{"id":4107,"date":"2026-02-17T13:23:01","date_gmt":"2026-02-17T18:23:01","guid":{"rendered":"https:\/\/coattitude.com\/?p=4107"},"modified":"2026-02-17T13:56:37","modified_gmt":"2026-02-17T18:56:37","slug":"obesite-et-hormones-feminines-pourquoi-lobesite-peut-diminuer-la-fertilite","status":"publish","type":"post","link":"https:\/\/coattitude.com\/en_ca\/obesite-et-hormones-feminines-pourquoi-lobesite-peut-diminuer-la-fertilite\/","title":{"rendered":"Ob\u00e9sit\u00e9 et hormones f\u00e9minines : pourquoi l\u2019ob\u00e9sit\u00e9 peut diminuer la fertilit\u00e9"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4107\" class=\"elementor elementor-4107\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a03b95 e-flex e-con-boxed e-con e-parent\" data-id=\"6a03b95\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a02e866 elementor-widget elementor-widget-text-editor\" data-id=\"a02e866\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Certaines femmes vivant avec une ob\u00e9sit\u00e9 viennent en consultation avec un objectif tr\u00e8s clair : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">am\u00e9liorer leur sant\u00e9 hormonale et leurs chances de concevoir<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. Et pourtant, le sujet peut \u00eatre douloureux. Quand la grossesse tarde, le d\u00e9sir d\u2019enfant se transforme parfois en peine, avec un sentiment de culpabilit\u00e9 renforc\u00e9 par la stigmatisation.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Message important : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">ce n\u2019est pas un \u201cmanque de volont\u00e9\u201d<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. L\u2019ob\u00e9sit\u00e9 est une maladie chronique qui modifie la physiologie du corps \u2014 et notamment les <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">\u00e9quilibres hormonaux<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> qui soutiennent l\u2019ovulation et la fertilit\u00e9.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Dans cet article, on explique <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">le lien biologique<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> entre ob\u00e9sit\u00e9 et fertilit\u00e9, et surtout <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">les leviers concrets<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> qui (sans promesses) peuvent am\u00e9liorer les chances de grossesse.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ob\u00e9sit\u00e9 et fertilit\u00e9 : de quoi parle-t-on exactement ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">L\u2019ob\u00e9sit\u00e9 n\u2019est pas qu\u2019une question de \u201cpoids\u201d. C\u2019est une condition chronique qui implique :<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">le <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">m\u00e9tabolisme<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (insuline, stockage \u00e9nerg\u00e9tique, signaux de faim\/sati\u00e9t\u00e9)<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"><br \/><\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">l\u2019<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">inflammation<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> chronique de bas grade<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"><br \/><\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">le <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">fonctionnement hormonal<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (ovaires, cerveau, tissu adipeux)<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"><br \/><\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">des facteurs <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">psycho-\u00e9motionnels<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (<a href=\"https:\/\/coattitude.com\/en_ca\/anxiete-et-perte-de-poids-comprendre-un-lien-souvent-sous-estime\/\" target=\"_blank\" rel=\"noopener\">stress<\/a>, rapport au corps, stigmatisation)<\/span><\/li>\n<\/ul>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La fertilit\u00e9 f\u00e9minine repose sur une boucle de communication entre le cerveau et les ovaires : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">l\u2019axe hypothalamo-hypophyso-ovarien<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. <a href=\"https:\/\/coattitude.com\/en_ca\/mesures-medecine-obesite-au-dela-imc\/\">Cette boucle<\/a> est tr\u00e8s sensible \u00e0 l\u2019\u00e9tat \u00e9nerg\u00e9tique du corps, \u00e0 l\u2019inflammation, au stress et aux signaux hormonaux circulants.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Le tissu adipeux : un organe hormonal \u00e0 part enti\u00e8re<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">On pense encore parfois que la graisse \u201cstocke\u201d seulement de l\u2019\u00e9nergie. En r\u00e9alit\u00e9, le tissu adipeux est un <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">organe endocrinien<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">, capable de produire et transformer des hormones.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Le r\u00f4le cl\u00e9 de l\u2019aromatase<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Les cellules adipeuses produisent une enzyme importante : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">l\u2019aromatase<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">, qui transforme des <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">androg\u00e8nes<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (ex. testost\u00e9rone) en <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">\u0153strog\u00e8nes<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (ex. estradiol).