Woman planning pregnancy while consulting a fertility expert in Mississauga

116. Does Obesity Affect Fertility? What You Need to Know Before Trying to Conceive

Introduction

If you’re exploring weight loss for fertility, you’re not alone — excess weight can significantly affect your chances of conception, for both men and women.

Struggling with infertility can be emotionally and physically exhausting. What many don’t realise is that weight — particularly obesity — plays a significant role in reproductive health. If you’re searching for fertility programs in Mississauga or exploring weight loss as part of your fertility journey, it’s essential to understand how weight impacts both men and women trying to conceive.

The Link Between Obesity and Female Fertility

For women, being overweight can interfere with key hormonal processes that regulate ovulation. Hormonal imbalances caused by excess body fat can result in:

  • Irregular periods — making ovulation unpredictable or absent
  • Polycystic ovary syndrome (PCOS) a common cause of infertility
  • Higher risk of miscarriage — due to poor egg quality and hormonal instability
  • Lower success rates with assisted reproductive technologies (ART) — like IVF and ICSI

 

Even a modest reduction in body weight — around 5–10% — can significantly improve fertility outcomes, regularise ovulation, and reduce the risk of complications.

How Obesity Affects Male Fertility

Fertility isn’t just a female issue. Men’s weight plays a critical role in reproductive success as well. Obesity in men is linked to:

  • Low testosterone levels
  • Erectile dysfunction and decreased libido
  • Reduced sperm production and motility
  • Higher rates of sperm DNA fragmentation

 

Healthy weight loss before conception can dramatically improve semen quality and hormone balance — both essential for conception. Medically supervised weight loss for fertility gives your body the best chance to regulate hormones, improve egg and sperm quality, and prepare for a healthy pregnancy.

Weight and Pregnancy Complications

The impact of obesity doesn’t end at conception. Excess weight during pregnancy increases the risk of:

  • High blood pressure (including preeclampsia and eclampsia)
  • Gestational diabetes
  • Miscarriages and stillbirths
  • Complications during labour (e.g. shoulder dystocia, emergency C-sections)
  • Postpartum weight retention and secondary infertility

Babies born to mothers with obesity are also more likely to develop childhood and adult obesity, as well as metabolic disorders later in life.

Timing Matters — Why Weight Loss for Fertility Is So Important

If you’re actively trying to conceive or plan to in the next few months, now is the time to act. For men, sperm takes roughly 3 months to mature. For women, ovulation and implantation success are closely tied to hormonal balance — something that improves with gradual, healthy weight loss.

You don’t need to wait until pregnancy to make lifestyle changes. In fact, most guidelines suggest weight loss should happen before conception to maximise benefits and reduce pregnancy-related risks.

Why You Shouldn’t “Eat for Two”

There’s a common myth that pregnancy is a time to indulge. In reality, nutritional needs don’t double — especially in the first trimester. Unnecessary weight gain early on can lead to complications and make it harder to lose weight postpartum.

Healthy weight gain during pregnancy depends on your pre-pregnancy BMI. Women with higher BMIs may be advised to gain less weight during pregnancy — sometimes even none in the first trimester. That’s why medical supervision is so important throughout.

Fertility Programs in Mississauga — Why Medically Supervised Weight Loss for Fertility Works Best

When it comes to fertility and weight loss, the approach matters. DIY diets, fasting, or extreme restriction can throw hormones further off balance. Instead, a medically supervised program that supports both weight loss and fertility offers a safer and more effective path forward.

At Modest Medix, we offer targeted fertility support for both men and women, with integrated care that supports weight loss, hormonal health, and mental well-being — all tailored to your reproductive goals.

How Modest Medix Can Help

At Modest Medix, we specialise in fertility programs in Mississauga designed for individuals navigating both weight loss and reproductive health.

 

Our comprehensive, physician-led fertility support includes:

  • Customised nutrition plans designed to support ovulation, sperm health, and hormone balance
  • ACT-based therapy to manage emotional eating, stress, and anxiety around fertility
  • Medical oversight from ABOM-certified doctors, ensuring safe progress tailored to your goals
  • Close collaboration with fertility clinics, ensuring your care plan supports ART or natural conception
  • Metabolic and genetic testing, when appropriate, to address hidden factors
  • Pregnancy support through all trimesters, including RD-led meal planning, symptom management, and supplement guidance

Whether you’re just starting your fertility journey or preparing for IVF, we provide expert-led, compassionate care every step of the way.

 

Contact Modest Medix today.

 

 

Written by the Modest Medix Clinic Team | Reviewed by Dr. Saima Khan (Dr. Eskay)