As we are all aware, the rate of infertility is increasing in our society on a daily basis, and to some extent, our lifestyle changes are to blame.
It was common for women to have children before the age of thirty. In the era of our grandparents because of early marriage and early family planning, but within the last two to three decades, the situation has been steadily changing. In a competitive market, people are increasingly focused on finishing their education and exploring their professional options. So we see people getting married in their 30s these days. Family planning is being put off even further as priorities like job adjustment and life adjustment take precedence.
In actuality, a woman’s ability to conceive at her prime is crucial (21-30). The justification for this is because females have a certain quantity of eggs in their ovaries when they are born. Since her first period, she has had these eggs recruited with every menstrual cycle (Menarche). As a result, her total amount of eggs (Ovarian Reserve) declines with age. The quality and number of eggs continue to deteriorate after the age of 30-35, making conception increasingly challenging. As people get older, co-morbid conditions like hypertension, diabetes, weight gain, and other diseases may develop. These conditions cause hormonal changes in the reproductive system that can lead to the development of adenomyosis and uterine fibroid-like conditions, which also reduce fertility. As a result, treatment effectiveness decreases.
A pair must maintain the biological cycle in order to keep the body’s hormones in balance; otherwise, problems like hormonal dysregulation, ovarian cysts, and polycystic ovaries, which are widespread in today’s society, may arise. Because of the popularity of fast food and inadequate hygiene, nutritional deficiencies have made symptoms of pelvic inflammatory disease (PID) worse.
Both the male and female spouses have equal responsibility for a couple’s ability to conceive. However, in about 30–40% of cases, males are the only ones to blame for infertility. Male factor infertility is steadily increasing as a result of stress, alcohol, high-temperature workplaces, genetic disorders, and other ailments.
Semen analysis is frequently done to rule out male factor infertility. Total sperm count, sperm motility, and sperm morphology are significant factors in semen analysis. These characteristics of a typical semen sample should meet “WHO guidelines.” If not, a couple should look into assisted reproductive methods because there are few resources accessible to increase sperm parameters above a particular point.
Therefore, a child-seeking couple should be evaluated first with basic reports, the precise cause of infertility should be found out first, and the manner of therapy should be chosen in accordance with that.
Typically, when a couple begins treatment, ovulation induction medications are recommended. To determine ovulation timing so that a couple can try naturally, serial ultrasound monitoring is done.
However, in some situations of male factor or unexplained infertility, the process of fertilisation can still be hindered even after ovulation since there aren’t enough sperm available. With the use of the IUI (Intrauterine Insemination) procedure, which involves injecting washed semen into the uterine cavity after inducing ovulation, this issue can be addressed to some extent. Therefore, sperm availability can still be facilitated even with low sperm counts.
Advanced methods should be made available to a couple if conceiving is no longer viable with standard treatment options or reports point to reduced fertility. In the field of reproductive treatment, IVF (In Vitro Fertilization) has emerged as a pioneer. Fertilization in the lab shortened treatment times and reduced reliance on female reproductive systems. Recent developments, such as ICSI (Intracytoplasmic Sperm Injection), have improved embryo quality even with very low or faulty sperm count, increasing success rates.
In light of the current situation, a desperate couple should visit a fertility clinic for better management of their reproductive issues and the best results given lifestyle changes during IVF Cycle.
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