Infertility is a major health issue and does bother couples who are unable to be parents. It requires specialized treatment and the causes have to also be dealt with.
Infertility happens to be “a disease of the reproductive system that is defined by the failure to achieve a clinical pregnancy after 12 months or more of rather regular unprotected sexual intercourse. There are two types of infertility – primary and secondary:
Primary infertility implies that the couple has never conceived. Secondary infertility, of course, means that the couple has undergone a pregnancy before and has failed to conceive later. Globally, most of the infertile couples suffer from primary infertility.
Sexually transmitted infections (STIs) are the leading preventable cause of infertility. Low fertility is becoming much common worldwide, particularly in many urban areas where women are planning their first babies at older ages. Infertility treatment in Hyderabad also entails such health issues.
The inability to have children does affect couples and does cause emotional as well as psychological distress in both men as well as women. Despite the various social, psychological, economic and physical implications, infertility prevention as well as care often remains neglected public health issues. They rank low on the priority list, especially among low-income countries that suffer from the high population. Off late awareness has helped to integrate infertility prevention, care, and treatment into the basic available health care services. This is so in the case of infertility treatment in Hyderabad.
For a woman, infertility (or a state of sub-fertility) can manifest itself as either:
• an inability to maintain a pregnancy
• an inability to carry a pregnancy to a live birth
• the inability to become pregnant
Infertility can be caused on account of both men and women factors. About a third of infertility problems occur due to female infertility and another third due to male infertility. In other cases infertility can be due to problems in both partners or the cause is unclear.
• Environmental/occupational factors
• Toxic effects related to tobacco, marijuana, or other drugs
• Excessive exercise
• Advanced age
• Inadequate diet associated with extreme weight loss or gain
Both male and female factors do contribute to infertility. A detailed medical history, physical examination, and investigations are required to assess the cause of infertility.
Investigations are carried out. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary investigations for the infertile couple should be focused on:
Semen analysis is carried out in the form of volume, sperm count, motility, and morphology.
Management of infertility involves counseling and advice to medications as well as surgery.
Counseling of both partners is essential and medical and psychological support needs to be provided to the couple. Promotion of healthy lifestyle is adhered to such as:
• Healthy eating habits-
• Adding more whole-grain products, fruits, vegetables.
• Limiting processed foods and foods with added sugars, eating a diet low in cholesterol and saturated fats
• Promote regular exercise
• Maintain a healthy weight
• No smoking (avoid passive smoking)
• Limit alcohol intake
• Folic acid supplementation in women
• Advice on rubella vaccination if seronegative
• Treatment of Psycho-sexual problems
Specific treatment of disease that causes infertility- Treatment is according to the causes detected.
This is what infertility treatment in Hyderabad is all about.
In case initial treatments do not work, the couple may go in for assisted reproduction technology.
Assisted reproduction techniques (ART) involves:
• Intrauterine insemination (IUI): IUI is the placement of a man’s sperm into a woman’s uterus using a long, narrow tube. IUI may be used in the following conditions.
• Defects of cervix
• Low sperm counts
• Women who have scarring or defects of the cervix.
• Sperm with low motility
• Erection problems in the male partner
• Retrograde ejaculation (a condition in which sperms are deposited into the bladder instead of going out through the urethra)
In vitro fertilization (IVF): In vitro fertilization, eggs and sperm are taken from the couple and are then incubated together in a dish in a laboratory in order to produce an embryo. The medical specialist then places the embryo into the woman’s uterus, where it may implant and then develop in a successful pregnancy.
Surrogate and gestational carriers-If a woman is unable to carry a pregnancy to term, the couple may indeed choose a surrogate or gestational carrier.