Dr.sathya balasubramanyam

MD DNB MRCOG (UK) FNB(Reprod med)

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The last two decades have seen a considerable change in the in the way we live. Our lifestyle has seen a shift, for the better in some cases and for the worse in some. The growing incidence of subfertility has been linked to these lifestyle changes to some extent.

Age has an important role to play in subfertility. Gone are the days when girls were married off early and started families by the age of 20. Today women are ambitious in pursuing higher education and for better careers, which is, in fact, a good step towards their empowerment. However, postponing motherhood beyond the age of 35 years is not recommendable.

The ability to successfully conceive a baby reduces with age. Pregnancy and delivery are easier and preferable in the age range between 20 years and 30 years. Babies born to mothers over the age of 35 years are at an increased risk of genetic disorders like Down syndrome. Over the age of 43 years, it is difficult to attain a successful pregnancy, even with the help of ART (Artificial Reproductive Techniques). Hence it is important to create awareness among the public regarding the right childbearing age.

Obesity is another product of our sedentary lifestyle today. Many of us fall prey to obesity during our childhood or adolescence. It not only paves the way for many health conditions like elevated blood pressure or diabetes, obesity can be responsible for anovulation in women. They are associated with decreased sperm count and low testosterone in men as well. Obesity should be managed early on in life with the help of a healthy diet and exercise.

PCOS is a prevalent condition in our society today. An irregular menstrual cycle, the presence of acnes, hirsutism are some of the symptoms that should not be overlooked as they might be an indication of the condition. Similar is the case with endometriosis. Many cases of early onset of endometriosis have been reported in our country. An issue such as dysmenorrhoea during the teenage period needs to clearly investigated.

The increased tilt towards acquired cultures has affected the health and well-being of our younger generation today. Discouraging sexual promiscuity has become a dire requirement. With proper familial upbringing and attitude, this is achievable. Pelvic inflammatory diseases in women can greatly hamper their fertility. Hence an early detection and treatment of the disorder are essential.

Alcoholism and smoking are some of the factors that are known to hamper fertility in both men and women. They have a very bad influence on the semen quality in men. Performance enhancing drugs are also known to affect fertility negatively.

All in all, it is imperative to maintain a healthy life with a proper weight and lifestyle for good reproductive health.



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Dr. Sathya Balasubramanyam

FNB(Reprod med)

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