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Sub Fertility : What is it ?

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Sub Fertility is a condition where otherwise healthy couple fail to reproduce despite several attempts. 

In India, as per medical experts, approximately 15-20% of people seek advice from the doctors regarding sub fertility issue during their adulthood of 25 to 35 years of age.  Considering 400 Million of adult population in the said age group,  the number of coulee who face this issue is approximately between 60 million to 80 million.   

Doctors suggest two methods to track the fertility trend of women who face such issues.  These methods use other Ovulation Prediction Kits (OPK) or Basal Body Temperature measurement.  Below table highlights the differences in two methods from a layman perspective.

As one can understand from above table BBT method is more clean, easy and also less expensive. The data generated can be used for further diagnostics if required.  

 

 

posted Oct 28, 2015 by Dr. Wellness

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genetics and fertility

Image 1

You can change habits, your lifestyle, etc. when it comes to increasing your chances at conception. But the one thing that is often not considered as an impediment to fertility has to be genetics. Your genes are something that have been passed on from one generation to another, either from your maternal or paternal lineage. Lower sperm count or egg count is often attributed to your genes rather than just lifestyle or your current medical status. Here is how genetics has an impact on your fertility rate-

Menopause

Menopause

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For women, the onset of menopause is the end of their fertile stage. However, for some women it tends to happen much earlier as compared to the other. Menopause is also linked to your reproductive biology. So even if you are living a healthy lifestyle, avoiding smoking, etc. you are still at a risk of earlier menopause.

Lower Sperm Count

lower sperm count

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In some men, the cause of lower sperm count or even count itself is attributed to their genes. Some men suffer from the problem of chromosome translocation where it is seen that chromosomes swap material. Such individuals are known to have a higher chance of infertility. In fact, this issue is known to have an adverse affect on their partners too who are more prone to miscarriage because of this swapping issue.

Y chromosome Infertility

Y chromosome infertility

Image 4

This is a condition, which is known for having an adverse impact on the production of sperm. As a result, it becomes difficult for a man to father a child. In some rare cases, there may be no sperm production at all due to azoospermia. While some men may have a smaller number of sperm cells, which is known as oligospermia. In most cases, one finds that the sperms are also moving at an abnormally slow pace or there is no movement at all. There are assisted technologies and medical solutions available for this issue. However, in some cases, men are affected to the extent when there is actually no mature sperm present in the testes. Referred to as Y chromosome infertility named Sertoli, this cell-only syndrome is often not treatable.

Ovarian Failure

overian failure

Image 5

This is a problem that is also associated with genes in women. Some girls are known to suffer from premature ovarian failure, which is also known as POF.  POF has been related to underlying genetic issues. Some genetic factors are responsible for carrying the Fragile X syndrome that is a chromosome issue related to infertility.

What can be done?

Genetics and fertility

Image 6

With advancement in medical science, there are alternatives available for treating this issue. In some cases, men are suggested to undergo active genetics treatment and medications that aid in treating an array of these problems. Women can undergo a genetic test for fertility where optimum solutions can be devised.  Recent studies associated with viable egg follicles present in the ovaries showcase positive results, which are known to treat the problems associated with genetic infertility. In some drastic conditions, IVF and other invasive procedures might be suggested to overcome this issue.

Image 1 - Fertility and genetics

Image 2 - ConceptionsFlorida

Image 3 - Medicalnewstoday

Image 4 - Y chromosome infertility

Image 5 - hyderabadendocrinology

Image 6 - Genetics and fertility

 

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radiation therapy

Radiation is not really a choice when it comes to cancer treatments. Sometimes, it becomes mandatory to provide radiation therapy to ensure sustainability of the individual and constraint and restrict growth of the malignant cells. Unfortunately, for people who are trying to conceive, radiation may have other adverse affects on fertility. Here are some of them-

 

Genetic Effects

radiation and conception

Radiation is known to penetrate though the various layers of the cells and create a negative genetic impact on children of those exposed. In cases, where the eggs or even the sperm gets radiated, the effects of radiation passes on to animals, which is seen as per various tests.

Studies show that the risk of genetic effects on kids of the next generation does exist, even though it may be rather small. This was a study conducted on the patients exposed to radiation during the Hiroshima and Nagasaki atomic bombings. 50 years post the attacks, it is seen that the risk of genetic abnormality followed by birth defects was extremely narrow. But though the risk is very little, it cannot be really ignored in the hereditary component of mutations.

 

Loss of Interest in Sex

loss of interest in sex

In most men, there has been a drastic decrease in interest in sex post radiation. This is considered as the after math of the radiation therapy. Some individuals also complain of pain during ejaculation or even trouble in having erections. However, in both cases, it is possible to overcome the same via medicines and therapy. The problem is temporary but it can be easily overcome.

 

Radiation Therapy Areas

therapy areas

For women, beam radiation therapy is rather common on the pelvis, hip, femur along with the bladder and prostate are exposed to radiation. However, an attempt is made to shield the same by the doctors. But in cases of high radiation to either testes or the ovaries, there is a very high risk of permanent sterility or even temporary one. However, in case no damage is caused to these areas during cancer, further risks are minimized.

So on the whole, though radiation poses a minimum amount of risks of infertility, the reason for the same is because of damage caused directly to the reproductive parts during the ordeal, not as a result of the after effect. In spite of temporary issues related to fertility, in the long run most patients are able to conceive naturally. It is essential to follow intensive treatment post the radiation and eat a healthy and nutritious diet. Combining this with a positive outlook, you should not face fertility issues.

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