It was an ordinary clinic in January 2022.Although the winter sun shines, it is the central air conditioner that brings warmth to the clinic.Immediately after the Spring Festival, many patients resumed the year before, hoping that the New Year’s holiday would not delay their pregnancy plan.The professor carefully saw the patients in the diagnosis room. After studying and studying, I took the little book to remember the main points and special cases of diagnosis and treatment.
After a heavy knock on the door, a medium -sized 35 -year -old woman pushed the door into the clinic.For such patients who cut in line, the professors were asked to queue up one by one in the order, so I got up and prepared to bring the patient out of the clinic.
As soon as she entered the clinic, she whispered: "Director Zhang, let me see you." I thought, who is this?At this time, the professor looked up at her, and then got up and walked to her: "Hey, it’s Li Moumou, why are you here? How about it recently?" It seemed that it was the old patient of the professor, and I retreated silently.
The woman who came in was very happy to hold the professor’s hand and said excitedly: "I was born. This is not a son for a hundred days, and it’s almost the New Year. I will take him to see you!" The professor looked at her and said:"It seems that I haven’t seen you for a long time, you seem to be slim?" The woman didn’t let go of the professor’s hand: "Director Zhang, I asked you to see you for a long time 5 years ago.If you come out, you will let me lose weight. I tossed for a long time and did not lose weight and was not pregnant. I lost 30 pounds the year before, and I was pregnant at the beginning of last year.. "The professor was also very happy:" It’s good, it’s so good. "The woman went on to say, "Director Zhang, I should actually listen to you. Before I was pregnant, I didn’t do any inspections and did not eat anything. I just lost 30 pounds and I was pregnant.The process of her hometown, the process of pregnancy is very smooth … "
At this time, the child’s grandmother hugged the child and held a banner into the clinic with a banner in his hand.The professor hugged Xiaobao, and a few people said a few more words together. The patients around looked at the children and had envious eyes.
After the outpatient clinic, the professor told us her story.She is a patient with a recurrence abortion. She has experienced five embryos and Qing Palace surgery, which has gradually increased during the period of confinement.After each miscarriage, eat and drink at home, and the weight finally grows from 115 pounds to nearly 160 pounds.Later, I went to Professor Zhang to see the medical treatment here, and improved many examinations -immune, coagulation, platelet function, insulin, sex hormone, ovarian reserves, etc. The results of the inspection were basically normal or a little abnormal. The most special is this patient. The weight is obviously overweight. The height of 164cm is about 160 catties (I calculated it, the BMI was 29.7kg/㎡).The first suggestion given by the professor at every time is: weight loss, she said every time she said, the next time the doctor was not a name.After checking, there were no major problems, and even the sisters who were more abnormally became pregnant than her indicators were pregnant, and she had no good news.
She followed her family to the country, and she had no news that she had no her.Unexpectedly, the children were already 100 days when they met again.The professor went on to say that sometimes the weight loss is so amazing. This is the third person who has recently met the person who has successfully pregnant and has children.
Hypertension, hyperlipidemia, gout, arteriosclerosis, arthritis, etc.I checked some information and found that the impact of overweight or obesity on fertility is huge.
According to the 2020 "Report on Nutrition and Chronic Diseases of Chinese Residents", more than half of adults in my country are overweight/obesity, of which the overweight ratio is 34.3%and the obesity ratio is 16.4%.In other words, half of the adults who have visible to the streets are overweight or obese.
The ultra -weight and obesity ratio here can be simply calculated according to the physical index: weight ÷ height ÷ height (kg/㎡).The range of the normal constitution index is 18.5 ~ 24, ≥ 24 is overweight, and ≥28 is obesity.For example, the patient just now, her BMI = 80 (weight kg) ÷ 1.64 (height m) ÷ 1.64 (height m) = 29.7kg/㎡, which is obesity;1.64 = 24.16kg/㎡, which is overweight.
Evergreen or obesity can have a great impact on fertility.It increases the risk of infertility and miscarriage by damaging the function of neurological gland axes, affecting the quality of ovarian mother cells, and changing endometrial tolerance.With the development of reproductive endocrine medicine, obese women can assisted reproductive pregnancy, but higher BMI women have more abortion probability, that is, fatter women are more likely to have a miscarriage.
For the above words, you can understand it so, overweight (some cytokines secreted) from factors such as seeds (decreased egg quality, ovulation disorders), soil (endometrial tolerance), fertilizer (hormone: estrogen decrease) and other factors affect factors such asWomen’s fertility ability can kill tender buds even after pregnancy (inhibit the development of embryos and cause abortion).
From a set of data.↑
Some people say that obesity affects women and has a small impact on men’s fertility.In fact, because of the influence of obesity on a variety of factors such as gland axes, inflammatory factors, and local temperature, the amount of semen, sperm concentration, and total sperm number of sperm, the higher weight, the worse the sperm quality of the semen, sperm concentration, the total number of sperm sperm, and the worse.The fatter men are naturally conceived, auxiliary conception, and sperm quality will be reduced, and the abortion rate of embryos will increase.
The good news is that some studies have shown that female obese patients lose weight ≥5 % to 15 % within 6 months: irregular menstruation, ovulation disorders, hair, and insulin resistance can significantly improve.And male obese patients lose weight ≥5 % to 15 % within 6 months: can improve less sperm disease, improve sexual function, improve sugar -fat metabolism, and reduce estrogen levels.
Many infertile or repeated abortion patients use their personal experience to illustrate the role of weight management in pregnancy -related.During pregnancy, weight management is of great significance.
Another emphasis here, calculation formula: BMI: weight ÷ height ÷ height (kg/㎡)
So if you are preparing for pregnancy, are you healthy?For the health of yourself and the next generation, is it more determined to lose weight?
But weight loss is not easy, and next time I will talk about weight loss methods and some tips.
I am Dr. Xiaotan, the attending physician of obstetrics and gynecology, and the face is cold and moved.Caring for women and care more about you.
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