ArticleHuman reproduction (Oxford, England)2009
Should access to fertility-related services be conditional on body mass index?
Article in Human reproduction (Oxford, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Feasibility of a brief, intensive weight loss intervention to improve reproductive outcomes in obese, subfertile women: a pilot study.Fertility and sterility · 2016Trial
- The LIFESTYLE study: costs and effects of a structured lifestyle program in overweight and obese subfertile women to reduce the need for fertility treatment and improve reproductive outcome. A randomised controlled trial.BMC women's health · 2010Trial
- Obesity Affects IVF Outcomes and Mevalonic Acid Rescues the Side Effects of Statins on Follicle Growth.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025Article
- Obesity and overweight and associated factors among women with infertility undergoing assisted reproductive technology treatment in a low income setting.Scientific reports · 2025Article
- Diet-Induced Obesity Alters Granulosa Cell Transcriptome and Ovarian Immune Environment in Mice.Life (Basel, Switzerland) · 2025Article
- A retrospective cohort study examining the outcomes of patients who present for fertility care and exceed a set body mass index threshold for treatment.F&S reports · 2024Article
- Obesity, Twin Pregnancy, and the Role of Assisted Reproductive Technology.JAMA network open · 2024Article
- Metabolic risk factors and fertility disorders: A narrative review of the female perspective.Reproductive biomedicine & society online · 2022Review
- Women's Health Endocrinology Update.Journal of women's health (2002) · 2021Article
- Relationship between nutrition and reproduction.Reproductive medicine and biology · 2020Review
- Ovulatory status of overweight women without Polycystic Ovary Syndrome.JBRA assisted reproduction · 2019Article
- Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment.Nature reviews. Endocrinology · 2018 · on this mapReview
- A preliminary evaluation of influence of body mass index on in vitro fertilization outcome in non-obese endometriosis patients.BMC women's health · 2017Article
- Impact of obesity on infertility in women.Journal of the Turkish German Gynecological Association · 2015 · on this mapReview
- A novel system dynamics model of female obesity and fertility.American journal of public health · 2014Article
- Polycystic ovary syndrome: current status and future perspective.Frontiers in bioscience (Elite edition) · 2014 · on this mapReview
- Weighing the impact of obesity on female reproductive function and fertility.Nutrition reviews · 2013Review
- Infertility patients' knowledge of the effects of obesity on reproductive health outcomes.American journal of obstetrics and gynecology · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Guidelines for the clinical management of obese, reproductive age women with reduced fertility in the USA are limited. Clinical professional organizations have yet to publish practice guidelines on this topic. Thus, treatment decisions are made at the provider and/or clinic level and the variation in clinic policy regarding fertility treatment for obese women is not readily available. Globally, there is an ongoing discussion among reproductive endocrinologists that practice in countries with government-funded health care about whether treatment should be restricted to women under a certain body mass index. Our analysis of a representative US population identified that differences exist in the utilization of fertility-related services according to female body mass. Women with class II/III obesity were the group reporting the highest percentage seeking medical attention to become pregnant, but the lowest percentage receiving medical or surgical fertility-related services, although these differences were not statistically significant. As the prevalence of obesity among women of reproductive age increases both in the USA and abroad, it is critical to consider the medical, social and ethical issues involved in allocating resources for fertility treatment. Ongoing monitoring of trends in service utilization in light of the obesity epidemic and delayed childbearing will provide further insight into this clinical health policy issue.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.