1. Determinants of Pre-Conception Nutrition- weight Dr. Eeson Sinthamoney MD (Mal), MRCOG (London), DFFP (UK) Fellowship in Reproductive Medicine (Singapore/UK) Obstetrician, Gynaecologist & Fertility Specialist Pantai Hospital Kuala Lumpur

2. Weight and fertility At present, the best method of determining the appropriateness of one’s weight is to measure their body mass index (BMI) Under-weight versus over-weight : both have issues The recommended BMI range is between 18.5 and 24.9 kg/m 2. probability of pregnancy is reduced by 5% for every unit of BMI that exceeds 29kg/m 2.

3. Weight and fertility women who are overweight or obese require a higher dose of stimulation medication, have a lower chance of getting pregnant (reduced by approximately 30%) and have an increased miscarriage rate (increased by approximately 30%). negative effects of excessive weight on fertility appear to be reversible

4. Weight and fertility

5. In males, the effect of obesity on fertility less studied Obesity leads to lower testosterone levels and other endocrine abnormalities, higher scrotal tempreture and higher rates of erectile problems. Many studies have shown an increased likelihood of abnormal sperm parameters among overweight men and risk for sub-fertility among couples in which the male partner is obese, other studies have failed to show this association.