<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Les androg\u00e8nes circulent dans le sang<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Ils entrent dans les cellules adipeuses<\/span><\/li>\n<\/ul>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 12pt;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Et peuvent \u00eatre convertis en \u0153strog\u00e8nes au contact de l\u2019aromatase<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Donc, <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">plus le tissu adipeux est important<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">, plus cette transformation hormonale \u201cp\u00e9riph\u00e9rique\u201d peut augmenter.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Pourquoi cela peut perturber l\u2019ovulation et les cycles<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Normalement, les ovaires produisent des \u0153strog\u00e8nes selon un <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">rythme cyclique<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (li\u00e9s au cycle menstruel). En contexte d\u2019exc\u00e8s de tissu adipeux, une partie des \u0153strog\u00e8nes peut \u00eatre produite <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">de mani\u00e8re plus continue<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">, hors rythme des cycles.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">R\u00e9sultat : un message hormonal \u201cbrouill\u00e9\u201d<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Le cerveau re\u00e7oit alors des signaux moins coh\u00e9rents, ce qui peut perturber la commande hormonale des cycles (LH\/FSH), menant \u00e0 :<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">cycles <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">irr\u00e9guliers<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">ovulation <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">moins pr\u00e9visible<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (ou plus rare)<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">d\u00e9lais de conception <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">plus longs<\/span><\/li>\n<\/ul>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Et cela peut arriver m\u00eame si les ovaires sont structurellement \u201cnormaux\u201d.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Inflammation, insuline, vitamine D : trois facteurs souvent sous-estim\u00e9s<\/span><\/h2>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">1) Inflammation chronique<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">L\u2019ob\u00e9sit\u00e9 s\u2019accompagne fr\u00e9quemment d\u2019une <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">inflammation silencieuse<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. Elle peut influencer :<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">la qualit\u00e9 ovocytaire<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">l\u2019ovulation<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">l\u2019implantation embryonnaire<\/span><\/li>\n<\/ul>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">2) R\u00e9sistance \u00e0 l\u2019insuline<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Tr\u00e8s fr\u00e9quente en ob\u00e9sit\u00e9, elle peut favoriser une augmentation des androg\u00e8nes, et renforcer le d\u00e9s\u00e9quilibre hormonal, surtout chez les femmes ayant un terrain SOPK.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">3) Vitamine D<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La vitamine D intervient dans la fonction ovarienne, l\u2019immunit\u00e9 et l\u2019implantation. Les taux sont souvent plus bas en surpoids\/ob\u00e9sit\u00e9 : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">corriger une carence<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> fait souvent partie d\u2019une approche globale.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Focus : SOPK, poids et cercle vicieux hormonal<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Dans le SOPK, on retrouve souvent :<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">r\u00e9sistance \u00e0 l\u2019insuline<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">augmentation des androg\u00e8nes<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">ovulation irr\u00e9guli\u00e8re<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">prise de poids facilit\u00e9e (souvent abdominale)<\/span><\/li>\n<\/ul>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">L\u2019augmentation du tissu adipeux peut ensuite accentuer la conversion des androg\u00e8nes en \u0153strog\u00e8nes via l\u2019aromatase, ce qui peut renforcer des signaux hormonaux non cycliques\u2026 et entretenir le d\u00e9r\u00e8glement.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">C\u2019est un <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">cercle vicieux biologique<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">, pas une question de m\u00e9rite.