{"id":22472,"date":"2025-04-12T08:00:00","date_gmt":"2025-04-12T13:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=22472"},"modified":"2025-06-26T06:21:37","modified_gmt":"2025-06-26T11:21:37","slug":"%d0%bc%d0%b5%d1%82%d0%b0%d0%b1%d0%be%d0%bb%d0%b8%d1%87%d0%b5%d1%81%d0%ba%d0%b8%d0%b9-%d1%81%d0%b8%d0%bd%d0%b4%d1%80%d0%be%d0%bc-%d1%84%d0%b5%d1%80%d1%82%d0%b8%d0%bb%d1%8c%d0%bd%d0%be%d1%81%d1%82%d1%8c","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/ru\/metabolic-syndrome-fertility\/","title":{"rendered":"\u0427\u0442\u043e \u0442\u0430\u043a\u043e\u0435 \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0441\u0438\u043d\u0434\u0440\u043e\u043c \u0438 \u043a\u0430\u043a \u043e\u043d \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u0432\u043b\u0438\u044f\u0442\u044c \u043d\u0430 \u0444\u0435\u0440\u0442\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u044c?\u00a0"},"content":{"rendered":"\n

In her book Good Energy, <\/em>Dr. Casey Means boils down the complex concept of metabolism into a relatively simple one: our bodies can create energy, and it can be either good or bad energy. Too much bad energy (also known as mitochondrial dysfunction, chronic inflammation, and oxidative stress) makes certain \u2018check engine\u2019 lights come on in our bodies. These check engine lights are easy to spot and a part of any routine well-woman visit you may have at your doctor\u2019s office. If you have too many of these check engine lights, you may be diagnosed with something called metabolic syndrome. <\/p>\n\n\n\n

For many of us, metabolic syndrome<\/em> is a fairly new term, but it describes a set of characteristics that we are all familiar with: high blood sugar, high blood pressure, high triglycerides, low \u201cgood\u201d cholesterol (high-density lipoprotein or HDL), and too much body fat. Metabolic syndrome is also extraordinarily common\u2014about 1 in 3 Americans<\/a> currently meets the definition. Even worse, 93.2% of Americans have at least one metabolic syndrome check engine light on (Good Energy, <\/em>pg. 268), meaning that they\u2019re already on the spectrum of metabolic dysfunction. <\/p>\n\n\n\n

While Dr. Means focuses her attention in Good Energy <\/em>on how metabolic health can cause chronic health issues like diabetes and cancer, it can also <\/em>be a factor in infertility. If you\u2019re wondering if you might have metabolic syndrome and whether it might be affecting your fertility, read on. <\/p>\n\n\n\n

What is metabolic syndrome? <\/span><\/h2>\n\n\n\n

You have metabolic syndrome if you can check off at least three out of five markers<\/a>. These are all standard tests that can be run by your primary care doctor and should be a part of your yearly physical. <\/p>\n\n\n\n

    \n
  1. Too much abdominal body fat. <\/strong>This is defined as being more than 40 inches around the waist for men or more than 35 inches around the waist for women. <\/li>\n\n\n\n
  2. High blood pressure. <\/strong>You have a blood pressure of more than 130\/85 mm\/Hg or you have to take medication in order to keep your blood pressure in check. It still counts if only one of your blood pressure numbers (i.e. just the top number or just the bottom number) is too high. <\/li>\n\n\n\n
  3. High triglyceride levels. <\/strong>Triglycerides<\/a> are a type of fat found in the bloodstream that can contribute to the hardening of arteries and cause heart disease. You have high triglycerides if your levels are over 150 mm\/dL or you are on medications in order to lower your triglycerides. <\/li>\n\n\n\n
  4. Low HDL cholesterol. <\/strong>HDL cholesterol is known as the \u201cgood cholesterol\u201d and is beneficial for heart health. You have low HDL if your levels are less than 40 mg\/dL if you\u2019re a man or less than 50 mg\/dL if you\u2019re a woman. <\/li>\n\n\n\n
  5. High fasting blood sugar. <\/strong>Fasting blood sugar is your blood sugar reading taken first thing in the morning. You have high fasting blood sugar if your reading is over 100 mg\/dL or you\u2019re taking medication to lower your blood sugar. If your fasting glucose reading is between 100 and 125 mg\/dL then you are also considered prediabetic. A fasting blood sugar above 125 mg\/dL is common in type 2 diabetics. <\/li>\n<\/ol>\n\n\n\n

