Restrict fertility treatments for obese women: British experts: Knowledge Driven Revolution

[KDR: A subtle form of eugenics.]

Severely overweight women should not receive publicly funded fertility treatments in England and Wales, the British Fertility Society recommended Wednesday.

Public funding of fertility treatments for obese women should be denied unless the women show they've tried to lose weight, the society said.

"Women with a body mass index of less than 19 and greater than 29 should be referred for advice from a dietitian, warned of the potential risks in pregnancy, if appropriate, provided with access to exercise advice and offered psychosocial support," a summary of the recommendations said.

National Health Service "funding of their treatment should be deferred until they demonstrate response to these interventions. Assisted conception may be provided if the BMI is less than 36."

The recommendations go further than current guidelines, which say overweight women should be warned of health risks, without restricting treatment.

Obese women are more likely to have fertility problems, both naturally and when seeking in vitro fertilization, in which eggs are fertilized in the lab and implanted in the womb.

Previous research in the U.S. suggested obese women with a BMI over 35 had lower success rates with in vitro fertilization compared with overweight (BMI of 25-30), normal weight (BMI of 20-25), or underweight women.

Inequality of access

"There is a wide disparity on the social criteria used for acceptance onto an NHS-funded program, especially as regards existence of previous children, high BMI, smoking," the British Fertility Society said, based on its survey of 64 licensed fertility clinics during the summer of 2005.

The society recommended that single women, same sex couples and people who already have children from a previous relationship should not be denied publicly funded treatment.

The recommendations also state no treatment cycle could start after a woman turns 40.

Full results of the fertility survey will be published in the journal Human Fertility in September.

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