In this modern era conceiving a child naturally seems difficult, due to the changes in the social structure and function, where the priority of the woman has shifted from marriage to education and career, squeezing pregnancy between career ladder and homemaking, reducing treatment of infertility a rate race. As the age of marriage is raised, the conception window is narrowed, and anxiety is built on attempts for early pregnancy.
Though reproductive medicine, including alternative treatments for IVF, has made significant advancements in helping many infertile couples, there are still grey areas that fall outside its purview. We are here to analyze the other side of the coin – the functional aspect. The problem of infertility is like an iceberg – the visible part is the physical aspect, which is amenable to tests and treatments. However, the submerged, invisible part involves functional aspects such as immune and hormone function, which often escape the scrutiny of the medical fraternity.
Infertility is influenced by a combination of physical, functional, social, and emotional factors. The physical aspects, such as egg quality, tubal patency, sperm health, and hormonal balance, are studied through various tests, and problems can be addressed with treatments. Medical advancements have made it possible to treat these physical aspects, from medications that improve egg development to surgical interventions for tubal, uterine, and peritoneal factors, and advanced assisted reproductive techniques (ART) like IVF and ICSI.
The functional aspects of infertility include immune function and organ performance. While diet, rich in antioxidants and vitamins, can improve the structure of eggs and sperm, exercise enhances their function by increasing blood flow. In cities like Bangalore, Chennai, etc Infertility in women often find that a combination of medical intervention and lifestyle changes yields the best results.
Modern diets often lack the necessary nutrients due to depleted soil fertility. The protein content in soil has decreased by 30-50%, and essential minerals like Iron, Calcium, Magnesium, and Zinc are in low supply. Moreover, anti-nutrients such as genetically modified (GM) foods, pesticides, refined sugars, and junk food deplete the nutrients needed for conception, damaging eggs and sperm, leading to infertility, miscarriages, and congenital anomalies. For those undergoing Infertility in women or alternative treatments for IVF, addressing these nutritional deficiencies is crucial.
Exercise is a good way of improving BMR and reducing weight. It is a good way of detoxing by way of sweating, breathing, and relieving constipation. It decreases insulin resistance and LDL Cholesterol and improves immune function and anti-oxidant levels. It also decreases stress hormones and food cravings. University of ADELAIDE conducted 6 months study on diet and exercise in 18 overweight women. There was a 71% increase in insulin sensitivity, a 39% decrease in LH levels, and an 11% decrease in central fat.
Hormone balance is directly dependent on our emotions. Fertilization and implantation are dictated by hormonal interplay. They are so designed that when physical factors are ok when we don’t think about pregnancy, conception occurs naturally. The normal conception rate would be 10%-15% per month. However, stress and anxiety about pregnancy can release stress hormones that disrupt this balance. Techniques like pregnancy heartfulness meditation can be beneficial in reducing stress and promoting a healthy hormonal environment for conception.
It has many dimensions. Self-esteem is directly affected by conception. Emotional trauma is more than physical suffering. This is due to the conflict between self, society, and family.
SOCIETY: Infertility is a pet subject of sarcasm to society, making infertility couples social outcasts.
FAMILY: In the past joint family system was there, which gave a lot of moral support to the couple. Now with the nuclear family, for a word of reassurance, we need to seek the help of counselors or psychologists. Interpersonal relationships between husband and wife also can suffer due to infertility. Both of them need to express their feelings, understand, and offer mutual support.
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