Subfertility means an individual or the couple who is not infertile and still has chances of conception. The word Subfertility means form of reduced fertility in couples not successfully trying to conceive ; however, the chances are lower than normal. Subfertile couples or individuals may eventually become conceived on their own.
Causes of Female Subfertility:
Chronic pelvic inflammatory disease due to Tuberculosis, STD such as Gonococcus and Chlamydia, Fallopian tubal blockage, polycystic ovaries, hyper or hypothyroidism, endometriosis, fibroids, Past treatments for cancer, Sterilization, anxiety and obesity,
Hyperprolactinemia: A tumor near the pituitary gland causes the excess production of prolactin . It will cause amenorrhea along with headaches, other brain tumor symptoms.
Hypogonadal hypogonadism: When there is a dysfunction in the pituitary, the production of LH and FSH will be lacking.Kallmann syndrome is the commonest cause that causing Hypogonadal hypogonadism.
Causes of male Subfertility
Undescended testicles, Failure of reversal of vasectomy, past treatments for cancer such as chemotherapy and radiotherapy, urinary infections, oligozoospermia, Poor sperm motility, abnormal forms of sperms, Varicocele, Hypopituitarism.
Initial diagnostic for Subfertility involves
Hormone assay for the partners, Ultrasound pelvic study, semen analysis, genetic testing in male, laparoscopy, and hysteroscopy etc.,
You have to be mindful about the following to overcome Subfertility
Quit smoking and alcohol
Do not exercise rigorously
Monitor your body temperature
Adjust the frequency of sexual intercourse
Weight reduction is must because obesity is the main reason for infertility
Avoid using sexual lubricants that may interact with sperm motility
When there is no cause determined for an individual or a couple’s Subfertility, the chances of conception could be maximized by follicular monitoring, IUI, IVF, ICSI, Sperm/egg donation, surrogacy.
ARC and AIIM collaboratively provide awareness program for childless couples and public. Attend these program for more details.