Our expert says:
It is important to realise that not all obese patients suffer from PCO and not all obese patients have fertility problems. I would recommend a thorough investigation in respect of insulin resistance and the tendency towards a diabetogenic state. Should this be the case, ie, your insulin resistance is high, then the use of insulin sensitising agents such as METFORMIN or GLUCOPHAGE should be tried and this would in addition assist you in losing weight as well as in conceiving.
I would certainly not advocate the use of medication or agents such as FAT ATTACK whilst trying to conceive as there is not sufficient clinical trials to prove the benefits of such medication.
It is sometimes possible to over-ride the obesity factor by the use of ovulation induction agents and some form of assisted reproductive techniques. However, this needs to be done under the supervision of experienced clinicians in the field of fertility and I would recommend consulting wih a fertility specialist.
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