Are fertility issues on the rise

1. Are fertility issues on the rise? There isn't enough high-quality data available at this time to draw any firm conclusions on whether fertility problems like polycystic ovarian syndrome and a decline in seminal quality are increasing in India, as they are in Western nations. Clinically speaking, infertility is the inability of a couple to conceive after a year of sexual activity without the use of contraception. Infertility can be brought on by a variety of circumstances, and both men and women can contribute to it. These variables range from hormonal problems to interrupted ovarian or teste’s function. Infertility can be caused by a variety of circumstances, but it typically shows up as a decline in egg reserves in women and a decline in sperm count in men. Men

2. who smoke, drink alcohol, have sedentary employment, are fat, or work long hours have been shown to have decreased sperm counts and fertility problems. Couples who struggle with infertility experience emotional, as well as social and economic, setbacks. The Indian Society of Assisted Reproduction estimates that there are up to 27.5 million infertile persons living in India, both men and women. There is, however, little open discussion of the situation's growing worries and general lack of awareness of it. Infertility affects one in every fifteen Indian couples. The rise in infertility has a wide range of reasons. Some of these have to do with social developments. Most women had their first child at around 21 years old a few decades ago. That age is more in line with 26 or 27 today. Many couples are delaying having children longer because they may wish to finish their educations or establish themselves in their careers first. Also increasing in frequency are divorces and second marriages. Causes of Infertility Male Female Ejection of Semen Absence or low level of sperms Morphology- abnormal shape of sperms Motility- Movement of sperms Blocked fallopian tubes Uterine Disorders Ovary disorders Reproductive hormone imbalances Many infertility experts complain about the lack of knowledge regarding the causes and treatments of infertility, claiming that it costs people years, money, and important life decisions. The fact that males frequently misunderstand that they can be infertile as well is most essential. What does the initial assessments consist? Any infertility evaluation should be focused and economical to uncover all significant aspects, and it should involve both the male and female spouses. It is best to start with the least invasive techniques that can identify the most frequent reasons for infertility. The couple's preferences, the woman's age, the length of infertility, and certain characteristics of the medical history and physical examination should all be considered when determining the amount and pace of the study.

3. Diagnosis of infertility One year of unsuccessful pregnancy attempts may prompt a lady to seek medical attention. If the female spouse is 35 or older, the pair might wish to see a doctor sooner because fertility tests can take some time. For example, someone over the age of 35 might want to see a doctor after six months, whereas someone over the age of 40 could want to see a doctor as soon as they realize they are not becoming pregnant. A doctor can offer both the advice and the initial assessments. Here's what your doctor may recommend: Male Partner Semen Analysis: Although the male partner's semen is used for the analysis, it is a crucial component of the assessment of infertility. A semen analysis should reveal details regarding the quantity, motion, and morphology of the sperm. Even when the male partner has already fathered a child, a semen analysis is still required. Hysterosalpingogram (HSG): This X-ray treatment checks the uterine cavity's shape and the fallopian tubes to see if they are open. Through the vagina, a catheter is introduced into the cervix's opening. Through the catheter, an iodine- containing solution is administered to provide contrast. The contrast fills the uterus, travels down the tubes, tracing their length, and, if the tubes are open, flows out of their ends. Transvaginal ultrasound: Using an ultrasound probe inserted into the vagina, the doctor can examine the uterus and ovaries to look for anomalies including ovarian cysts and fibroids. Ovarian Reserve Testing: A doctor performing an ovarian reserve test aims to determine a woman's ability to generate an egg or eggs of good quality as well as how well her ovaries are reacting to hormonal cues from her brain. Follicle- stimulating hormone (FSH) blood testing is the most typical procedure to assess ovarian reserve. It is performed on cycle day 3 of the cycle. Your doctor may advise further blood tests such as estradiol, antimüllerian hormone (AMH), and/or inhibin-B in addition to the FSH level and a transvaginal ultrasound to count the antral follicles (the number of follicles or egg sacs seen during the early part of a menstrual cycle). Other blood tests can detect thyroid abnormalities and hyperprolactinemia, which can lead to issues with fertility, irregular menstruation, and recurrent miscarriages. Thyroid-stimulating hormone (TSH) and prolactin levels are helpful in this regard. Blood tests for dehydroepiandrosterone sulphate (DHEAS),

4. 17-hydroxyprogesterone, and total testosterone should be taken into consideration in women who are suspected to have an increase in hirsutism. It is possible to determine whether ovulation has taken place by measuring the blood progesterone level during the second half of the menstrual cycle. How do we address the issue of rising infertility cases in India today? The rising cases of Infertility are a cause of concern in today’s times. This can be attributed to increasing stress levels and voluntary delay in conception. In order to curb this trend, it is imperative that qualified Reproductive Medicine professionals are available and accessible. Medline Academics founded by Padmashree Dr Kamini Rao equips professionals with state of the art training in the field of Reproductive Medicine. Our courses are designed in accordance with the latest ART rules 2022, so that the learners need not worry about legal compliances related to infertility practice. Our curriculum is very comprehensive as it includes simulation Training to provide practical knowledge pertaining to Infertility. The Basic infertility course provides an overview for aspiring clinicians who wish to commence their journey in the infertility realm. For more details on this course, visit our website: www.medlineacademics.com