{"id":32760,"date":"2025-05-15T08:03:00","date_gmt":"2025-05-15T06:03:00","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/blog-fiv\/tenir-sobrepes-afecta-la-fertilitat\/"},"modified":"2026-03-23T11:36:41","modified_gmt":"2026-03-23T10:36:41","slug":"tenir-sobrepes-afecta-la-fertilitat","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/tenir-sobrepes-afecta-la-fertilitat\/","title":{"rendered":"Tenir sobrep\u00e8s\u2026 afecta la fertilitat?"},"content":{"rendered":"<\/p>\n

Molts estudis han observat que l’obesitat pot disminuir les possibilitats d’aconseguir un embar\u00e0s de manera espont\u00e0nia, i que baixar de pes -quan es t\u00e9 en exc\u00e9s- contribueix a millorar la salut reproductiva i la resposta als tractaments de reproducci\u00f3 assistida. Per\u00f2, i si nom\u00e9s es tracta d’uns quilos de m\u00e9s? Tenir sobrep\u00e8s tamb\u00e9 t\u00e9 un impacte? I, a partir de quina xifra es considera que es t\u00e9 sobrep\u00e8s o que l’exc\u00e9s de pes pot afectar la fertilitat? Respondre a aquestes preguntes de manera general no \u00e9s f\u00e0cil, ja que cada dona t\u00e9 una constituci\u00f3, metabolisme i necessitats energ\u00e8tiques diferents, i cal valorar cada cas. <\/p>\n

Per\u00f2 si desitges ser mare aviat i tens problemes de pes \u00e9s important que consultis a la teva ginec\u00f2loga\/o i a un expert en endocrinologia. Tamb\u00e9 hi ha patologies de base i endocrines, com la s\u00edndrome d’ovari poliqu\u00edstic (SOP), que poden afavorir guanyar pes i afectar a la regularitat menstrual, per aix\u00f2 han d’estar sota control m\u00e8dic. En aquest post ampliem la informaci\u00f3, amb l’ajuda de la doctora Isela Ba\u00f1uelos<\/strong><\/a>, especialitzada en Endocrinologia ginecol\u00f2gica.<\/p>\n

Qu\u00e8 es considera sobrep\u00e8s?<\/strong> Hi ha una f\u00f3rmula que permet avaluar si el teu pes \u00e9s l’adequat a la teva al\u00e7ada. Es diu \u00edndex de massa corporal (IMC) i es calcula dividint el pes en kg pel valor de la talla al quadrat (IMC= kg\/m\u00b2). Si l’IMC se situa entre 25.0 i 29.9, es troba dins del rang de sobrep\u00e8s. Si \u00e9s 30.0 o superior, es troba dins del rang d’obesitat. Per\u00f2 \u00e9s una estad\u00edstica, cal analitzar cada cas individualment. A m\u00e9s, actualment la definici\u00f3 de l’obesitat i el sobrep\u00e8s ja no \u00e9s un exc\u00e9s de pes o un \u00edndex de massa corporal alt, sin\u00f3 un percentatge de greix elevat: per exemple, en les dones per sobre del 35% i en els homes per sobre del 25%.<\/p>\n

No \u00e9s doncs un valor determinant?<\/strong> No, els experts consideren que \u00e9s nom\u00e9s un valor orientatiu i cal fer una avaluaci\u00f3 m\u00e9s completa, de manera conjunta amb especialistes en nutrici\u00f3 i endocrinologia, fent servir diverses eines com el c\u00e0lcul d’IMC, la distribuci\u00f3 del greix corporal mesurant la cintura i maluc i bioimpedancia el\u00e8ctrica (amb dades precises i de manera r\u00e0pida i no invasiva).<\/p>\n

\u00c9s veritat que tenir sobrep\u00e8s pot reduir les possibilitats de quedar-te embarassada de manera espont\u00e0nia? <\/strong>S\u00ed. Els estudis indiquen que en la dona augmenta el temps requerit per aconseguir una concepci\u00f3. Aquest fet est\u00e0 relacionat amb alteracions en l’ovulaci\u00f3, que pot ser irregular o no tenir la qualitat necess\u00e0ria, la qual cosa es pot traduir tamb\u00e9 en problemes en l’embri\u00f3 o en la implantaci\u00f3 endometrial. Encara que sobrep\u00e8s no \u00e9s igual a obesitat, com ja hem comentat. Cal valorar cada cas.<\/p>\n

Per qu\u00e8 tenir exc\u00e9s de pes afecta la fertilitat? <\/strong>El canvi endocr\u00ed m\u00e9s important que produeix l’obesitat \u00e9s l’elevaci\u00f3 del nivell basal d’insulina i la resist\u00e8ncia a aquesta, la qual cosa comporta a alteracions en els cicles menstruals i en l’ovulaci\u00f3. Tamb\u00e9 pot produir alteracions metab\u00f2liques.<\/p>\n

