Fat people are perhaps the last "minority" group people can discriminate against & not suffer the consequences of the law. Deny a gay person, a black person or a person in a wheel chair medical treatment & you'll get sued. Deny an obese person medical treatment while dealing with infertility & you have medical science to back you up, right?
A recent study from Penn State found that women who underwent gastric bypass surgery did not become any more "fertile" after losing weight. While the women reported an increase in libido, rates of ovulation remained the same. I' m guessing these women were probably more in the mood because they thought they might finally get pregnant with the excess weight gone so they reported "gettin' it on" more. And if the researchers followed them more long term, the level of sexual desire probably decreased with each cycle they didn't get pregnant.
But here's the finding I am most interested in: "The quality of the ovulation also remained unaltered. The only change seen was a shortening of the first half of the menstrual cycle, from the end of the previous menstrual flow until the release of the egg." So my egg quality may still suck. And given my body is pretty much a Swiss watch when it comes to my menstrual cycle, I'm guessing losing weight would not shorten my 28 day cycle or lengthen my 14 day luteal phase.
I've struggled with my weight all my life. So have my mom & sister, both of whom got pregnant with no issue. Granted I'm bigger than they are, but they are both classified as obese too. And so what? Are they or the millions of other obese women not allowed to have kids?
Unfortunately, many infertility practices practice such discrimination. For IVF #1 I was needlessly given an epidural because of my weight. My current RE had to battle for them to not give me an epidural & just do the routine "knock out" for IVF #2 because of my BMI. I'm not diabetic. I don't have GERD or apnea. I was knocked out for oral surgery & for an exploratory lap to look for endo before with no issues. Hell, before I got married I was actually denied the very same weight loss surgery this study looked into because besides being obese, I have no other medical issues (besides a wonky thyroid & beta thalassemia which have nothing to do with my weight) that would "warrant it" according to the surgeon.
I guess I should just be glad I don't live in the UK where women my size are outright denied IVF. Hopefully more studies like this will change that policy.