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(1)
How Common is the problem of infertility?
(2) Does delayed marriage lead to
infertility?
(3) What is your advise to modern day
couples?
(4) When should a couple seek doctor's
help for infertility?
(5) Are both male and female responsible
for infertility?
(6) Is it true that male infertility is
on the rise?
(7) What are the common disorders in
females that contribute or cause infertility?
(8) What are the common causes in males?
(9) Why do couples delay medical help?
What is their worry?
(10) What is the relationship between HIV
& Infertility?
How
Common is the problem of infertility?
Ans(1) - Infertility affects 2-3% of entire
population and 10-12% of married couples. India is estimated to
have about 12 million infertile couples.
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Does delayed marriage lead to
infertility?
Ans(2) - Fertility reduces with age. Women are
most fertile between 16-23 years of age. The fertility in men also reduces after
40 years. Hence late marriages have more chances of infertility.
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What is your advise to modern day
couples?
Ans(3) - Marry before 30 years of age. Do not
postpone children for too long. "Prove your fertility & then use
contraception."
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When should a couple seek doctor's
help for infertility?
Ans(4) - When a couple staying together with
normal sex life without contraception does not conceive for one year they should
consult a doctor. The older they are (by age), the earlier they should seek
assistance.
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Are both male and female responsible
for infertility?
Ans(5) - Contrary to the popular belief that
female factors predominate in infertility, today if you take 100 cases of
infertility, 40 cases are attributed to females, 40 to males and 20 to both. Hence both husband and wife should visit
the doctor together.
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Is it true that male infertility is
on the rise?
Ans(6) - Yes, In the last decade
or so, male sperm counts are falling. The exact cause is not known. Apart from medical causes,
tight underwear, working near high temperatures, increased consumption of tobacco, smoking
and gutka, extensive use of 2 wheelers, unknown drug interactions, environmental
pollution and stressful living have been identified as possible co-factors for
male infertility.
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What are the common disorders in
females that contribute or cause infertility?
Ans(7) - Ovulation disorders, ovarian failure,
hormones deficiency, PCOD(Poly Cystic Ovarian Disease), endometriosis, tubal factor
( blocked tubes) due to infection, tuberculosis, uterine fibroids,
uterine malformations. In some cases no cause is identifiable (on explained
infertility)
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What are the common causes in males?
Ans(8) - Absent, undescended or underdeveloped
testis, testicular failure, hormonal deficiency, absent or blocked vas, varicose, testicular trauma or torsion, tumors infections life mumps,
tuberculosis filarios, typhoid or STDS and of course unexplained infertility.
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Why do couples delay medical help?
What is their worry?
Ans(9) - Mounting social pressure forces
an infertile couple to seek treatment. The couples usually are afraid to
face the reality ( Who is responsible?) The worry about the
expensive treatment modalities and the different tests they may be subjected to.
Normally 95% of couples can be treated successfully with simple counseling and
simple hormonal Rx, planned relations and IUI ( Intra uterine Insemination).
Only 5% of couples resolve advanced & expensive procedures such as IVF or
ICSI.
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What is the relationship between HIV
& Infertility?
Ans(10) - We test all infertility patients for
HIV to protect our lab/patients and ourselves as handling of blood/semen entails
risks. We do detect HIV the cases unsuspecting couples who seek infertility
treatment. They are given necessary counseling and advises against child
bearing. All semen donors are screened for HIV (including widow period) HbsAg,
VDRL and genetic abnormalities.
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