Central Adiposity in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#17688
SMLE Question #17688
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old woman attends a preconception clinic for 12 months of infertility. Her menses occur every 2–3 months. She has no prior pregnancies, galactorrhea, or hirsutism and takes no medications. BMI is 48 kg/m² with central adiposity; pelvic examination is normal. She wants a weight-loss approach to improve fertility and pregnancy outcomes while continuing to try to conceive. What is the most appropriate next step in management?
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