OBESITY & FEMALE FERTILITY: WEIGHT MANAGEMENT IS REPRODUCTIVE HEALTHCARE The FOGSI–ICOG October 2026 Clinical Practice Points on Obesity and Reproductive Health highlight the impact of obesity across a woman's reproductive lifespan—from adolescence and PCOS to infertility, pregnancy and menopause. Fogsi 2 KEY EVIDENCE-BASED MESSAGES 1. Obesity can affect ovulation and fertility - Adiposity and insulin resistance can contribute to ovulatory dysfunction and PCOS. - Obesity is associated with longer time to conception and potentially poorer ART outcomes. - For Indian women, Asian BMI thresholds are useful: 23–24.9 kg/m² = overweight; ≥25 kg/m² = obesity. Fogsi 2. Optimize metabolic health before pregnancy - Assess BMI, waist circumference, blood pressure, HbA1c/glucose and lipid profile; evaluate liver function when appropriate. - Encourage individualized nutrition, physical activity and sustainable weight reduction before conception. - Anti-obesity medications require reproductive counselling. GLP-1-based medications should not be used during pregnancy; semaglutide should generally be discontinued at least 2 months before planned conception. Fogsi KEY TAKE-HOME MESSAGE OBESITY MANAGEMENT IS NOT JUST ABOUT WEIGHT LOSS — IT IS ABOUT IMPROVING OVULATION, FERTILITY, PREGNANCY OUTCOMES AND LONG-TERM WOMEN'S HEALTH. Clinical reminder: Intentional weight loss is not recommended during pregnancy. Avoid weight stigma and individualize counselling. REFERENCES 1. FOGSI–ICOG. Clinical Practice Points on Obesity & Reproductive Health. October 2026. FOGSI official recommendations 2. FOGSI. Good Clinical Practice Recommendations on Management of Obesity in Women. 2026. Read the clinical recommendations #SunleafHospital #SunleafWomensCare #ObesityAndFertility #FemaleFertility #PCOS #InsulinResistance #WeightManagement #PreconceptionCare #InfertilityTreatment #IVF #PregnancyPlanning #WomensHealth #FOGSI #EvidenceBasedMedicine #Surat #Varachha #NanaVarachha #MotaVarachha #Sarthana #Pasodara #Godadara #Dindoli #Vesu #Kamrej #Amroli #Ankleshwar #DrMukeshDobariya #DrKrishnaJiyani