Those obese females who have insulin resistance will notice cycle disturbances. Once cycle disturbances occur, ovulation usually has to be induced. Hamilton-Fairley found significantly higher abortion rates in moderately obese females than in females with normal weight. Although weight reduction is not an easy task to achieve, it is the first choice approach of obese females complaining of infertility. If one decides to treat ovulatory disturbances despite the presence of obesity, one must realize that the pregnancy loss is higher.
Obesity has enormous health implications.
The influence on reproduction, as illustrated in this paper, is just one aspect. The high incidence of obesity, as found in our Saudi infertility population, must urge workers in the health care sector to inform the public about these adverse effects and start preventive measurements. The influence of obesity on health. Manson JE, Colditz GA, Stampfer MJ, et al. A prospective study of obesity and risk of coronary heart disease in females.