Weight Loss vs. Baby Pressure

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No. I’m not pregnant.

Yes. My partner and I are trying to get pregnant.

My partner and I started to try to get pregnant nearly a year ago and discovered some problems along the way. Without making this blog about that, one of the issues is weight. It’s not the defining issue. I’m border line PCOS which means that I have 12 follicles on each ovary. Less than 12 follicles is considered PCOS and one of the major contributing factors to PCOS is weight.

The main fertility challenge I have can supposedly be handled by fertility medications. That is what we are currently doing. PCOS can also be helped by other fertility medications, so I’m on two rounds of fertility medications just in case. My doctor did let me know that, with regards to PCOS,  in studies of women who were given the fertility medications and those who only followed a low-carb diet that those on the low-carb diet were equally as successful at conceiving as those who took the PCOS medication.

I meant to ask him if it was specifically the low-carb diet that increased their chance of conceiving or if it was the associated weight loss. My suspicion is that it was the associated weight loss in which case I don’t need to be too concerned about carving fruit out of my diet in addition to already eating a paleo diet which means I am currently not eating any grains, refined sugars or white starches.

What all this means for me is that I’m not really sure what my overall goal is.

Is it to get pregnant as fast as possible? Or, is it to lose as much weight as possible?

Time is a consideration. I’m approaching 33 (in July) which means ideally I will conceive in the next year to avoid being considered a high risk pregnancy at 35.

However, I’m still in the obese weight category according to my BMI, so should I be focusing on my weight loss and trying to lose as much weight as possible before getting pregnant so that I increase my chances of getting pregnant and having a healthy pregnancy?

The reality is that I can’t make the choice. I just have to take it one day at a time. Most days I focus on weight loss. I know that losing the weight increases my chances of getting pregnant. The more weight I lose before getting pregnant will help me stay healthy through my pregnancy.

At the same time we are trying to get pregnant, so I can’t help feeling a little sad each month when it doesn’t in fact happen. Strangely though, at this time I’m also a bit relieved since it allows me more time to lose more weight.

Right now I’d like to lose at least the 40 lb goal for two reasons. First it will put me below the obesity BMI and second, if I lose the 40 lbs then that is also what I am likely to gain during a pregnancy. In theory I already know my body can carry that extra 40 lbs and I will already know that I can lose it again.

Part of me would like to double that goal so that when I get pregnant I would be in the “normal” weight BMI and the pregnancy would take me to just below the obese BMI and I wouldn’t have to worry about going into that weight category while pregnant.

This is all really just an academic debate that I cannot and should not control. The only way to guarantee weight loss before getting pregnant would be to stop trying to get pregnant and age can have the same negative effects on pregnancy chances as weight can so it’s best to just keep trying to both lose weight and get pregnant and handle the situation as it hopefully arises.

The real frustration for me is knowing that by getting pregnant I am guaranteeing that I will have to walk this weight-loss journey again. I have some hope, because now I know I can do it.

One decision that is solidifying in my mind is to keep eating paleo through my pregnancy, if it happens (knock on wood). I have not found any evidence that a pregnant woman needs grains or dairy. I do feel terrible when I eat them. The one barrier would be if I do suddenly get my appetite back and have cravings.

Anyways this is all just baby-on-the-brain. I’ve got another month ahead of me of trying to get pregnant. That is at least the fun part of all of this.

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