    If you have three or more markers, you have metabolic syndrome<\/span><\/h3>\n\n\n\n

    While you must check off at least three of these markers in order to officially be diagnosed with metabolic syndrome, having just one or two of these markers indicates that you\u2019re on the path. Just like how type 2 diabetes is the final destination<\/a> of a road that begins with insulin resistance and progresses to prediabetes, we can also start to have signs of decreasing metabolic health that crop up over time and continue to progress. The vast majority of Americans have at least one of these check engine lights on their health dashboard, so it\u2019s important to have a yearly physical to check your vitals and blood work.<\/p>\n\n\n\n

    How does metabolic health affect fertility? <\/span><\/h2>\n\n\n\n

    While it\u2019s clear that metabolic syndrome is linked to many chronic health conditions like heart disease and type 2 diabetes, its effects on fertility might seem a little less obvious. Increasingly, research ties metabolic un<\/em>fitness to infertility, as more and more<\/a> Americans are considered metabolically unhealthy each year. <\/p>\n\n\n\n

    One narrative review<\/a> that looked at all studies published between 2006 and 2020 on how female fertility is impacted by metabolic syndrome found that all<\/em> aspects of metabolic syndrome can have negative effects on fertility [1]. Women who are obese have a three-fold<\/a> higher risk of infertility than women who are not obese, and oxidative stress is also closely linked with difficulties conceiving [2]. <\/p>\n\n\n\n

    Oxidative stress<\/a> occurs when the body has too many free radicals<\/a> and not enough antioxidants to combat them [3]. It commonly occurs in those who are exposed to environmental toxins and\/or have poor diet and lifestyle, such as consuming a diet largely made up of ultra-processed foods<\/a> (which also cause the five check engine lights of metabolic syndrome to turn on) [4]. Unfortunately, this means that the majority of Americans likely experience high levels of oxidative stress, as over 54%<\/a> of Americans have diets that are high in ultra-processed foods. Higher levels of oxidative stress are intrinsically linked to both male<\/a> and female<\/a> infertility [5].<\/p>\n\n\n\n

    Metabolic syndrome affects male fertility, too<\/span><\/h3>\n\n\n\n

    Even though it’s common to focus mainly on a woman\u2019s<\/em> health when a couple struggles to get pregnant, male factor infertility may be present in up to half<\/a> of couples who have fertility issues [6]. Many men with decreased fertility have lower levels of testosterone, and several<\/a> studies<\/a> have found that high BMI and insulin levels (which the body produces in response to high blood sugar) are both linked with lower testosterone [7]. Diabetes is also a driver<\/a> of infertility for men, as increased blood glucose levels affect the quality and quantity of sperm cells [8]. Overall<\/a>, the less metabolically healthy a man is, the more difficult it might be for him to achieve pregnancy with his wife or partner [6].  <\/p>\n\n\n\n

    Metabolically unhealthy women face many of the same fertility problems<\/a> as metabolically unhealthy men, but they suffer more sexual dysfunction<\/a> after being diagnosed with metabolic syndrome [9]. This is especially true for women who are postmenopausal\u2014a time in which metabolic diseases like type 2 diabetes and heart disease skyrocket<\/a> [10]. <\/p>\n\n\n\n

    Ties to PCOS <\/span><\/h2>\n\n\n\n

    One of the most obvious connections between metabolic syndrome and female fertility lies in a separate diagnosis entirely: polycystic ovary syndrome (PCOS). PCOS affects anywhere between 7-10%<\/a> of women in the United States and is the number one cause of infertility<\/em>. PCOS rates have increased by nearly 65%<\/a> over the past decade [11]. Symptoms of PCOS are also more severe now than they once were.\u00a0<\/p>\n\n\n\n

    At its core, PCOS is <\/em>a metabolic<\/a> disorder characterized by hormonal imbalances and metabolism issues, which can lead to other problems like obesity and diabetes. Women with PCOS have a higher risk<\/a> of becoming insulin resistant and then later developing type 2 diabetes and<\/em> also face higher rates of obesity and hypertension than women who don\u2019t have PCOS [12]. Almost half<\/a> of adult women who have PCOS are also classified as having metabolic syndrome, and nearly one-third of teenagers with PCOS have metabolic syndrome<\/em> [13]. <\/p>\n\n\n\n

