Is It Good Practice/Ethical to Set a Max BMI Before IVF?

  • Joseph O. Doyle
  • Nicole Doyle
  • Alan H. DeCherneyEmail author


If current trends continue, almost 40% of the world’s population will be obese by 2030 (Kelly et al., Int J Obes 32:1431–1437, 2008). Obesity is now recognized as a chronic disease, and we need to consider how to approach and optimize this condition in parallel with fertility treatments. When evaluating the ethics of a BMI threshold prior to IVF, we must consider the impact of obesity on overall health, fertility, pregnancy, the postpartum period, and our responsibility as providers to prioritize maternal and fetal well-being within the ethical framework of autonomy, nonmaleficence, beneficence, and justice.


Obesity Body mass index BMI Ethics Moral Autonomy Nonmaleficence Beneficence Justice Fertility Assisted reproductive technology ART In vitro fertilization IVF 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Joseph O. Doyle
    • 1
  • Nicole Doyle
    • 2
  • Alan H. DeCherney
    • 2
    Email author
  1. 1.Shady Grove Fertility Reproductive Science CenterRockvilleUSA
  2. 2.Reproductive Endocrinology and Infertility Fellowship ProgramEunice Kennedy Shriver National Institute of Child Health and Human DevelopmentBethesdaUSA

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