabetic.
     
  7. Lh718

    Lh718 Chicken

    Being overweight does have a negative affect on ovulation due to increased estrogen levels. If a person is prediabetic or has type 2 diabetes, the increased insulin might also hinder ovulation. For men, it's about lower sperm quality.
     
    MagnificentCat likes this.
  8. moose

    moose RINGWORM GIRL :(

    But if you’re pursuing IVF, doesn’t ovulation technically not matter at that point? Unless it hinders follicle development. But I was under the impression that you can mature a follicle and never release the egg, which can be caused by estrogen levels.
     
    CoolWife likes this.
  9. Lh718

    Lh718 Chicken

    I was also told by my gyn that being overweight lowered my chances of implantation and increased my risk for miscarriage [ETA] both on our own or through IVF. I don't know if that aspect is tied to the estrogen or something else.

    It's clearly not a fate written in stone, as many women of various levels of health and weight get pregnant and have healthy babies. I'm just sharing what I was told, which might be why the clinics are kinda strict about it.
     
  10. moose

    moose RINGWORM GIRL :(

    Oh no I know, I’m not questioning you or your facts personally. It just seems a little “STFU you're wrong” to apply the Fat People Can’t Get Pregnant stroke so broadly. Again not you, mostly MDs that I have experienced and heard about.
     
  11. Honey

    Honey Historian Staff Member

    Except that it’s still sizist bullshit to deny a couple the same chance to try because that one factor might decrease their likelihood of success. @Kimmers is right; they don’t want their success rates to lower and therefore choose to be arbitrary gatekeepers against larger women.
     
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  12. moose

    moose RINGWORM GIRL :(

    I forgot about that filter but it still works so I will leave it :lol:
     
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  13. Lh718

    Lh718 Chicken

    NGL, my weight wasn't the top reason we opted not to go through IVF, but it was definitely in the Cons column.

    It's neat because it's one more reason to hate myself and my body. Maybe the MDs should consider that consequence.
     
  14. CoolWife

    CoolWife Chicken

    Evidence is correlation at best and it’s some eugenics-level bullshit to deny fat people the opportunity to have kids.
     
  15. moose

    moose RINGWORM GIRL :(

    I am fat and I will try to have a baby again. I’ll try to lose some weight so my blood pressure can’t be attributed to my weight like it was last time. My BP is normal/borderline (130/80s) and my spikes were written off as preexisting hypertension. Only my MFM team believed me because they knew it was a placental issue that caused the BP issues in the first place. Nothing like having medical issues written off as “sry ur fat. here’s celery”.
     
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  16. Cashmere Bandit

    Cashmere Bandit Minion moocher

    I agree it's sizest bullshit - but I am already unhappy with my weight and was losing it before this was even on the radar, so this doesn't bother me on a practical level, rather on an intellectual and philosophical one. If this wasn't my only option (geographically and benefits/insurance wise), I'd look into other places. But it is. I can't reinforce this enough, guys - my pituitary gland is shot. I need these people's help. So when they say jump, I'm going to say "How high?"

    There are plenty of things that they'll turn you away for, or work with you on before giving you treatments. This is just the one that applies to me, so it's the only one I mentioned or had questions about.
     
  17. moose

    moose RINGWORM GIRL :(

    Just to be clear @Cashmere Bandit no one has an issue with you. You do what you need to do and we are here to support you through it.
     
    user4058, Fitz, Zombie Llama and 8 others like this.
  18. calicat

    calicat Queen of the Eggs

    What Moose said. To your original question - my doctor told us at our initial consultation that yeah, I could lose 5lbs if I so chose, but he'd seen much larger women than I get pregnant and he didn't really see an issue with pregnancy and weight. To be fair he also reminded me that people who do drugs conceive all the time so my RE is a little lax I guess!

    Oh! He was a fan of the keto diet though (full disclosure I did not do keto at any point)
     
  19. CoolWife

    CoolWife Chicken

    WSS. You get your baby however you can!
     
  20. moose

    moose RINGWORM GIRL :(

    @calicat why keto? Just curious. I’ve been considering the diet for nonTTC purposes.
     
  21. calicat

    calicat Queen of the Eggs

    If I remember correctly (I kind of tuned him out to be honest), it's because with keto you eliminate a lot of the inflammatory food like gluten, sugar, etc.
     
  22. Honey

    Honey Historian Staff Member

    The PCOS possibility may have been a factor in that too, IIRC. Since PCOS can often go hand in hand with insulin resistance, they tend to recommend Keto/low carb diets to help curb that.
     
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  23. hellohelloagain

    hellohelloagain Chicken

    I have the same issue but I know my blood pressure spikes are anxiety related. One of the nurses called it "white coat syndrome." I, so many times, had to say "check my pressure again please and I'm sure it will be normal" and lo and behold it would be normal again.
     
  24. calicat

    calicat Queen of the Eggs

    Yeah though he was convinced I did not have PCOS whereas my OBGYN was like "mayyyybeee?". My A1C has always been perfect though
     
  25. calicat

    calicat Queen of the Eggs

    They never did that test on me. That's really helpful to know though @MagnificentCat