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!
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No date fixed yet for leadership change in Karnataka: Cong chief Kharge
Kalaburagi (Karnataka) (PTI): Congress chief Mallikarjun Kharge on Friday said that no date has been fixed yet to discuss possible leadership change in Karnataka.
His statement came amid intensifying speculation over a power tussle between Chief Minister Siddaramaiah and his deputy D K Shivakumar.
Addressing a press conference here, Kharge maintained that any decision regarding leadership would be taken collectively by the party's high command after due consultation.
He also cautioned against misinterpretation of his remarks.
"See, we will take a decision together, the three of us: I as the AICC president, Sonia Gandhi as the Congress Parliamentary Party president, and Rahul Gandhi as the Leader of the Opposition in the Lok Sabha. That is why we always act together," he explained.
Kharge further said, "When the three of us fix a date together, we will take a decision. Since no date has been fixed yet, how can I say whether a change is happening or not?"
He asserted that the Congress leadership follows a consultative process before arriving at any conclusion.
"In the high command, we have extensive discussions among ourselves and also consult other senior leaders. We consider what the outcome would be and then take steps accordingly," the Congress chief said.
Stressing that no timeline had been finalised, he said, "When it happens, I will definitely inform you. Please do not misinterpret this."
He noted that he often avoids commenting publicly to prevent misrepresentation.
Emphasising party discipline, Kharge said any eventual decision would be binding on all.
"Whatever decision is taken, it will be in the interest of the state, and everyone will have to support whatever decision the high command takes," he said.
On Thursday, Kharge said there was no change of CM in Karnataka "for now" and that the leadership issue in the state would be resolved soon.
The remarks come amid ongoing speculation over an alleged understanding for a power transfer to Shivakumar when the Congress government completes its halfway mark in November 2025.
While Siddaramaiah has asserted that he intends to complete a full five-year term, he has also said he would abide by any decision taken by the party leadership.
Recently, Shivakumar and his brother D K Suresh's Delhi visit triggered speculation of a leadership change. His supporters are also charged up.
