A new study shows that women who are obese may need higher levels of the hormone gonadotrophin during assisted pregnancy (fertility clinic procedures). Doctors are not sure why, but speculation is that the hormone is distributed over body weight, so the bigger you are, the more you might need.
The same study had some good news though. They found that plus-size women who ovulate, have periods and have at least one Fallopian tube are just as likely to become pregnant during fertility procedures as women who are of average size. This study is ground-breaking because other studies that say plus-size women are likely to have more trouble getting pregnant did not distinguish between women who ovulated and women who did not, which is clearly a key difference. If you are ovulating, this study means, your chances of getting pregnant are good. If you aren't ovulating, if your physicians can induce ovulation, then your chances of getting pregnant are also good.
The take home message of this study is that if you are undergoing fertility treatments, be sure to ask your physician about this study and if your medication levels have been adjusted for your weight.
Staying Positive
If youre riding the TTC rollercoaster, you know that it can be hard to stay positive and not let the whole crazy scenario get to you. The first thing you must do is realize that although there are steps you can take to improve your chances, ultimately, this is something that is beyond your control. That can be very frustrating to deal with, but if you can accept this, youre a step closer to getting through this without going crazy.
Monthly Ups and Downs
When you first start trying to conceive, whether its for your first child, or your fifth, you feel excited and so very hopeful. If it takes you a while to conceive, the endless cycles get become hard to cope with. The month becomes broken up into very specific sections. First, you wait to ovulate. You pee on a stick every morning, looking for that surge. You take your temperature before you get out of bed and every day you look at your chart, trying to decipher what it means. Then you procreate like rabbits to try to catch that egg. After the exhausting days of sex on a schedule, you must wait. Those two weeks before your period are often the hardest. You spend all your time gauging how your body feels are my breasts more tender than usual? Are those cramps or an expanding uterus? Then you face disappointment if you get your period and impatiently wait for it to end so you can start trying again. Its a difficult cycle.
Medicalization
If youre using medical assistance, not only are you dealing with all of the above, but you have the added discord that drugs and procedures add. What is supposed to be a completely natural and simple act becomes something that must be managed. And when you seek help from a doctor is often when you first face the guilt trip that is about being plus-sized. Youre weighed and theres discussion of how losing even a small amount of weight can help you conceive. Your doctor is most definitely trying to help you, but being told that you need to lose weight at a time when you facing the most stressful cycles ever seems absurd sometimes.
The drugs can make you feel like a lunatic and when you find yourself having conversations with doctors and nurses about sex positions, cervical mucous, and sperm sample sizes, you know this has gone from an act of love between two people to an invasion of strangers into your private life.
Chin Up
You can stay positive through all of this though. Youre going to have difficult days, so accept that. But what you must do is look at your life and recognize all the good things in it. All of your happiness cannot be pinned to a possible pregnancy. If it happens, it happens, and if it doesnt, you will go on. It takes most women an average of six months to get pregnant, and if you have PCOS, ovulation problems, or other medical issues, you should expect it to take longer. This is by no means an instantaneous process for many plus-size women. But you can get pregnant, and there is a lot of help available if you need it. Many, many women are able to quickly get pregnant by taking Clomid, a fertility drug that is the first line of treatment. If that doesnt work, there are many more options available.
Mind Exercises
Stress does impact fertility, but of course if youre stressed out about trying to get pregnant, someone telling you to just relax does nothing more than freak you out even more. Youre probably charting your temps and testing for ovulation, so youre already taking some time every day to focus on your fertility. Add these extra steps to your routine:
Clear your mind. Try to take a moment each day to just clear your mind and breathe. Dont think about fertility or getting pregnant. Give yourself a total break from all of it for just a few minutes.
Choose to be positive. If youre having trouble conceiving, its easy to get sucked into a negative approach to the entire process. Instead choose to assume you will get pregnant and that it is only a matter of time.
Love your body. You may feel that your body is standing in the way of your goal. Dont fall into a negative body image. You have a beautiful, curvy body. It is perfect for nurturing a baby. Appreciate the beauty of who you are.
Live today. Instead of always worrying about whether youll ovulate tomorrow or if your pregnancy test will be positive next week, instead enjoy what you have right now, whether it is a spouse, other children, a job, or family and friends.
Totally agree with you here 
