
Q Is weight management really important when preparing for pregnancy?
A Keeping your BMI in the 18.5-25 range improves both hormonal balance and the chance of successful implantation.
Detailed Answer
The Relationship Between Weight and Fertility
Because body fat is involved in estrogen production, being overweight (BMI 25 or higher) can cause irregular ovulation due to estrogen excess, while being underweight (BMI under 18.5) can cause amenorrhea due to estrogen deficiency.
In Korean medicine, an obese type is viewed as a phlegm-damp (dam-seup) constitution and supported with damp-draining, phlegm-transforming prescriptions for weight loss, while an underweight type is helped by strengthening Spleen-Stomach (biwi) function to improve nutrient absorption. Rather than rapid dieting or weight gain, gradual adjustment over 3-6 months is ideal for pregnancy preparation.
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