Life has become fast and busy and people don’t have time even for each other. Couples are becoming more career oriented and ambitious. Time has gone when women’s use to stay at homes to look after the house hold activities only.
Now women’s plays a vital role in running the house as the men do. In this fast span of time do you know that couples forget so many things? As a result, the thinking of the couples has changed tremendously. Earlier people use to have children for their family.
But now they don’t plan their family even after the 2-3 years of there marriage. Moreover, when they start planning and don’t conceive with in few months then they rush to the doctors for the consultation. That’s why it is well said that you should plan your first child after 6 months to 1 year of your marriage.
Every couple has a right to have their own child. Not getting pregnant after trying for six months to one year results in infertility. Although fertility problems have become more common in the last few years, but don’t worry you are still unlikely to be effected. Nine out of 10 couples conceive during the first year of trying. A very old and popular saying is “a woman is not complete until she becomes a mother”.
Infertility is not the problem caused only by females. Approximately 32% is caused by males and another 32% is caused by females. Nearly 17% is attributed to both the partners and the remaining 19% is the unexplained causes for which doctors also don’t have any reason to give.
Age matters a lot of difference
In case, the females are in there 20’s then they are less likely to have fertility problems, so there is no rush to go to the doctors. Yes, if on the other hand you are in late 30’s and you don’t conceive in next 6 months then the doctor’s advice is must. Many couples who fear that they have fertility problems find that just seeking professional advise seems to help, and they conceive easily at that point without the need for intervention.
However, the infertility is a sensitive issue and general ignorance about it has resulted in many myths surrounding it. Infertility is both treatable and curable. A single healthy motile, morphological normal sperm is required to fertilize an egg. Pregnancy results from the union of an ovum with a sperm.
Infertility means in ability to have children affects approximately one in six couples of fertile age. The causes could be due to female or male factors, or a combination of both. Common belief is that infertility is an incurable, led many couples to lead meaningless and unfulfilled lives. The fact is that infertility is both curable and treatable. And today, with the global advancement in infertility management and procedures, more and more couples can look forward to realize their dreams.
In India, it is estimated that approximately 15-20% of all couples of fertile age suffer from infertility. This figure is on the increase because of increased urbanization and pollution, stress, a competitive work environment and a hectic and fast paced lifestyle. Infertility related problems could strike anyone- rich or poor, educated or illiterate. All that is needed are the main causes and exposure to the factors outlined.
Causes of infertility
The main causes for infertility are due to female factors or male factors. Female factors like Irregular ovulation or egg production, hormonal imbalance, tubal blockage, problems in uterus like fibroids, adhesions, synechae congenital anomalies, chocolate cyst of ovaries and unexplained factors.
In males the most likely is low motility of sperms with normal or low count, varicocele, and congenital absence of vas deferens, testicular dysfunction and hormonal imbalance. No effort is spare to identify the specific cause of infertility in each and every case, and to overcome it. No two individuals are alike and therefore specific causes of infertility vary from couple to couple.
The first stage of the treatment is the consultation. It is completed with both the partners available. After completing the history of the couple few basic tests are required to start up with the treatment accordingly. The minimal preliminary tests include- Hiv-I and II Antibody, Hepatitis B Surface Antigen, Vdrl Tests, Semen analysis with sperm function Test, Day-2 Hormone Assays for female, Fsh, Asa Levels for males.
An ultrasound scanning is carried out to check the ovaries and the endometrial lining. In addition fibroids in the uterus and cysts in the ovaries can be diagnosed. Laparoscopy is performed to inspect the uterus, tubes, and ovaries, to investigate other pelvic problems like hydrosalpinx, pelvic TB, Endometriosis, fibroids.
Hysteroscopy is used to view the inside of the womb by means of a telescope. Hysterosalpingogram (H.S.G) This is a colored X-ray of the uterus and fallopian tubes to see the free flow of dye through the tubes.
Sonosalpingography is another test carried out under ultrasound guidance of check the potency of the tubes.
Mucus Hostility Test is done to check the receptivity of the cervical mucus to sperms at the time of ovulation.
Post coital test is performed after 6-7 hours of intercourse sample of cervical mucus are examined to look for alive/ dead sperms.
Testicular Biopsy– To see the procedure of germ cells and spermatogenesis inside the testes in case of Azoospermia.
Not all the tests are required by an infertile couple. Even after tests infertility can remain unexplained in up to 15% of couples but that does not mean that your infertility cannot be successfully treated. Different causes of infertility may require different treatment. It is very important for you to be confident that the treatment you are being offered is appropriate to you.
There are many treatments which can help a couple to become proud parents. Treatments like Intra Uterinal Insmination(IUI), Invitro Fertilization (IVF), Intra Cytoplasmic Sperm Injection(I.C.S.I), Egg Donation, Surrogacy, Assisted Hatching, Cryopreservation/ Vitrification, Zonafree Blastocyst Transfer and Blastocyst Culture and many more.