07 February 2019 | News | By Dr Nilesh Shah
It is important that women understand their ovarian reserve before they take the decision of delaying pregnancy. This only helps them take a better decision and avoid unnecessary stress when they plan to conceive.
Over 30 million Indians, both men and women, suffer from infertility. Yet, there is not much open discussion about the growing concern and a general lack of awareness surrounding the condition.
Infertility refers to an inability to conceive, despite regular unprotected sexual intercourse. While 40-50 per cent of the recorded cases of infertility are solely as a result of female bodily conditions, around 20 per cent include abnormal sperm
conditions and the rest are classified as unidentified factors.
There are multiple risk factors that affect fertility of an individual and age is one of the most prominent. While a woman's fertility starts to drop and continues doing so after the
age of 32, a man’s fertility starts to decline after the age of 50.
Smoking is also a prime factor that influences the level of fertility. There is significant research to show that pregnant women who smoke during their term are at a greater
risk of miscarriage. Similarly, alcohol too has an adverse effect on the mother and child; it is also linked to lower fertility of men.
Obesity, coupled with a sedentary lifestyle, has also been linked to infertility in females and is also cause of an abnormal sperm count in males. Additionally, research has found that being underweight or anorexic can also have an adverse impact on fertility.
Besides understanding the broad causes of infertility, there are several differentiating factors between male and female infertility. Among men, some of the most common
Among women, some of the most common factors for infertility are:
Today, more and more Indian women in the Metro Cities are delaying their pregnancy owing to their career and competitive jobs. While not all women may suffer from fertility problems with growing age, recent trend and analysis have a
different story to tell. Today women are at a risk of infertility owing to their lifestyle choices.
It is important that women understand their ovarian reserve before they take the decision of delaying pregnancy. This only helps them take a better decision and avoid unnecessary stress when they plan to conceive. Ovarian reserve is the pool
of eggs present in the ovaries at any given time. Low ovarian reserve is when there is a physiological decrease in the number of eggs, resulting in an insufficient number to ensure a reasonable chance of pregnancy.
The Anti Mullerian Hormone Test or more popularly known as the Ovarian Reserve Test gives a fair indication of a women’s fertility. Having said that, the AMH test is a multi-purpose test and increased level may also suggest conditions like Poly
Cystic Ovarian Syndrome. However the AMH test is an important test related to infertility.
Couples who wish to conceive and are unable to should visit a fertility specialist and even a counselor if advised, It is important to understand the present status through proper diagnosis and take further treatment as per the doctor’s advice.
- Dr. Nilesh Shah, President and Chief of Science & Innovation, Metropolis Healthcare