I a qu\u00e8 es deuen aquestes alteracions?<\/strong> Els estr\u00f2gens s\u00f3n les hormones sexuals produ\u00efdes en les dones. Es produeixen principalment en els ovaris, per\u00f2 tamb\u00e9 en les gl\u00e0ndules suprarenals i en el teixit adip\u00f3s o gras. Per aix\u00f2, les dones amb obesitat tenen nivells m\u00e9s alts d’aquesta hormona, la qual cosa pot desencadenar un desequilibri de l’eix hormonal.<\/p>\n

Per qu\u00e8 l’exc\u00e9s de pes tamb\u00e9 afecta o pot afectar els tractaments de reproducci\u00f3 assistida?<\/strong> En els tractaments d’estimulaci\u00f3 ov\u00e0rica i de preparaci\u00f3 de l’endometri, les dones obeses requereixen majors dosis de gonadotropines, ja que presenten una major resist\u00e8ncia a aquestes, la qual cosa pot provocar una resposta ov\u00e0rica pitjor. Les dosis de gonadotropines necessiten ser incrementades a mesura que augmenta el pes de la pacient, la qual cosa tamb\u00e9 pot donar lloc a tractaments m\u00e9s llargs i que requereixin m\u00e9s medicaci\u00f3.<\/p>\n

Tamb\u00e9 pot afectar la taxa d’embar\u00e0s en aquests casos? <\/strong>S\u00ed, pot disminuir la taxa d’embar\u00e0s i incrementar la taxa d’avortaments.<\/p>\n

\u00c9s veritat que l’obesitat tamb\u00e9 s’associa a una major incid\u00e8ncia de problemes durant l’embar\u00e0s, el part i el postpart?<\/strong> S\u00ed, l’obesitat augmenta la incid\u00e8ncia de preecl\u00e0mpsia. I la resist\u00e8ncia a la insulina associada a obesitat augmenta el risc de desenvolupar diabetis gestacional i de nadons de major grand\u00e0ria en n\u00e9ixer. Tamb\u00e9 pot afavorir la indicaci\u00f3 de ces\u00e0ria i altres problemes despr\u00e9s del part.<\/p>\n

I si es tracta d’un problema gen\u00e8tic o associat a una malaltia de base? <\/strong>En aquests casos, el control cal fer-lo des de l’inici, perqu\u00e8 malalties com el SOP solen provocar anovulaci\u00f3, cicles irregulars i sobrep\u00e8s. En el nostre centre comptem amb una Unitat d’Assessorament pregestacional<\/a><\/strong> on pots consultar, si \u00e9s el teu cas, on t’indicaran quins passos has de seguir. Tamb\u00e9 disposem amb ginec\u00f2logues expertes en Endocrinologia<\/strong> i una Unitat de Nutrici\u00f3<\/a><\/strong>.<\/p>\n

Esperem que t’hagi resultat \u00fatil aquest post! La bona not\u00edcia \u00e9s que amb control i seguiment m\u00e8dic des de l’inici, un canvi d’h\u00e0bits i una dieta saludable es pot mantenir el pes sota control i prevenir possibles complicacions i riscos. I, en el cas que es presentin, actuar de forma m\u00e9s \u00e0gil.<\/p>\n","protected":false},"excerpt":{"rendered":"

Molts estudis han observat que l’obesitat pot disminuir les possibilitats d’aconseguir un embar\u00e0s de manera espont\u00e0nia, i que baixar de pes -quan es t\u00e9 en exc\u00e9s- contribueix a millorar la salut reproductiva i la resposta als tractaments de reproducci\u00f3 assistida. Per\u00f2, i si nom\u00e9s es tracta d’uns quilos de m\u00e9s? Tenir sobrep\u00e8s tamb\u00e9 t\u00e9 un […]<\/p>\n","protected":false},"author":0,"featured_media":32761,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,64],"tags":[],"class_list":["post-32760","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-uncategorized-ca"],"yoast_head":"\nTenir sobrep\u00e8s\u2026 afecta la fertilitat? | Dexeus Fertility<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/tenir-sobrepes-afecta-la-fertilitat\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tenir sobrep\u00e8s\u2026 afecta la fertilitat? | Dexeus Fertility\" \/>\n<meta property=\"og:description\" content=\"Molts estudis han observat que l’obesitat pot disminuir les possibilitats d’aconseguir un embar\u00e0s de manera espont\u00e0nia, i que baixar de pes -quan es t\u00e9 en exc\u00e9s- contribueix a millorar la salut reproductiva i la resposta als tractaments de reproducci\u00f3 assistida. 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