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.
CJI calls for 'unified judicial policy', use of technology to converge practices across courts
Jaisalmer (PTI): Pushing for a "unified judicial policy", Chief Justice of India Surya Kant on Saturday said technology can help align standards and practices across courts, creating a "seamless experience" for citizens, regardless of their location.
He said high courts -- due to the federal structure -- have had their own practices and technological capacities, and "regional barriers" can be broken down with technology to create a more unified judicial ecosystem.
Delivering the keynote address at the West Zone Regional Conference in Jaisalmer, Kant proposed the idea of a "national judicial ecosystem" and called for an overhaul of India's judicial system with the integration of technology.
"Today, as technology reduces geographical barriers and enables convergence, it invites us to think of justice not as regional systems operating in parallel, but as one national ecosystem with shared standards, seamless interfaces, and coordinated goals," he said.
He emphasised how the role of technology in the judiciary has evolved over time.
"Technology is no longer merely an administrative convenience. It has evolved into a constitutional instrument that strengthens equality before the law, expands access to justice, and enhances institutional efficiency," he said, highlighting how digital tools can bridge gaps in the judicial system.
Kant pointed out that technology enables the judiciary to overcome the limitations of physical distance and bureaucratic hurdles.
"It allows the judiciary to transcend physical barriers and bureaucratic rigidities to deliver outcomes that are timely, transparent and principled," he said, adding that the effective use of technology can modernise the delivery of justice and make it more accessible to citizens across the country.
The CJI called for implementing a "unified judicial policy".
He said India's judicial system has long been shaped by its federal structure, and different high courts have their own practices and technological capacities.
"India's vast diversity has led to different high courts evolving their own practices, administrative priorities and technological capacities. This variation, though natural in a federal democracy, has resulted in uneven experiences for litigants across the country," he said.
Kant underscored that predictability is crucial for building trust in the judicial system.
"A core expectation citizens place upon the courts is predictability," he said, adding that citizens should not only expect fair treatment but also consistency in how cases are handled across the country.
He pointed to the potential of technology in improving predictability.
"Technology enables us to track systemic delays and make problems visible rather than concealed," he said.
By identifying areas where delays occur, such as in bail matters or cases involving certain types of disputes, courts can take targeted action to address these issues and improve efficiency, Kant said.
The CJI explained that data-driven tools could identify the reasons behind delays or bottlenecks, allowing for faster, more focused solutions.
"Technology enables prioritisation by flagging sensitive case categories, monitoring pendency in real time and ensuring transparent listing protocols," he said.
Justice Surya Kant also discussed the importance of prioritising urgent cases where delays could result in significant harm. He highlighted his recent administrative order that ensures urgent cases, such as bail petitions or habeas corpus cases, are listed within two days of curing defects.
"Where delay causes deep harm, the system must respond with urgency," he stated, explaining that technology can help courts identify and expedite such cases.
Kant also raised the issue of the clarity of judicial decisions.
He noted that many litigants, despite winning cases, often struggle to understand the terms of their judgment due to complex legal language.
"Although the orders had gone in their favour, they remained unsure of what relief they had actually secured because the language was too technical, vague or evasive to understand," he said.
He advocated for more uniformity in how judgments are written.
"A unified judicial approach must therefore extend to how we communicate outcomes," he said.
The CJI also discussed the role of AI and digital tools in improving case management. He pointed to the potential of AI-based research assistants and digital case management systems to streamline judicial processes.
"Emerging technological tools are now capable of performing once-unthinkable functions. They can highlight missing precedent references, cluster similar legal questions, and simplify factual narration," he said, explaining how these technologies can help judges make more consistent decisions.
He also highlighted tools like the National Judicial Data Grid and e-courts, which are already helping to standardise processes like case filings and tracking.
Kant reiterated that the integration of technology into the judicial process is not just about improving efficiency but about upholding the integrity of the system and strengthening public trust.
"The measure of innovation is not the complexity of the software we deploy, but the simplicity with which a citizen understands the outcome of their case and believes that justice has been served," he said.
