Infertility Doctor

Impact of Smoking on Fertility

Men and women who smoke face more difficulties in getting pregnant than non-smokers. Second-hand smoke is almost as scathing as smoking and women who are exposed to second-hand smoke take longer to conceive than women who are not. The chemicals in cigarettes can cause harm to eggs and sperm which influences a future child’s health.

Impact of Smoking on Male Infertility

Men, who smoke, lead to having a lower sperm count and sperm health than those who do not. Some studies even suggest that male smokers are more likely to deliver sperm that are genetically abnormal. If the female partner does superfetate, the risks of the genetic damage passing on to the developing baby or posing a risk to the pregnancy are quite high.

Smoking (including second-hand smoke) can also cause sexual difficulties like erectile dysfunction, indirectly affecting fertility.

Impact of Smoking on Female Infertility

Women, who smoke, take longer to conceive as compared to women who do not. They have lower estrogen levels which hinder the development and maturation of the eggs. Smoking is known to block proper ovulation by damaging the fallopian tubes and reducing the ovarian reserve, particularly in terms of egg quality and count.

Impact of Smoking on an Unborn Baby

Even if a woman succeeds in conceiving, other harmful effects of smoking might hinder her baby’s health. These consequences include:

  • Low birth weight
  • Premature birth
  • Pre-term related deaths
  • Deaths caused by sudden infant death syndrome
  • Increased risk of congenital defects

 

Impact of Quitting Smoking

  • Natural Fertility within a year
  • Women who quit smoking before conception or within the first trimester of pregnancy reduce the risks of their baby being born prematurely
  • Men must be required to De-addict themselves before planning a baby

Quitting smoking may not be simple but at the same time, it is not impossible. If you are planning to have a baby, it is not only desirable but crucial that you cut back and eventually stop smoking. It may demand a lot of effort and discipline from your end but nothing can match up to the joy that you undergo when you hold your baby in your arms for the first time without any external procedures.

 

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Why do people hesitate to go for IVF treatment?

There are many couples in India who are facing infertility issues but hesitate to seek medical help. Let’s discuss the problem in detail –

1. Woman under the age of 35 & the couple is trying for more than a year.
2. The couple has known infertility & unknown infertility issues.
3. The couple has other serious health issues

What prevents a couple from infertility treatments?

1. Some people’s religious & social beliefs against infertility treatments.
2. Some couple thinks infertility treatments are too expensive & they can’t afford them.
3. Inadequate knowledge about the procedure- Some people think that infertility treatments are very painful.
4. The conservative approach about the treatment. They only want childbirth through a natural process.

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PCOS- The new health concern for modern woman

Ovarian cysts are generally non-cancerous sacs filled with fluids which are built upon the ovaries. Most women don’t know their existence until they are diagnosed through ultrasound. Women’s ovaries contain eggs that are released in each of your menstrual cycles. These eggs are contained in tiny follicles. These follicles break & matured eggs are releases.

Women who suffer due to PCOS (Polycystic Ovarian Syndrome), the hormone which is required for the eggs to mature can’t be created. In this case, the follicles are built up with fluid but the eggs don’t get released causing the conversion of follicles into cysts.
Due to this, the menstrual cycle becomes irregular & creates problems in pregnancy. Not only this but it can increase the risk of gestational diabetes,pregnancy-induced high BP, miscarriage or preterm childbirth.
Apart from this, PCOS creates some emotional troubles to women like- mood swings, depression, anxiety, etc.
Common symptoms of PCOS include –
1. Irregular menstruation
2. Extra facial hair or other parts of the body
3. Acne
4. Sudden Weight gain and/or trouble losing weight
5. Dark, patchy skin on the back of the neck and other areas
It is always advisable to talk to your OB/GYN if you find any of these symptoms to avoid future risks.

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Endometrium & Pregnancy

 

A hormone called estrogen plays an important role in a woman’s menstruation & pregnancy. It is responsible to thickening uterine lining each month. When the estrogen level is drop-down, the lining is released from the uterus and you get your period.

Endometrium goes through three phases during the typically 28-day menstrual cycle –

  1. Menstrual phase (days 1-5)

Typical thickness is 1-4mm

     2. Proliferative phase (days 6-14)

Typical thickness is 5-7mm

    3. Secretory phase (days 15-28)

Typical thickness is 7-14mm

Endometrium, the innermost layer of the uterus thus is an important factor during pregnancy. If it is less than 7mm, medical treatment is needed for a successful pregnancy.