    The overlap between metabolic syndrome and PCOS is largely because insulin resistance is so common in those who have PCOS. Approximately 50-80%<\/a> of women with PCOS also have insulin resistance [14]. These women will most likely have additional markers of metabolic syndrome, including struggling with obesity. <\/p>\n\n\n\n

    Improving your metabolic health <\/span><\/h2>\n\n\n\n

    Trying to find ways to improve your metabolic health is a bit like falling down a rabbit hole, as countless researchers scramble for answers to help the hundreds of millions of Americans who are metabolically unhealthy. A great place to start if you\u2019re wanting to reverse your metabolic syndrome and turn off your \u2018check engine lights\u2019 is to read books that center on good nutrition with practical, approachable advice for making good diet and lifestyle decisions. Good Energy<\/em><\/a>, in particular, uses layman\u2019s terms to delve into what metabolic syndrome is and how it can be fixed. <\/p>\n\n\n\n

    Luckily, metabolic syndrome is reversible<\/a> and oftentimes comes down to losing weight and balancing your blood sugar. One resource I\u2019ve discovered for learning about how you can balance your blood sugar and reverse insulin resistance is Jessie Inchauspe, aka the Glucose Goddess<\/a>. Inchauspe is a French biochemist whose work helps women focus on simple nutritional changes that won\u2019t feel like sheer food deprivation.  <\/p>\n\n\n\n

    If you also struggle with PCOS, this article<\/a> is a good starting place for learning more about what to eat in order to decrease your symptoms and help improve your fertility. Another great resource on improving your fertility through food (both for those with or without PCOS) is Real Food for Fertility<\/em><\/a> <\/em>by dietician Lily Nichols and fertility awareness expert Lisa Hendrickson-Jack. Although this book doesn\u2019t focus specifically on metabolic syndrome, it does give detailed recommendations for women who are insulin resistant and\/or diagnosed with PCOS, as well as general guidance on improving both female and male factor fertility. <\/p>\n\n\n\n

    The bottom line<\/span><\/h2>\n\n\n\n

    Metabolic syndrome is only becoming more common in the United States, and it has known negative effects on fertility, but that doesn\u2019t mean it\u2019s inevitable. Diet and lifestyle interventions are shown to be highly<\/a> effective<\/a> in reversing it, which also might mean improvements in fertility if your infertility is related to poor metabolic health [15]. <\/p>\n\n\n\n

    References:<\/span><\/h4>\n\n\n\n[1] Westerman R, Kuhnt AK. Metabolic risk factors and fertility disorders: A narrative review of the female perspective. Reprod Biomed Soc Online. 2021 Oct 1;14:66-74. doi: 10.1016\/j.rbms.2021.09.002. PMID: 34765754; PMCID: PMC8569630.<\/p>\n\n\n\n[2] Lauren A. Wise, Kenneth J. Rothman, Ellen M. Mikkelsen, Henrik Toft S\u00f8rensen, Anders Riis, Elizabeth E. Hatch, An internet-based prospective study of body size and time-to-pregnancy, Human Reproduction<\/em>, Volume 25, Issue 1, January 2010, Pages 253\u2013264, https:\/\/doi.org\/10.1093\/humrep\/dep360<\/a><\/p>\n\n\n\n[3] Pizzino G, Irrera N, Cucinotta M, Pallio G, Mannino F, Arcoraci V, Squadrito F, Altavilla D, Bitto A. Oxidative Stress: Harms and Benefits for Human Health. Oxid Med Cell Longev. 2017;2017:8416763. doi: 10.1155\/2017\/8416763. Epub 2017 Jul 27. PMID: 28819546; PMCID: PMC5551541.<\/p>\n\n\n\n[4] Mart\u00ednez Leo EE, Pe\u00f1afiel AM, Hern\u00e1ndez Escalante VM, Cabrera Araujo ZM. Ultra-processed diet, systemic oxidative stress, and breach of immunologic tolerance. Nutrition. 2021 Nov-Dec;91-92:111419. doi: 10.1016\/j.nut.2021.111419. Epub 2021 Jul 19. PMID: 34399404.  <\/p>\n\n\n\n[5] Mannucci A, Argento FR, Fini E, Coccia ME, Taddei N, Becatti M, Fiorillo C. The Impact of Oxidative Stress in Male Infertility. Front Mol Biosci. 2022 Jan 5;8:799294. doi: 10.3389\/fmolb.2021.799294. PMID: 35071326; PMCID: PMC8766739.<\/p>\n\n\n\n[6] Kasturi SS, Tannir J, Brannigan RE. The metabolic syndrome and male infertility. J Androl. 2008 May-Jun;29(3):251-9. doi: 10.2164\/jandrol.107.003731. Epub 2008 Jan 24. PMID: 18222914.<\/p>\n\n\n\n[7] Tsai EC, Matsumoto AM, Fujimoto WY, Boyko EJ. Association of bioavailable, free, and total testosterone with insulin resistance: influence of sex hormone-binding globulin and body fat. Diabetes Care. 2004 Apr;27(4):861-8. doi: 10.2337\/diacare.27.4.861. PMID: 15047639.<\/p>\n\n\n\n