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La bonne nouvelle : <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">une prise en charge globale, personnalis\u00e9e et non culpabilisante peut am\u00e9liorer la situation<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Am\u00e9liorer ses chances de grossesse : l\u2019approche la plus efficace est globale<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Accompagner un projet de grossesse en contexte d\u2019ob\u00e9sit\u00e9 ne se r\u00e9sume pas \u00e0 \u201cperdre du poids\u201d. Mais la perte de poids (m\u00eame mod\u00e9r\u00e9e) peut am\u00e9liorer plusieurs param\u00e8tres hormonaux.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Une approche solide repose sur :<\/span><\/p>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">bilan m\u00e9dical et hormonal<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (cycles, ovulation, m\u00e9tabolisme, carences)<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">alimentation r\u00e9gulatrice<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (non restrictive, soutenable, anti-cercle \u201cyo-yo\u201d)<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">activit\u00e9 physique adapt\u00e9e<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (s\u00e9curisante, progressive, valorisante)<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">sommeil + stress<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (axe cortisol, comportements alimentaires, inflammation)<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">accompagnement psycho-\u00e9motionnel si n\u00e9cessaire<\/span><\/li>\n<\/ul>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Une perte de poids mod\u00e9r\u00e9e peut d\u00e9j\u00e0 aider<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Chez de nombreuses femmes, une am\u00e9lioration des cycles et de l\u2019ovulation peut appara\u00eetre <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">avant m\u00eame<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> une grande perte de poids.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Perte de poids avant grossesse : quelles options m\u00e9dicales ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin: 12pt 30pt 12pt 30pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Important : les choix doivent \u00eatre individualis\u00e9s, et <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">certains traitements sont contre-indiqu\u00e9s pendant la grossesse<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">. Coordination recommand\u00e9e entre m\u00e9decine de l\u2019ob\u00e9sit\u00e9 et suivi obst\u00e9trical.<\/span><\/p>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 14pt; margin-bottom: 4pt;\"><a href=\"https:\/\/coattitude.com\/en_ca\/medicaments-pour-la-perte-de-poids\/\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">M\u00e9dicaments de gestion du poids<\/span><\/a><\/h3>\n<ul>\n<li><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">Les associations <\/span><span style=\"font-size: 13pt; background-color: transparent; font-weight: bold; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">naltrexone\/bupropion<\/span><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\"> ne sont pas recommand\u00e9es pendant la grossesse (si grossesse survient, il faut contacter l\u2019\u00e9quipe m\u00e9dicale)<\/span><\/li>\n<li><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">Les agonistes du GLP-1 comme <\/span><span style=\"font-size: 13pt; background-color: transparent; font-weight: bold; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">s\u00e9maglutide<\/span><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\"> : les \u00e9tiquettes produit recommandent g\u00e9n\u00e9ralement d\u2019arr\u00eater <\/span><span style=\"font-size: 13pt; background-color: transparent; font-weight: bold; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">2 mois avant<\/span><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\"> une conception planifi\u00e9e.<\/span><\/li>\n<li><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">Pour <\/span><span style=\"font-size: 13pt; background-color: transparent; font-weight: bold; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">tirzepatide<\/span><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">, des sources cliniques et fabricants rapportent souvent un arr\u00eat environ <\/span><span style=\"font-size: 13pt; background-color: transparent; font-weight: bold; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\">1 mois avant<\/span><span style=\"font-size: 13pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-variant-emoji: normal; vertical-align: baseline; text-wrap-mode: wrap;\"> conception (et il faut v\u00e9rifier selon l\u2019\u00e9tiquette locale \/ contexte clinique).<\/span>Ballon gastrique Allurion (option non chirurgicale)<\/li>\n<\/ul>\n<h3 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Le ballon gastrique allurion (option non chirurgicale)<\/span><\/h3>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">The <a href=\"https:\/\/coattitude.com\/en_ca\/ballon-gastrique-allurion-coattitude\/\" target=\"_blank\" rel=\"noopener\">programme Allurion (ballon ingestible, temporaire)<\/a> est pr\u00e9sent\u00e9 comme une option non invasive, avec des donn\u00e9es rapportant en moyenne <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">~10\u201315% de perte de poids sur ~16 semaines<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">.