In case of the thin uterine lining, conceiving is not a problem but continuation of the pregnancy is sometimes difficult. Fortunately, there are medicines available for increasing the endometrial thickening.

Some medical conditions like cancer, fibroids, and polyps can also cause the uterine walls to thicken.

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What is IUI Treatment?

Intrauterine insemination (IUI) is a simple procedure of placing sperm into a woman’s uterus when she is ovulating. It helps healthy sperm get closer to your egg. This procedure is used for couples with unexplained infertility, male infertility issues, and women having cervical mucus problems.

What are the steps?

  1. Before starting the insemination procedure, some medications are given to stimulate ovulation.
  2. Semen is collected from your partner or a donor.
  3. Then a concentrated amount of healthy sperm from the semen is collected.
  4. Then your doctor puts the sperm right into your uterus. Pregnancy happens if sperm fertilizes your egg and the fertilized egg implants in the lining of your uterus.

It is simple and generally less expensive fertility treatments. It increases your chances of pregnancy. Every human body is different. A treatment suitable for one may not work for others. So it is advisable to take an expert’s advice before planning to undergo any medical treatment.

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Why infertility is increasing?

What is infertility?

Infertility means not being able to get pregnant after one year of trying (or six months if a woman is 35 or older). Women who can get pregnant but are unable to stay pregnant may also be infertile.

 

Factors-

  • Age

There are many reasons behind the rise. Some are related to changes in our society. A few decades ago, most women had their first child at about 21. Today, that age is closer to 26 or 27. Many couples are waiting longer to start their families – they may want to finish their educations first, or get established in their careers. When people delay having a family, the passing years may include more exposure to environmental toxins and sexually transmitted diseases. Also, the older partners are, the more likely they are to have health problems and to get treated for them.

  • Physical incompetence in Women-

1.     Polycystic ovary syndrome (PCOS)

2.     Hormonal Factors

3.     Endometriosis

4.     STIs, other infections

5.     Unhealthy body weight

6.     Other unknown causes

  • Physical incompetence in Men-
  1.  Sperm transport disorder
  2.  Pre-existing genetic conditions 
  3. Hormone disorders 
  4. Injury to the groin area 
  5. Previous surgeries, such as hernia repair or vasectomy 
  6. Previous infections, especially STDs, urinary tract infections or a severe mumps infection after puberty. 
  7. Exposure to poisonous chemicals or radiation (most common in cancer survivors.) 
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Effects of Smoking on Fertility-

 

Smoking causes serious fertility problems in both men and women.
• Chemicals in a cigarette can lead to a loss of eggs. Also, the woman who smoke experience menopause a few years earlier than women who don’t smoke.
• In males, smoking can reduce sperm count, their quality & ability to move.
• It can increase numbers of abnormally shaped sperms.
• Not only this, but smoking also decreases the sperm’s ability to fertilize eggs.
• The risk of fertility problems increases with the number of cigarettes smoked daily.
• It can increase miscarriage rates, premature birth & results in unhealthy pregnancy
Quitting smoking seems to be very difficult to smokers but it’s essential to take an expert’s advice to get out of this. It will not only boosts the chances of conceiving but improve your overall health.
Let’s Pledge on World No Tobacco Day (31st May)-
STOP SMOKING !!

https://www.draartiparakh.com

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Post embryo transfer –

 Things you should remember after an embryo transfer

1. Avoid processed foods.
2. Stay well hydrated-Drink 7-8 glasses of water.
3. Eat healthy food which includes fresh fruit, vegetables, yoghurt and milk.
4. Avoid white carbs like confectioneries.
5. Completely stop smoking and alcohol.
6. You can carry on with routine activities but not overexert your self
7. Eat good carbohydrates.
8. Don’t neglect proteins and pulses.
9. No heavy exercise for a couple of weeks unless your embryo takes a safe place in the womb
10. Do not take too much stress. Invest quality time on meditation and pranayama.
11. Some might suggest you to take bed rest, for a day or two after the procedure.
12. Do not take any other medication without your fertility doctor’s advice.
13. You cannot change the outcome – all you can do is gracefully let nature take its own job!

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