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Journal of Assisted Reproduction and Genetics logoLink to Journal of Assisted Reproduction and Genetics
. 2004 Dec;21(12):431–436. doi: 10.1007/s10815-004-8759-1

Body Mass Index, Follicle-Stimulating Hormone and Their Predictive Value in In Vitro Fertilization

Kathrin Ferlitsch 1,, Michael O Sator 1, Doris M Gruber 1, Ernst Rücklinger 2, Christian J Gruber 1, Johannes C Huber 1
PMCID: PMC3455618  PMID: 15704518

Abstract

Purpose:The objective was to explore whether body mass and day 3 follicle-stimulating hormone have predictive value on odds of pregnancy after in vitro fertilisation. Few studies show that obesity produces a variety of alterations in the reproductive system, and that women with an elevation of day 3 FSH have declining ovarian function.

Methods: The data of one-hundred-seventy-one women who underwent a standard regime of controlled ovarian hyperstimulation was analyzed with particular reference to variations in body mass and hormone levels.

Results: By raising BMI and FSH (mIU/mL) by one unit, the odds for pregnancy were decreased by the respective factors 0.84 (95% confidence interval 0.73–0.97) and 0.77 (95% confidence interval 0.59–1.00).

Conclusions: The results demonstrate that for the purpose of raising the odds of pregnancy BMI should be reduced. A low FSH value may cause the same effect. Nontheless, obesity and hormonal function may be independent risk factors for failure in assisted reproduction.

