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Chapter 7 - How to improve your IVF success rate:

Weight control

from Section 1 - Patient selection and preparation

Published online by Cambridge University Press:  05 July 2011

Gab Kovacs
Affiliation:
Monash University, Victoria
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Summary

Weight control and/or reduction for many couples about to embark on in vitro fertilization (IVF) is a critical component to their chances of success, not just for getting pregnant but staying pregnant and having a healthy child. Weight control through lifestyle intervention and psychological support is the ideal treatment plan. Combining lifestyle modification with the pharmacological anti-obesity treatments orlistat and sibutramine, however, has been shown to result in improved outcomes in terms of weight loss. A Cochrane meta-analysis shows patients on sibutramine lose an average 4.35% more weight compared to placebo. The lack of success of traditional weight-reduction treatments involving hypocaloric diets and exercise has lead to an increasing use of bariatric surgery. Monitoring for nutritional deficiencies is crucial but there are no agreed guidelines for the management of nutrition pre or during pregnancy in women after bariatric surgery.
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How to Improve your ART Success Rates
An Evidence-Based Review of Adjuncts to IVF
, pp. 33 - 37
Publisher: Cambridge University Press
Print publication year: 2011

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