Subfertility has cure; Patience, Persistence and Positive attitude are key factors
Dr. Shaweez Faizi is a consultant in gynaecology and reproductive medicine at Unity Hospital Mangaluru.
Infertility by definition is the inability of a couple to conceive a child after 1 year of unprotected sexual intercourse. With the advent of science and research in this particular field, many couples who believe they have infertility have been regrouped as being sub-fertile where there is only a delay in conceiving. Unlike any other medical condition, the diagnosis of subfertility is not made in a day.
The sub-fertile couple
For the couple, it gradually sinks in when they realize that they have not been able to bear a child one month after the other. A negative urine pregnancy test where they are hoping for that second line of confirmation to appear, even faintly! Or the start of your periods- A sign that you are not pregnant is the sign and stuff that triggers a feeling that cannot be put in words by the couple.
However, like any other long-standing problem, the stages are probably the same. The realization of the problem, denial, trying for a few more months may help, re-realization! And finally gradual acceptance of the issue.
Then comes the next step- The decision to meet a doctor for an opinion. Several rounds of discussion, frustration-filled months, and depression may follow. Hesitation to visit a clinic, social stigma associated with the problem, worries of expenditures involved in the treatment process may lead to further delay in addressing the problem.
As doctors, we feel the society needs a change in the mental setup for this issue. Of course, there are couples who are showing up earlier, seeking treatment for want of a baby, but the above said hurdles still exist in all strata of the community. For the mental setup to change and more people to come forward for treatment, one of the most important factors is awareness of the issue.
The following section is a set of FAQ’s linked with infertility.
Q: Who should visit an infertility specialist?
A: A couple staying together and having unprotected intercourse with the inability of having conceived for 1 year.
Q: Should you consider visiting a specialist earlier than 1 year?
A: Yes, if the age of the female partner is ≥ 35years, if the couple suspects any underlying cause for infertility, it is advisable to get evaluated even 6 months after unprotected intercourse.
Q: What are the symptoms/pointers towards a potential underlying cause for infertility?
A: Female partner experiencing irregular, delayed periods/heavy bleeding/excessive pain during periods/during sexual intercourse. Male partner with difficulty in maintaining an erection/other coital difficulties.
Q: What to expect when visiting a fertility clinic?
A: Your preliminary visit will comprise a detailed history of your menstrual cycles/previous pregnancy details/past treatment history followed by initial hormonal evaluation, ultrasound, and semen analysis.
You will be explained in detail about the factors attributing to infertility for you as a couple and the possible treatment options.
For a better understanding, one must be aware of the natural process of conception/ becoming pregnant.
In a regularly menstruating woman, an egg is released between day 12 to day 14 of the menses cycle, which is carried by the fallopian tube. Following sexual intercourse after millions of sperms are released, the sperm must travel to the fallopian tube and fertilize the egg (in the fallopian tube). After fertilization, the embryo reaches the uterus 4 days later to attach to the inner uterine lining, following which the growth of the embryo occurs.
Depending on the risk factors/ pointers towards a problem, necessary investigations may need to be carried out and treatment will be planned accordingly.
Q: What can you do to contribute to better results in your treatment?
A: Lifestyle modifications such as maintaining a normal BMI, avoiding weight gain (both male and female partners), curtailing habits such as smoking/ consumption of alcohol/ junk foods will help a long way.
The process of evaluation and treatment for a couple with a fertility issue is a gradual one. Many investigations and treatments will be planned as per your menstrual cycles, few treatment results may need a follow up for even 3 to 6 months depending on the factors.
Hence it requires patience, persistence, and most of all a positive attitude by the couple to over the top of the issue goals.
Come start this journey with us and we assure you to guide you and partner in your journey towards parenthood. Meeting a fertility specialist is one of the several important steps you have to take to begin this journey so why postpone it for tomorrow!
Let the Truth be known. If you read VB and like VB, please be a VB Supporter and Help us deliver the Truth to one and all.
AAP alleges 'deep-rooted' conspiracy to kill Kejriwal, BJP terms it 'drama'
New Delhi, Oct 26: The AAP on Saturday alleged the BJP was conspiring to "kill" its convener Arvind Kejriwal and had become "an enemy of his life". The ruling party warned that the BJP would be responsible if anything happened to the former chief minister.
Leader of Opposition in the Delhi Assembly Vijender Gupta dismissed the AAP's allegations, saying it was yet another "drama" by the AAP to defame the BJP ahead of the assembly polls.
The AAP had on Friday claimed that Kejriwal, a Z-plus protectee, was attacked by "BJP goons" during his 'padyatra' (foot march) in west Delhi's Vikaspuri, a charge trashed by the saffron party.
However, no video of the alleged attack was made available by the party. Police said they had not received any official complaint from the AAP.
Addressing a press conference on Saturday, AAP MP Sanjay Singh alleged police were complicit in the incident.
"Police complicity in the incident clearly shows a deep-rooted conspiracy to kill Kejriwal. The BJP has become an enemy of his life," he said.
There was no immediate response from police to the Rajya Sabha MP's claim.
Singh said that despite Friday's incident, Kejriwal would carry on with the 'padyatra' as scheduled.
AAP leaders including Kejriwal are undertaking 'padyatras' in different assembly segments of the city in the run-up to the Delhi Assembly polls, likely to be held in February 2025.
Asked why the AAP had not filed a complaint regarding the alleged attack on Kejriwal, Singh said police could take cognisance of the incident and launch a probe.
It would not have happened if police were impartial. Police officers did not do anything to stop the "attackers" who belonged to the BJP's youth wing, he claimed, adding the AAP was seeking legal opinion on the matter.
He also accused BJP leaders of supporting the "attackers".
Singh said Kejriwal would "neither stop nor bow down" and continue to fight for the people of Delhi.
If anything happens to Kejriwal, then the BJP would be responsible for it. Even if Kejriwal suffers a scratch, Delhi's people would take revenge on the BJP, he said.
At another press conference, Delhi cabinet minister Saurabh Bharadwaj claimed one of the attackers was the vice president of the BJP's Delhi Yuva Morcha.
"BJP Yuva Morcha functionaries attacked Kejriwal. One of the attackers is the vice president of BJP Yuva Morcha of Delhi and the second is the general secretary," he said.
The two BJP leaders, who were dancing after attacking Kejriwal, had lost the councillor elections, claimed Bharadwaj.
BJP leader Gupta rubbished the AAP's claims.
"Despite blaming the BJP, no complaint has been filed by the AAP over the alleged attack on Kejriwal, which shows that the party is trying to play the victim card and gain sympathy by trying to defame the BJP before the assembly polls," he said.
The BJP leader said the AAP is worried about the "waning public support" and is attempting to confuse people through such tactics.
The area where Kejriwal was allegedly attacked is not an AAP stronghold and hence, the party "concocted" the story to gain sympathy, Gupta alleged.