    References, Cont. <\/span><\/h4>\n\n\n\n[8] Ding GL, Liu Y, Liu ME, et al. The effects of diabetes on male fertility and epigenetic regulation during spermatogenesis. Asian J Androl. 2015 Nov-Dec;17(6):948-53. doi: 10.4103\/1008-682X.150844. PMID: 25814158; PMCID: PMC4814953.<\/p>\n\n\n\n[9] Salari, N., Moradi, M., Hosseinian-Far, A. et al.<\/em> Global prevalence of sexual dysfunction among women with metabolic syndrome: a systematic review and meta-analysis. J Diabetes Metab Disord<\/em> 22, 1011\u20131019 (2023). https:\/\/doi.org\/10.1007\/s40200-023-01267-5<\/a><\/p>\n\n\n\n[10] Jeong HG, Park H. Metabolic Disorders in Menopause. Metabolites. 2022 Oct 8;12(10):954. doi: 10.3390\/metabo12100954. PMID: 36295856; PMCID: PMC9606939.<\/p>\n\n\n\n[11] Yang R, Li Q, Zhou Z, et al. Changes in the prevalence of polycystic ovary syndrome in China over the past decade. Lancet Reg Health West Pac. 2022 May 31;25:100494. doi: 10.1016\/j.lanwpc.2022.100494. PMID: 35669932; PMCID: PMC9162959.<\/p>\n\n\n\n[12] Chandrasekaran, S.; Sagili, H. Metabolic syndrome in women with polycystic ovary syndrome. TOG<\/em> 2018<\/strong>, 20<\/em>, 245\u2013252.<\/p>\n\n\n\n[13] Chen W, Pang Y. Metabolic Syndrome and PCOS: Pathogenesis and the Role of Metabolites. Metabolites. 2021 Dec 14;11(12):869. doi: 10.3390\/metabo11120869. PMID: 34940628; PMCID: PMC8709086.[<\/p>\n\n\n\n

    14] Bil E, Dilbaz B, Cirik DA, et al. Metabolic syndrome and metabolic risk profile according to polycystic ovary syndrome phenotype. J Obstet Gynaecol Res. 2016 Jul;42(7):837-43. doi: 10.1111\/jog.12985. Epub 2016 Apr 13. PMID: 27071345.<\/p>\n\n\n\n[15] Hyde PN, Sapper TN, Crabtree CD, et al. Dietary carbohydrate restriction improves metabolic syndrome independent of weight loss. JCI Insight. 2019 Jun 20;4(12):e128308. doi: 10.1172\/jci.insight.128308. PMID: 31217353; PMCID: PMC6629108.<\/p>\n","protected":false},"excerpt":{"rendered":"\u0425\u043e\u0440\u043e\u0448\u0430\u044f \u043d\u043e\u0432\u043e\u0441\u0442\u044c: \u044d\u0442\u043e \u043e\u0431\u0440\u0430\u0442\u0438\u043c\u043e.","protected":false},"author":106,"featured_media":22473,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5368,5372,5316],"tags":[4072,6339,4064],"class_list":{"0":"post-22472","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-infertility","8":"category-ovarian-cysts-pcos","9":"category-trying-to-conceive","10":"tag-infertility","11":"tag-metabolic-syndrome","12":"tag-pcos","13":"cs-entry","14":"cs-video-wrap"},"acf":[],"yoast_head":"\nWhat is metabolic syndrome and how can it affect fertility?\u00a0 - 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