Keywords: BMI, body weight, FSH, IVF, pregnancy outcome

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References

  1. Lashen H, Ledger W, Bernal AL, Barlow D. Extremes of body mass do not adversely affect the outcome of superovulation and IVF. Hum Reprod. 1999;14:712–715. doi: 10.1093/humrep/14.3.712. [DOI] [PubMed] [Google Scholar]
  2. Frisch RE. Fatness and fertility. Hum Reprod. 1987;2:521–533. doi: 10.1093/oxfordjournals.humrep.a136582. [DOI] [PubMed] [Google Scholar]
  3. Tinkanen H, Blauer M, Laippala P, Touhimaa P, Kujansuu E. Prognostic factors in controlled ovarian hyperstimulation. Fertil Steril. 1999;72:932–936. doi: 10.1016/S0015-0282(99)00397-0. [DOI] [PubMed] [Google Scholar]
  4. Lenton EA, Sexton L, Lee S, Cooke ID. Progressive changes in LH and FSH and LH:FSH ratio in women throughout reproductive life. Maturitas. 1988;10:35. doi: 10.1016/0378-5122(88)90129-6. [DOI] [PubMed] [Google Scholar]
  5. Pearlstone AC, Fournet N, Gambone JC. Ovulation induction in women age 40 and older: The importance of basal follicle stimulating hormone level and chronological age. Fertil Steril. 1992;58:674–679. doi: 10.1016/s0015-0282(16)55310-2. [DOI] [PubMed] [Google Scholar]
  6. Martin JSB, Nisker JA, Tummon IS. Future in vitro fertilisation pregnancy potential of women with variably elevated day 3 follicle stimulatin hormone levels. Fertil Steril. 1996;65:1238–1240. doi: 10.1016/s0015-0282(16)58347-2. [DOI] [PubMed] [Google Scholar]
  7. Evers JLH, Slaats P, Land JA. Elevated levels of basal estradiol-17β predict poor response in patients with normal basal levels of follicle-stimulating hormone undergoing in vitro fertilisation. Fertil Steril. 1998;69:1010–1040. doi: 10.1016/S0015-0282(98)00080-6. [DOI] [PubMed] [Google Scholar]
  8. Lewis CG, Warnes GM, Wang X, Matthews CD. Failure of body mass index or body weight to influence markedly the response to ovarian hyperstimulation in normal cycling women. Fertil Steril. 1990;53:1097–1099. doi: 10.1016/s0015-0282(16)53594-8. [DOI] [PubMed] [Google Scholar]
  9. Déchaud H, Ferron G, Anahory T, Arnal F, Humeau C, Hédon B. Obésité et assistance médicale à la procréation. Contracept Fertil Sex. 1998;26:564–567. [PubMed] [Google Scholar]
  10. Zaadstra BM, Seidell JC, Van Noord PA, Velde ER, Habbema JD, Vrieswijk B. Fat and female fecundity: Prospective study of effect of body fat distribution on conception rates. BMJ. 1993;306:484–487. doi: 10.1136/bmj.306.6876.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Fedorcsák P, Storeng R, Dale PO, Tanbo T, Abyholm T: Obesity is a risk factor for early pregnancy loss after IVF or ICSI. Acta Obstet Gynecol Scand 2000;43–48 [PubMed]
  12. Wass P, Waldenström U, Rossner S, Hellberg D. An android body fat distribution in females impairs the pregnancy rate of IVF-embryo transfer. Hum Reprod. 1997;2:2057–2060. doi: 10.1093/humrep/12.9.2057. [DOI] [PubMed] [Google Scholar]
  13. Green BB, Weiss NS, Daling JR. Risk of ovulatory infertility in relation to body weight. Fertil Steril. 1988;50:721–726. [PubMed] [Google Scholar]
  14. Clark AM, Ledger W, Galletly C. Weight loss results in significant improvement in pregnancy and ovulation rates in anovulatory obese women. Hum Reprod. 1995;10:2705–2712. doi: 10.1093/oxfordjournals.humrep.a135772. [DOI] [PubMed] [Google Scholar]
  15. Grodstein F, Goldman MB, Cramer DW. Body mass index and ovulatory infertility. Epidemiol. 1998;50:721–726. doi: 10.1097/00001648-199403000-00016. [DOI] [PubMed] [Google Scholar]
  16. Pasquali R, Casimirri F, Vicennati V. Weight control and its beneficial effect on fertility in women with obesity and polycystic ovary syndrome. Hum Reprod. 1997;12:82–87. doi: 10.1093/humrep/12.suppl_1.82. [DOI] [PubMed] [Google Scholar]
  17. Halme J, Hammond MG, Talber LM, O’Rand M, Bailey L, Sloan C. Positive correlation body weight, length of human menopausal gonadotropine stimulation, and oocyte fertilization rate. Fertil Steril. 1986;45:372–376. doi: 10.1016/s0015-0282(16)49219-8. [DOI] [PubMed] [Google Scholar]
  18. Wittemer C, Ohl J, Bailley M, Bettahar-Lebugle K, Nisand I. Does body mass index of infertile women have an impact on IVF procedure and outcome? J Assist Reprod Genetics. 2000;17:547–552. doi: 10.1023/A:1026477628723. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Van Steirteghem A, Nagy Z, Joris H, Liu J, Staessen C, Smitz J, Wisanto A, Devroey P. High fertilization and implantation rates after intracytoplasmatic sperm injection. Hum Reprod. 1993;8:1061–1066. doi: 10.1093/oxfordjournals.humrep.a138192. [DOI] [PubMed] [Google Scholar]
  20. Rich-Edwards JW, Goldmann MB, Willet WC, Hunter DJ, Stampfer MJ, Colditz GA, Manson JE. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol. 1994;171:171–177. doi: 10.1016/0002-9378(94)90465-0. [DOI] [PubMed] [Google Scholar]
  21. Wang JX, Davies M, Norman RJ. Body mass and probability of pregnancy during assisted reproduction treatment: Retrospective study. BMJ. 2000;321:1320–1321. doi: 10.1136/bmj.321.7272.1320. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Loveland JB, McClamrock HD, Malinow AM, Sharara FI. Increased body mass index has a deleterious effect on in vitro outcome. J Assist Reprod Genet. 2001;18:382–386. doi: 10.1023/A:1016622506479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Barnhart KT, Osheroff J. Follicle stimulating hormone as a predictor of fertility. Curr Opin Obstet Gynecol. 1998;10:227–232. doi: 10.1097/00001703-199806000-00009. [DOI] [PubMed] [Google Scholar]
  24. van der, Stege JG, van der, Linden PJ. Useful predictors of ovarian stimulation response in women undergoing in vitro fertilization. Gynecol Obstet Invest. 2001;52:43–46. doi: 10.1159/000052939. [DOI] [PubMed] [Google Scholar]
  25. Nahum R, Shifren JL, Chang Y, Leykin L, Isaacson K, Toth TL. Antral follicles assessment as a tool for predicting outcome in IVF—Is it a better predictor than age and FSH? J Assist Reprod Genet. 2001;18:151–155. doi: 10.1023/A:1009424407082. [DOI] [PMC free article] [PubMed] [Google Scholar]

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