Obesity, polycystic ovary syndrome, infertility treatment: Asking obese women to lose weight before treatment increases stigmatisation

EDITOR—As Balen et al say,1 epidemiological data show that obesity is associated with adverse pregnancy outcomes. However, long term maintenance of weight loss among obese populations is low, estimated at 15% over at least three years of follow-up in one systematic review.2 Weight loss in shorter term studies, whether of dietary or pharmacologic treatments, six months to two years in duration, does not …