Maintaining a healthy bodyweight is important when trying to conceive. Being overweight or underweight can make it harder to get pregnant and may increase pregnancy risks.
Body Mass Index (BMI) is a simple way to check if your weight is in a healthy range for your height. Although it does not distinguish between fat, muscle, or bone, it is still a useful measure for assessing weight-related health risks.
Check out the NHS BMI calculator.
For Caucasians:
- Less than 18.5 – Underweight
- 18.5 - 24.9 – Healthy weight
- 25 - 29.9 – Overweight
- 30 and above – Obese
For South Asian, Chinese, Middle Eastern, Black African, and African-Caribbean individuals:
- Under 18.5 – Underweight
- 18.5 - 23 – Healthy weight
- Over 23 – Increased risk (Overweight)
- Over 27.5 – High risk (Obese)
Since people from different ethnic backgrounds may have a higher risk of developing health problems at lower BMI levels, guidelines have been adjusted to reflect these risks.
For Women:
Underweight:
- Can cause irregular and infrequent ovulation or sometimes no ovulation – your periods are delayed or sometimes absent.
Overweight and Obesity:
- Can cause irregular and infrequent ovulation or sometimes no ovulation – your periods are delayed or sometimes absent.
- Can increase the risk of developing symptoms associated with polycystic ovary syndrome (PCOS).
Yes, your BMI can impact both your chances of conceiving with fertility treatment and having a healthy pregnancy.
There is strong evidence that being underweight or obese can lower the success rates of IVF and ICSI treatments.
- The response to ovarian stimulation is reduced, leading to fewer eggs retrieved during IVF/ICSI in women who are obese.
- Women who are underweight are more likely to have lower egg quality and poor implantation rates.
- Higher BMI is linked to higher miscarriage rates
If you conceive with a BMI in the obese range, you are at an increased risk of pregnancy complications, such as:
- Gestational diabetes (diabetes that develops during pregnancy)
- High blood pressure and pre-eclampsia (which can lead to serious complications for both mother and baby)
- Thrombosis (blood clots), which can be life-threatening
- Increased likelihood of requiring a caesarean delivery
- Increased risk of heavy bleeding (postpartum hemorrhage) after birth
Children born to individuals with obesity are at an increased risk of:
- Birth defects
- High birth weight (macrosomia), which can lead to difficulties during birth
- Obesity and metabolic disorders later in life
If your BMI is in overweight or obese range, losing weight to a normal BMI range before getting pregnant can improve your chances of conception and reduce pregnancy risks.
- If you are not ovulating regularly, even losing just 5-10% of your body weight can significantly help regularize ovulation.
- If your BMI is over 35, additional medical assessments may be needed before fertility treatment is offered.
- If your BMI is over 40, pregnancy is generally not advised until weight is reduced.
- Eat a balanced, healthy diet – Focus on whole grains, fruits, vegetables, and lean proteins.
- Stay active – Aim for 150-300 minutes of moderate exercise per week (such as brisk walking, jogging, or swimming).
- Reduce portion sizes – Be mindful of calorie intake.
- Avoid sugary drinks and processed foods – Choose water, homemade meals, and natural snacks.
- Be aware of emotional eating – Seek support if needed.
- If you feel that you have always been underweight and are struggling to gain weight OR struggling with weight loss, speak to your doctor. They may refer you to a dietitian or a weight management program or in some circumstances to bariatric specialists for discussing surgical options.
Some health conditions can make weight management harder and impact fertility, including:
- Polycystic ovary syndrome (PCOS)
- Underactive thyroid (hypothyroidism)
- Type 2 diabetes
If you suspect a medical condition is affecting your weight, speak to your doctor for further assessment and support.
Increased risk of:
- Miscarriage
- Premature labour and birth
- Babies with low birth weight or growth restriction
The best way is to get help from a qualified healthcare professional - to assess for any health conditions that may have caused weight loss
A balanced diet is recommended. For JIVA Fertility patients, we have a dedicated professional Dietician-Nutritionist who will be able to provide evidence-based dietary guidance tailored to your fertility/PCOS journey. www.YourGreekDietitian.com
Regular Exercise will improve your appetite - we encourage you to build muscle with strength training or yoga.
Men with a high BMI may struggle with fertility due to:
- Lower testosterone levels
- Poor sperm quality
- Increased risk of erectile dysfunction
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At JIVA Fertility, we assess how weight affects fertility and help you take the right steps for a healthier pregnancy.
Every small step towards a healthy weight improves your chances of conceiving and having a safe pregnancy!