Frequently Asked Questions
What is fertility?
Fertility is the natural capacity to reproduce (have children). Infertility, the inability to achieve a viable pregnancy, affects up to 15% of couples.
What factors can affect fertility?
Several factors can affect fertility in women and men. Age is the most important factor affecting fertility in a couple. Lifestyle is another factor affecting fertility. These include excess weight, lack of exercise, physical and psychological stress, environmental and occupational exposures, and substance and drug use.
At what age does fertility decline for men and women?
Fertility in women is more age-dependent than in men. For women, the decline gradually starts as they enter their thirties, but we can see a drastic decline after 35 years. For men, fertility generally reduces around the age of 40 to 45, when sperm quality decreases. Increasing male age reduces the overall chances of pregnancy and increases the time to pregnancy.
When should we consider seeking help for fertility issues?
Women with regular cycles and no conception after one year of regular intercourse or If you are 35 or older and have been trying for six months to get pregnant, you may want to see a fertility specialist.
How long should we try to conceive before seeking medical advice?
The average rule of thumb is that conceiving takes a couple in five to six months. If you are under 35 and have been having unprotected sex (sex without any form of birth control) for 6 months without positive results, you may want to see a fertility specialist.
What are the common causes of infertility in both men and women?
Causes of infertility can include ovulatory disorders, endometriosis, or tubal factors in females. In males, low sperm count and ejaculatory, or erection difficulties can cause infertility. 15% of infertile couples may not have any detectable cause; they are labelled as having unexplained infertility. The risk of infertility increases as you age. Many treatment options are available for people with infertility.
How does stress affect fertility?
Stress interferes with a woman’s ability to get pregnant. It’s a very important factor but not the only reason to cause infertility. Reduction in physical and mental stress with therapies like psychological counselling and acupuncture can yield good results. Research has shown that women with a history of depression are twice as likely to experience infertility. Anxiety also can prolong the time needed to achieve pregnancy.
How does obesity impact fertility?
Overweight and obese women have higher levels of a hormone called leptin, which is produced in fatty tissue. This can disrupt the hormone balance and lead to reduced fertility by affecting ovulation. They are also at higher risk of having implantation failure, abortions and medical risks during pregnancy and delivery.
Can fertility be improved through diet and exercise?
Eating a nutritious diet and moderate exercise can help boost fertility and prepare your body for pregnancy.
What are the early signs of potential fertility issues?
Irregular menstrual cycles (short or long cycles), painful periods or painful intercourse, and heavy menstrual bleeding signal potential fertility issues. If you’re experiencing these signs or have concerns about conceiving, consulting a healthcare professional is recommended for further evaluation and guidance. Early detection can be crucial in addressing fertility challenges effectively. If you have any pre-existing medical conditions or have had any surgeries in the past, an earlier consultation with a fertility specialist is recommended.
How does smoking and alcohol consumption affect fertility?
Smoking & alcohol consumption can have detrimental effects on fertility in both men and women. It can reduce sperm quality and motility in men, while in women, it can decrease egg quality and disrupt the reproductive hormone balance.
How can irregular periods affect fertility?
Irregular periods can significantly affect fertility by making it difficult to predict ovulation and the most fertile days for conception. Hormonal imbalances or irregular ovulation can hinder the release of mature eggs, reducing the chances of successful fertilization. Couples trying to conceive may face challenges in timing intercourse accurately, prompting them to seek medical guidance to address potential fertility issues. Low egg reserve or low AMH may also present with transient period irregularities.
Can endometriosis cause infertility?
Endometriosis is a condition where the tissue lining the uterus (endometrium) grows outside the uterus, typically on the ovaries, fallopian tubes, or other pelvic organs. This can lead to the formation of adhesions and scar tissue, which may block the fallopian tubes or interfere with the normal function of the reproductive organs. Additionally, endometriosis can cause inflammation and hormonal imbalances that may negatively impact fertility and also decrease ovarian reserve faster.
Can previous pelvic surgeries affect fertility?
Yes, previous pelvic surgeries can potentially affect fertility. Surgeries in the pelvic region, such as those involving the ovaries, fallopian tubes, or uterus, can lead to adhesions or scar tissue formation. These adhesions may block the fallopian tubes, interfere with egg release or implantation, or disrupt the normal functioning of the reproductive organs, making conception more challenging.
Does a history of miscarriages affect future fertility?
History of miscarriages can potentially impact future fertility. Recurrent miscarriages may indicate underlying health issues, genetic factors, hormonal imbalances, or structural abnormalities that can affect the ability to conceive and carry a pregnancy to term. Seeking medical evaluation after recurrent miscarriages can help identify and address any underlying causes and improve the chances of a successful pregnancy in the future.
Can fibroids affect fertility?
Yes, fibroids can affect fertility. Fibroids are non-cancerous growths in the uterus that can interfere with conception and pregnancy. Depending on their location and size, they may block the fallopian tubes, affect embryo implantation, or cause complications during pregnancy. Consulting a healthcare provider can help address fibroid-related fertility concerns.
What is a semen analysis, and why is it done?
Semen analysis is a test to evaluate a man’s sperm. It is performed by collecting a semen sample and examining it under a microscope. The analysis checks factors like sperm count, motility (movement), and morphology (shape). Normal semen analysis does not completely rule out male factor infertility.
Can a varicocele be the cause of male infertility?
