Obesity was defined by a body mass index more than 30 kg/m(2). Many ri
sks were related to this pathology, and sometimes, menstrual disorders
or infertility.In order to obtain an adequate response to ovarian sti
mulation during IVF cycles, higher doses of menotropins are necessary
in the group of obese patients. The mechanism of this phenomenon is st
ill unclear. Leptin is one of the main hypothesis, and could act on ob
esity and reproductive system simultaneously. The likelihood to have a
n ongoing pregnancy after IVF treatment is less in the group of obese
patients because of the increased risk of miscarriage and obstetrical
complications. Weight loss prior IVF remains the main advice in order
to decrease the risks of the procedure and to treat successfully these
patients.