<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"><br \/><\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> Des publications\/communications de donn\u00e9es font aussi \u00e9tat de pertes maintenues \u00e0 6\u201312 mois selon cohortes.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Dans tous les cas : <a href=\"https:\/\/coattitude.com\/en_ca\/preparer-sa-consultation-en-obesite\/\">ce qui fait la diff\u00e9rence \u00e0 long terme, c\u2019est le <\/a><\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">suivi<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (habitudes de vie, relation au corps, pr\u00e9vention de reprise pond\u00e9rale), surtout si un traitement doit \u00eatre interrompu pendant la grossesse.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Messages cl\u00e9s \u00e0 retenir<\/span><\/h2>\n<ul>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Le tissu adipeux est un <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">organe hormonal<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> : en exc\u00e8s, il peut perturber les signaux qui r\u00e9gulent l\u2019ovulation.<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La fertilit\u00e9 est <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">multifactorielle<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> (hormones, m\u00e9tabolisme, inflammation, SOPK, carences, stress).<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Une <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">prise en charge pr\u00e9coce, globale et non culpabilisante<\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> am\u00e9liore les conditions de conception et de grossesse.<\/span><\/li>\n<li dir=\"ltr\" style=\"line-height: 1.38;\" role=\"presentation\"><a href=\"https:\/\/coattitude.com\/en_ca\/perdre-du-poids-rapidement\/\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Une perte de poids <\/span><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">m\u00eame mod\u00e9r\u00e9e<\/span><\/a><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> peut d\u00e9j\u00e0 am\u00e9liorer les cycles et l\u2019ovulation chez certaines patientes.<\/span><\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\">\u00a0<\/p>\n<hr \/>\n<h1 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 24pt; margin-bottom: 6pt;\"><span style=\"font-size: 23pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">FAQ<\/span><\/h1>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La graisse est-elle \u201cmauvaise\u201d pour mes hormones ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Non. Le tissu adipeux a un r\u00f4le normal. Le probl\u00e8me appara\u00eet lorsqu\u2019il est en exc\u00e8s et que la production hormonale devient moins bien r\u00e9gul\u00e9e.<\/span><\/p>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Pourquoi dit-on que la graisse \u201cproduit des \u0153strog\u00e8nes\u201d ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Parce qu\u2019elle contient l\u2019aromatase, une enzyme qui transforme des androg\u00e8nes en \u0153strog\u00e8nes. Quand le tissu adipeux est important, cette production peut devenir plus continue.<\/span><\/p>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Une petite perte de poids peut-elle vraiment aider ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Oui, chez certaines femmes, des am\u00e9liorations hormonales et des cycles plus r\u00e9guliers peuvent appara\u00eetre avant une perte de poids importante.<\/span><\/p>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Vitamine D et fertilit\u00e9 : quel lien ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">La vitamine D intervient dans la r\u00e9gulation hormonale, la fonction ovarienne et l\u2019implantation. Les taux sont souvent plus bas en contexte d\u2019ob\u00e9sit\u00e9, d\u2019o\u00f9 l\u2019int\u00e9r\u00eat de d\u00e9pister\/corriger une carence.<\/span><\/p>\n<h2 dir=\"ltr\" style=\"line-height: 1.38; margin-top: 18pt; margin-bottom: 4pt;\"><span style=\"font-size: 17pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: bold; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">SOPK : est-ce \u201cma faute\u201d si je prends du poids ?<\/span><\/h2>\n<p dir=\"ltr\" style=\"line-height: 1.38; margin-top: 12pt; margin-bottom: 12pt;\"><span style=\"font-size: 13pt; font-family: Arial,sans-serif; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Non. Le SOPK implique souvent r\u00e9sistance \u00e0 l\u2019insuline et exc\u00e8s d\u2019androg\u00e8nes, ce qui facilite la prise de poids et d\u00e9r\u00e8gle l\u2019ovulation. C\u2019est un m\u00e9canisme biologique, pas un manque de volont\u00e9.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Certaines femmes vivant avec une ob\u00e9sit\u00e9 viennent en consultation avec un objectif tr\u00e8s clair : am\u00e9liorer leur sant\u00e9 hormonale et leurs chances de concevoir.<\/p>","protected":false},"author":2,"featured_media":1032,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,9,11],"tags":[],"class_list":["post-4107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-accompagnement-psychologie","category-comprendre-obesite","category-nutrition-habitudes-vie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ob\u00e9sit\u00e9 et fertilit\u00e9 : hormones, ovulation et chances de grossesse<\/title>\n<meta name=\"description\" content=\"Pourquoi l\u2019ob\u00e9sit\u00e9 peut r\u00e9duire la fertilit\u00e9. 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