Infertility is defined as inability of a couple to achieve conception or bring a pregnancy to term after a year or more of regular, unprotected sexual intercourse. Primary infertility is inability to conceive the first child and secondary infertility is inability to conceive subsequent pregnancies. Primary infertility is seen in about 8-10% of all couples worldwide. Upto 20% couples are known to have secondary infertility.
Contrary to common Indian belief, infertility is due to a problem in the female partner in only one third of all couples unable to conceive. In another one-third of such couples, infertility is due to problems in the male partner. In about 25% cases, both female and male partners have abnormalities leading to infertility and in 5-10% cases the cause of infertility is unexplained, despite extensive investigations to rule out female as well as male factors.
Stress associated with Infertility :
Inability to conceive, especially in a country with a population boom, is extremely stressful for the infertile couple. It is said that partners who are anxious to conceive survive by the monthly cycle. Each month there is anticipation, hope and anxiety which is shattered by the menstrual cycle. Infertility changes the way partners relate to each other and also the way they socialize. Infertile couples are vulnerable to pity, scorn and are insecure in the society and often it is this aspect of infertility that affects both partners than the problem itself.
We, at Nurture understand the emotional needs of the infertile couple. Providing support, privacy and confidentiality is as important to us as providing medical solutions. We encourage patients to discuss issues, anxieties and expectations in an open manner in order that the problem is not looked at as a ‘defect’ in the male or female partner. We help couples to choose methods of conception that are standardized including assistance of natural pregnancy cycles, Intra-uterine insemination and in-vitro fertilization. We also discuss issues of oocytes donation, surrogacy and adoption in suitable cases