WHAT CAN LEAD TO INFERTILITY FOR MALE? WHAT CAN LEAD TO INFERTILITY FOR FEMALE? HERE IS THE ANSWERS FOR YOUR DOUBTS

The sexologists’ columns in the newspapers are filled with queries regarding misguided notions about infertility. Here are some of the facts.

Dr Aniruddha Malpani


Myth: Seminal discharge from the vagina after intercourse is a reason for infertility

Fact: Loss of seminal fluid after intercourse is perfectly normal, and most women notice some discharge immediately after sex. Many infertile couples imagine that this is the cause of their problem. If your husband ejaculates inside you, then you can be sure that no matter how much semen leaks out afterwards, enough sperm will reach the cervical mucus. This leakage of semen (which is called effluvium seminis) is not a cause of infertility. In fact, this leakage is a good sign - it means your husband is depositing his semen normally in your vagina.

Myth: Thick and voluminous semen indicates a normal sperm count

Fact: Semen consists mainly of seminal fluid, secreted by the seminal vesicles and the prostate. The volume and consistency of the semen is not related to its fertility potential, which depends upon the sperm count. This can only be assessed by microscopic examination.

Myth: Increasing frequency of sex and/or changing the position of my hips will help achieve pregnancy

Fact: Unlike many other parts of your lives, infertility may be beyond your control. Don't blame yourself if you are not getting pregnant - it's a medical problem which often needs appropriate medical treatment. As for increasing the frequency of sex, sperm are already swimming in cervical mucus as sexual intercourse is completed and will continue to travel up the cervix to the fallopian tube for the next 48 to 72 hours. Therefore, it isn't necessary to plan your lovemaking on a rigid schedule. The position of the hips really doesn't matter.

Myth: A routine gynaecological examination is sufficient to determine possible causes of infertility

Fact: A routine gynaecological examination does not provide information about possible problems which can cause infertility, such as blocked fallopian tubes or ovulatory disorders. You need a systematic infertility workup.

Myth: A retroverted (tipped-back) uterus is a cause for infertility and surgical correction is required

Fact: About one in five women will have a retroverted uterus. If the uterus is freely mobile, this is normal, and is not a cause of infertility. This is not an indication for surgery.

Myth: Stress is a cause of infertility

Fact: If pregnancy has not occurred after a year, chances are there is a medical condition causing infertility. There is no evidence that stress causes infertility. Remember, all infertile patients are under stress - it's not the stress which causes infertility, it's the infertility which causes the stress!

Myth: Painful periods are a cause of infertility

Fact: Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during sex) may mean you have endometriosis.

Myth: Difficulty in conceiving is hereditary

Fact: If your mother, grandmother or sister has had difficulty becoming pregnant, this does not necessarily mean you will have the same problem! Most infertility problems are not hereditary, and you need a complete evaluation.

Myth: I should have sex exactly on the day I ovulate to get pregnant

Fact: Although having sexual intercourse near the time of ovulation is important, no single day is critical. So, don't be concerned if intercourse is not possible or practical on the day of ovulation.

Myth: Blood group ‘incompatibility’ is a reason for infertility

Fact: There is no relation between blood groups and fertility.

Myth: Lack of sperm in the semen (azoospermia) is caused due to excessive masturbation

Fact: Masturbation is a normal activity which most boys and men indulge in. It does not affect the sperm count. You cannot "run" out of sperms, because these are constantly being produced in the testes..

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