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Overweight Women: 50/50 chance of surviving pregnancy?

I saw a reproductive endocrinologist today. He told me that I have to talk to high risk ob/gyns before he'll give me fertility medicine. Basically he says I'm overweight enough that my only solution for the weight loss would be bariatric surgery and that if I didnt get it done...that most ob/gyns will tell me I have only a 50/50 survival chance if I get pregnant. I know my BMI is high, I have congenital heart disease and wasnt allowed to exercise until I was 18 and by then the weight had the upper hand. I've tried and failed diet programs and I've been told before my only chance at successful weight loss was bariatric surgery. Now I'm being told without bariatric surgery my survival chances if I get pregnant are 50/50. Have any of you heard this as well? I've been told by other doctors that it does increase certain risks but that you can still be safe if you obey their directions...but now I'm being told if I do get pregnant I have a 50/50 survival chance and that I shouldnt really consider it. How do you feel about this? Anyone else been told this before? gah it's embarrassing...my BMI is currently 58. It's been fluctuating a lot and they say part of it's water since I've had a lot of missed periods the last few months, but I have no idea how much is actual water or if they say that just to make me feel better by the way, dont know how relevant it is: I dont take ANY medications. My blood pressure/cholesterol...everything is fine. My cardiologist says the reason I'm this overweight is that my body "metabolizes to keep it" and that my heart and everything is 100% healthy and that he personally sees no problems with my heart in terms of the weight or pregnancy (but of course he agrees weight loss is always super)

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