Are
you practising subfertility:-Then you may be faced with following questions by
the couple? Be aware of the following Q
& answers well ahead. Further, you may be invited by local club, Lioness
club or Ladies club to face Q & Ans as a specialist . Infertility.-Public Awareness programme. What topics to discuss amongst
community: C ,Q.1 . Fecundity (pregnancy occurring per menstrual cycle)? 2. Which
days of menstrual cycle are fertile period? On which days of period husband
must come from other areas if posted or working in some other district –wife
will communicate as soon as period ensues over mobile so enabling him to come
home specially on the day 10 is and he has to stay at least from day 10 – day
12 as a minimum preferably up to day 16 if authority grants leave ) , 3. Global prevalence of infertility, reproductive
anxiety and depression burden, financial expenses, 4. Is the infertility prevalence,
rising? Q 5. Initiation of investigations-when—after hoe
many months of trying if there is medical disorder of wife and cycles are
regular with normal weight. And husband has no addiction with any coital
deficiency like erectile disorders or premature ejaculation or Delayed
ejaculation or even anejaculation. Medically husband is fit not having
diabetes, obesity or consuming any antideprsessive drugs.
What else we may be asked in a community meet or AIR or TV show on subfertility:
6. Prevalence of infertility in
underdeveloped world, 7. List of common causes of female subfertility. , 8. . Causes of male subfertility, 9. . History
of either partner separately, 10.
Clinical Exam of husband 11 clinical examination of wife. 12. .Investigations of male 13.Investigations
of female partner 13 Basic treatment of
male 14, Basic Tr of female partner . 15: Govt and Community leaders can’t wash
off hands by remarking it’s not their duty. GOI & municipal authority have some shared responsibity of educating young adults about what is unsafe
sex(sex without male or female condom –) ,Such unsafe sex may be with a unknown
or known woman but with her consent ,
may be with or without any gift or money, may be married woman or unmarried
woman , may be acquanatied woman or unknown woman ). Sex education in school about safe
sex is unfortunately not widely available in our courtly so also at Highways
& ports where truck drivers assemble; The more prevalent is sexually transmitted
diseases more will be tubal factor infertility. Dual protection in college
life-ice, female partner (girl friend or rarely a maidservant will consume oral pills if they
meet regularly in any flat /own house at the same time boy friend(often a office /
college mate or unmarried office goers )
should use condom , 16 . Human right
& social stigma of subfertility, 17. Health Economics of subfertility, 18. Ethics of Tr like using egg or sperm of the third party to achieve offspring , surrogacy, Law about Human cloning, Handling embryo—for genotyping
of fertilized ova & PGSà observing if there is any genetic defect in the embryo before it is
pushed inside the womb -, This is PGD
–pre implantation genetic diagnosis . This is also called embryo selection and
done only when there is two or more birth of abnormal baby with genetic diseases,.
19. Newer Methods of Tr. (research) like IVM, Ovarian cryopreservation or semen
preservation if a) marriage is delayed b) if there is cancer treatment prior to
child birth Preservation of fertility. 20). Disposal of surplus egg after the
couple get desired number of babies by IVF. Surplus eggs –How to dispose off
with written consent of couple & Research on male or female stem cells
derived from testis in Azoospermia or in
women with Premature ovarian failure ,20.) Fertility tourism in India, India earns cores
of money from Reproductive tourism as thousands of infertile couple do come
from all parts of globe to have cheap treatment in India but they must leave
India before the birth of the baby so that
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