In recent decades incidence of fertility related problems have increased significantly in men and women across the globe. One in six couple has difficulty in conceiving a baby, and the number of couples seeking medical help to have a family has risen dramatically.
Many factors including stress, changes in lifestyle, and the recent trend of late marriages contribute to this occurrence. The major causes of subfertility are ovulation disorder, fallopian tube damage and sperm dysfunction.
Polycystic Ovarian Syndrome (PCOS) is the leading cause of infertility in women in UAE. Genetic tendency and Life style are common contributors for PCOS. Many people do not take healthy diet and they eat a lot of junk food with lack of physical exercise ,all this causing obesity ,insulin resistance and in turn PCOS.
PCOS is a disorder whereby many small cysts form within a woman’s ovaries. The underlying cause of PCOS is a hormonal imbalance causing anovulation and subfertility. It leads to irregular menstrual cycles, excessive facial hair, acne and decreased fertility. But the positive aspect is, it responds to treatment better than other causes of infertility.
Sperm counts in males have fallen by almost half in the past 50 years. Many believe this is due to exposure to increasing levels of environmental chemicals. Not only overall counts going down but also rise in abnormal sperms. Smoking, poor diet, heat, obesity and a lack of exercise are also contributing factors to have poor sperm quality – the most common cause of male infertility.
Male factors now account for 30% of fertility problems – the same as female factors. In the remaining 40 % of cases, the reason for the problem is either a combination of both, or something which cannot be identified – ‘unexplained’ infertility.
In general, infertility is defined as not being able to get pregnant after one year of unprotected sex. However Women who do not have regular menstrual cycles, or are older than 35 years and have not conceived during a 6 month period of trying should consider making an appointment with a gynecologist to find out if any issues. A woman’s chances of getting pregnant decrease every year after the age of 30. After 35, the chances of a woman conceiving fall at a dramatic rate. About one-third of couples in which the woman is older than 35 years have fertility problems.
Treatment at earlier age is key to success. Most investigations to establish a cause of subfertility are simple to undertake. Ovulation disorders often respond to simple treatments.