Dr Richa Sharma, Dr Amit Basnotra
Infertility Is inability to conceive or inability to sustain pregnancy due to either explained or unexplained reasons-which we can know only after in depth evaluation.
It can be either absolute Infertility or can be subfertility. Sometimes, an infertile woman may have irregular or absent menstrual periods. Rarely, an infertile man may have some signs of hormonal problems, such as changes in hair growth or sexual function.
All of the steps during ovulation and fertilization need to happen correctly in order to get pregnant. Sometimes the issues that cause infertility in couples are present at birth, and sometimes they develop later in life.
Infertility causes can affect one or both partners or can be combined factors and in 10-15 percent cases, even inspite of all normal investigations – that’s called an Unexplained Infertility
Predisposing Factors-(Red Alert !!)
Various factors can increase risk of infertility issues like-
* Advancing age-especially of female but male age also can have impact somehow as per latest studies
* Lifestyle Modifications- Changing lifestyle adding to greed and ambition adds to stress ,Smoking and alcohol intake which can affect the health of not only individual but of the prospective baby also
* Obesity Epidemic- As we see with new high tech modalities we are getting high tech problems also which are mostly self and man made- obesity and overweight are one but there can be extreme end of underweight also esp in figure conscious generation.Definitely its not something which we recommend while planning a baby.
Causes of female infertility
* Ovulation disorders
* Uterine factor
* Fallopian tube damage(Tubal factor)
* Endometriosis
* Primary ovarian insufficiency
* Pelvic adhesions
Causes of male infertility-
It has lately been ignored part but now with new innovations and awareness and more treatment options, more couples are being reached dealing with male infertility so that correct approach on correct time can be implemented
These may include:
* Abnormal sperm production or function
* Problems with the delivery of sperm
* Overexposure to certain environmental factors, such as pesticides and other chemicals, and radiation. Cigarette smoking, alcohol, marijuana or taking certain medications, such as select antibiotics, antihypertensives, anabolic steroids or others, can also affect fertility. Frequent exposure to heat, such as in saunas or hot tubs, can raise the core body temperature and may affect sperm production.
* Damage related to cancer and its treatment, including radiation or chemotherapy. Treatment for cancer can impair sperm production, sometimes severely.
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