Association of obesity with hormonal imbalance in infertility: A cross-sectional study in North Indian Women

Bhavna Seth, Sarika Arora, Ritu Singh

Research output: Contribution to journalArticlepeer-review

Abstract

Hormones play an important role in the development and regulation of reproductive function and the menstrual cycle of women. Extremes of body weight tend to affect the homeostasis of the hypothalamo-pituitary-gonadal axis. This cross-sectional study was carried out in 113 women (57 with primary infertility and 56 with secondary infertility) in the age group 20-35 years, presenting for hormonal evaluation of infertility in a tertiary care hospital. After preliminary clinical evaluation, anthropometric indices (height, weight, BMI, waist circumference and waist hip ratio) were measured in all subjects. Fasting blood sample drawn on second/third day of menstrual cycle was analysed for serum luteinizing hormone, follicle stimulating hormone (FSH), prolactin and thyroid stimulating hormone (TSH). Serum FSH levels showed a significant positive correlation with indicators of central obesity (waist circumference and waist hip ratio in both the study groups). In primary infertility, significant positive correlation was also observed between serum FSH levels and other markers of obesity like body weight, hip circumference and BMI. In secondary infertility, serum prolactin and serum TSH levels demonstrated a significant positive correlation with body weight and BMI. Obesity is associated with hormonal derangements which are responsible for infertility. In overweight women with infertility, weight loss should be considered as a first line treatment.

Original languageEnglish (US)
Pages (from-to)342-347
Number of pages6
JournalIndian Journal of Clinical Biochemistry
Volume28
Issue number4
DOIs
StatePublished - Oct 2013
Externally publishedYes

Keywords

  • Body mass index
  • Correlation
  • Hormones
  • Primary infertility
  • Secondary infertility
  • Waist hip ratio

ASJC Scopus subject areas

  • Clinical Biochemistry

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