Patient's question:
My menstrual cycle has always been very regular (it used to be very irregular), but I feel like the amount of blood flow hasn't been as heavy as before, especially this month. I only had it for one day. On the first day, I used sanitary pads, and on the second day, I could manage with liners. It stopped almost two days later, and there was nothing left. Where I live, there was a flood, and I was always involved in flood relief efforts, wading in water every day, and getting little rest. I often felt sweaty. I wonder if this is related. I went to a traditional Chinese medicine hospital for a check-up, and the doctor took my pulse and said I have insufficient qi and blood. After that, they didn't say much, just told me to wait and see for a week, then come back for another check-up.I am quite overweight, 168 cm tall, and probably around 77 kg (about 170 lbs). I want to ask if being overweight makes it difficult to get pregnant? Will I still be able to get pregnant in the future? And does the previous situation count as a pregnancy?
Previous Treatment and Effects:
Doctor's answer:
Obesity often causes dysfunction of the hypothalamic-pituitary-ovarian axis, leading to ovulation difficulties. A significant portion of obese women experience irregular menstruation, reducing the chances of natural conception. Due to metabolic disorders in tissue cells and insulin resistance (a hormone that lowers blood sugar) in obese individuals, excessive insulin secretion disrupts the energy metabolism and normal function of granulosa cells—the functional cells of the follicle. Abnormal changes in the substance and energy metabolism within the eggs of obese individuals also adversely affect egg quality. For instance, an imbalance in the oxidative-antioxidant equilibrium of oocytes can accelerate their aging after ovulation, reducing their fertilization and cleavage capabilities, as well as significantly lowering the developmental potential of the embryo. Consequently, fertility decreases, and the risk of miscarriage increases.