Hey Dalmareliz. Thanks for the support and understanding. I'm sorry that you were denied access to care. I was also devastated and I immediately sought a second opinion. The second opinion was actually the one that provided me with this information, while I went and sought out the links on my own.
BMI and IVF Outcomes:
I just wanted to bring up that the idea that IUI or IVF is less effective at higher BMI's is considered "old" medicine. Recent medicine dictates that this is in fact little correlation between the effectiveness of IVF and BMI, where effectiveness is measured as a fetal heartbeat. This can be seen in many studies, only a few which are outlined below:
* https://www.ncbi.nlm...les/PMC3017329/ (2010) with the conclusion stating: Increase in body mass index in women does not appear to have an adverse effect on IVF outcome. However, preconceptual counselling for obese women is a must as weight reduction helps in reducing pregnancy-related complications.
* https://www.ncbi.nlm...les/PMC5405646/ (2017) with the conclusion stating: This study showed marginal/no effect of BMI on oocyte quality/endometrial receptivity and, subsequently, on the pregnancy outcome. However, well-designed, larger prospective studies are needed to clarify the role of BMI in pregnancy outcome in women undergoing IVF/ICSI.
* https://www.ncbi.nlm...les/PMC4922730/ (2016) with the conclusion stating: The present study evaluated obesity and clinical pregnancy rates in IVF cycles in PCOS patients according to age groups, and particularly in the obese group, the clinical pregnancy rates were observed to be lower in the age group ≥35 years than in the other BMI groups; however, this difference was found to be statistically insignificant.
* http://o.canada.com/...normal-weight-2 Halifax clinic in this actual in 2010 also stated that: " that there may be insufficient justification for placing these arbitrary BMI restrictions on IVF treatment access.” The major shift in focus for AART after 2014 and 2016 when this policy was enacted was a change in Medical Directorship.
BMI and Complications due to anesthesia:
The College of Physicians in each province don't dictate a BMI cutoff but warn of complications in higher BMI individuals. However, these complications are significantly less given the group of anesthesia that is used during egg retrieval. It is often used just in the Emergency Room actually to drain cysts. There are also other diseases that cause similar complications during anesthesia that are still being treated at fertility clinics, including patients who smoke, have frequent seizures, and diabetes.
For natural conception, BMI is highly correlated to success. For miscarriage, BMI over 30 is correlated to higher chances of miscarriage. But for the actual effectiveness of IVF, there is little statistical, peer-reviewed, recent research that shows that BMI has a correlated effect on negative IVF outcomes. FOr the actual complications of anesthesia, other similarly risky diseases are treated while obesity is not.
Now there are other reasons why clinics deny treatment based on BMI, and those reasons may or may not be reasonable or scientifically proven. However, the idea that clinics are "saving" patients from losing money due to the effectiveness of IVF is not statistically or scientifically proven.
I don't want to come off as angry, I'm really not. I just think that people should know and be able to double check what physicians tell them. When I got my second opinion my new RE was the one that provided me with this information (including some of the links). This makes me believe that the idea of BMI being a universal issue in access fertility care seems to be clinic specific and very controversial.