Varicocele is a condition where the veins in the scrotum become enlarged, similar to varicose veins. It can lead to increased testicular temperature and impaired blood flow, which may negatively impact sperm production, quality, and motility. Treating a varicocele can sometimes improve sperm parameters and fertility in affected individuals. Varicocele is more commonly detected in infertile males but can be seen in fertile males also.
How can testicular injuries affect fertility?
Testicular injuries can affect fertility by damaging the testicles and disrupting sperm production. Injuries may lead to scarring or blockages in the reproductive ducts, reducing the number and quality of sperm. Severe injuries could result in permanent damage, making it difficult for affected men to father children naturally.
What is the impact of mumps on male fertility?
Mumps can have a negative impact on male fertility. The mumps virus can affect the testicles, causing a condition called orchitis, which leads to inflammation and potential damage to the testes. This can result in reduced sperm production, lower sperm quality, and, in severe cases, infertility. Vaccination can help prevent mumps and its potential effects on fertility.
Can hormonal imbalances affect sperm production?
Yes, hormonal imbalances can affect sperm production. Hormones like FSH, testosterone and luteinizing hormone (LH) play crucial roles in sperm production (spermatogenesis). Imbalances in these hormones, often caused by issues with the pituitary gland or testes, can lead to reduced sperm production, poor sperm quality, and infertility in men. Treating the underlying hormonal issues may improve fertility outcomes.
Can certain medications or treatments affect sperm quality?
Some medications, like anabolic steroids and certain antifungal drugs, may reduce sperm production or motility. Chemotherapy and radiation therapies used to treat cancer can also harm sperm cells, leading to temporary or permanent infertility. It’s essential to discuss potential side effects with a healthcare provider before starting any treatment.
Can exposure to environmental toxins affect male fertility?
Yes, exposure to environmental toxins can affect male fertility. Toxins like pesticides, heavy metals, and chemicals in the environment can interfere with sperm production and quality. Occupational exposure to certain toxins in industries like manufacturing and agriculture may also impact male fertility. Reducing exposure to such toxins can help protect fertility.
Can a history of sexually transmitted infections affect male fertility?
A history of sexually transmitted infections (STIs) can affect male fertility. Some STIs, like chlamydia and gonorrhea , can cause inflammation and scarring in the reproductive system, leading to blockages in the sperm ducts and reduced sperm quality. Early detection and proper treatment of STIs are essential to protect male fertility.
What is in vitro fertilization (IVF), and how does it work?
In vitro fertilization (IVF) is a fertility treatment where eggs and sperm are combined outside the body in a laboratory to form embryos. The embryos are then transferred to the woman’s uterus to achieve pregnancy. IVF is used for couples with infertility issues or those who have difficulty conceiving through natural means.
How is intrauterine insemination (IUI) performed?
Intrauterine insemination (IUI) is a fertility procedure where washed and concentrated sperm is placed directly into a woman’s uterus. The procedure is performed using a thin catheter inserted through the cervix. IUI is often used to assist couples with mild fertility issues or when the sperm needs assistance in reaching the egg for fertilization.
What is a fertility preservation or egg-freezing procedure?
Fertility preservation, also known as egg freezing, is a procedure where a woman’s eggs are collected, frozen, and stored for future use. The process involves hormone injections to stimulate egg production, followed by egg retrieval through a minor surgical procedure. This allows women to preserve their fertility and have the option of using the frozen eggs later, especially if they want to delay childbearing.
Can assisted reproductive technologies increase the risk of multiple pregnancies?
Statistically, women who undergo IVF have multiple pregnancies (twins or triplets) at a higher rate than women who conceive naturally. This happens if they go for a transfer of 2-3 embryos. This complication can be prevented by opting for a single embryo transfer.
How does a donor egg or sperm process work?
In the donor egg or sperm process, individuals or couples use donated eggs or sperm from a healthy donor to achieve pregnancy. Donors undergo thorough medical and genetic screening. For donor eggs, the eggs are retrieved from the donor, fertilized with the partner’s sperm in the laboratory, and then transferred to the recipient’s uterus. For donor sperm, it is directly used for intrauterine insemination (IUI) or in vitro fertilization (IVF) procedures.
What is the success rate of different fertility treatments?
The success rates of different fertility treatments vary depending on factors like age, overall health, the cause of infertility, and the specific treatment used. Generally, the success rates for intrauterine insemination (IUI) range from 10% to 20% per cycle, while in vitro fertilization (IVF) success rates can be around 30% to 40% per cycle, but they may be higher or lower for individual cases. It’s essential to discuss success rates with a fertility specialist to understand how they apply to your unique situation. Also, in IVF, if you have extra embryos frozen, then cumulative pregnancy success rates with one stimulation can reach more than 60% per cycle.
When should I consider counselling or support groups for infertility?
Consider counselling or support groups for infertility when you feel overwhelmed, stressed, or emotionally burdened by your fertility journey. Seeking help can be beneficial if you find it challenging to cope with the emotional impact of infertility or if you need a safe space to share experiences and connect with others facing similar challenges. Counselling and support groups can provide valuable emotional support and coping strategies during this time. We have counsellors, psychologists, and psychiatrists in our centre.
How do fertility treatments impact mental health?
Fertility treatments can have significant impacts on mental health. The emotional rollercoaster of hope, disappointment, and uncertainty during treatment can lead to stress, anxiety, and depression. Coping with potential setbacks, multiple treatment cycles, and financial burdens can further affect mental well-being. Seeking emotional support and counselling can help individuals navigate these challenges and promote better mental health during fertility treatments.