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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Kancha Gachibowli: Police impose entry restrictions on 400-acre parcel land near varsity
Hyderabad (PTI): The Cyberabad Police has imposed restrictions on the entry of people into a 400-acre land parcel in Kancha Gachibowli, adjacent to the University of Hyderabad (UoH), citing the prevailing law and order situation and the need to maintain public tranquility.
The Telangana government’s plan to auction this ecologically sensitive land for the construction of urban infrastructure and an IT Park has triggered protests by the UoH Students’ Union.
The matter is currently being heard in both the Telangana High Court and the Supreme Court.
In view of the Supreme Court's orders, the directions of the Central Empowered Committee, and the prevailing law and order situation, DCP (Madhapur Zone) Vineeth G issued an order prohibiting people who do not ordinarily have work in the area from entering it for any purpose other than their bona fide duties.
The order aims to prevent danger to human life and safety, maintain public tranquility, and avert the possibility of riots, affray, or obstruction to any person lawfully discharging their duties.
The order was issued under Section 163 of the Bharatiya Nagarik Suraksha Sanhita (BNSS), which restricts unauthorised gatherings.
According to a notification, the order will remain in force from 6 am on Friday until April 16, covering the 400-acre area that is currently the subject of litigation in both the High Court and the Supreme Court.
Meanwhile, the UoHSU held a rally on campus late Friday evening, demanding the removal of police camps from the premises and the fulfillment of their other demands, including the revocation of FIRs against students, civil society groups, and other activists.
They also demanded that the UoH administration file a petition in the High Court asserting ownership of the land.
On Thursday, the Telangana High Court posted the case for hearing on April 7.
The Supreme Court, also on Thursday, asked the Telangana government to explain the "compelling urgency" behind clearing a large tree cover on the land parcel next to the university and stayed any further activity until further orders.
The court inquired about the status of the felled trees and directed the Central Empowered Committee to visit the site and submit a report before April 16, when the matter will be heard again.
Following the Apex Court’s directive, the Telangana government has decided to form a committee of ministers to hold discussions with the UoH executive committee, civil society groups, students, and other stakeholders to address concerns over the land parcel adjacent to the university.
Responding to the Supreme Court's order to stay any further activity until further notice, Deputy Chief Minister Mallu Bhatti Vikramarka and Industries Minister D Sridhar Babu said in a joint statement on Thursday that the government would abide by the apex court's directives.
They said the government would submit the information sought by the Supreme Court within the stipulated timeframe.
The state government has full confidence in the Supreme Court, and justice will prevail, they added. The government has also directed police officials not to act harshly towards the students.
Earlier police said that when the Telangana Industrial Infrastructure Corporation (TGIIC) began development work at the site on March 30, as per a government order, a group comprising UoH students and others gathered there and attempted to forcibly halt the work. They allegedly attacked officials and workers with sticks and stones.
Following the incident, 53 individuals were taken into preventive custody and later released on personal bonds.
Based on a complaint from the TGIIC, a case was registered at the Gachibowli Police Station for various offences, including unlawful assembly, rioting, and assault on public servants, under relevant sections of the BNS, police said.
Police also said that two individuals were arrested and clarified that they are no longer students of the university.
The Telangana government had earlier stated that the 400-acre land in Kancha Gachibowli belongs to the state.
