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Wednesday, 8 January 2014

Introduction to Infertility Simplified

Am I fertile? This question often comes to mind whether you are planning for a pregnancy or desperately trying to delay this important milestone due to a host of reasons. As a postgraduate student, I remember my confusion and embarrassment at the mere prospect of asking some of the most personal and sensitive questions to the couple in question and this continued for a while. Over the years, I have met with couples, single men and single women who either experience difficulty in conceiving or have doubts related to their fertility. I have come to understand the thought processes and fears, insecurities and frustrations of people who find themselves or worry about being "infertile".

Internet has a sea of information on every topic and infertility is no exception.Through this blog, I am venturing to engage with you and share my knowledge with you.Through this forum, I hope to clear some of your doubts, answer questions, reassure and point you in the right direction.

Conception is a very complicated and delicate process and many hurdles need to be overcome before this culminates in a pregnancy. (Information about the anatomy or You Tube video on the reproductive system) The events that occur are: egg is released from the ovary, one of the Fallopian tubes suck egg from the body cavity, sperms reach the tube, sperm fertilizes the egg and the embryo so formed is nurtured in the tubes while it is dividing, the embryo moves along towards the womb or uterine cavity and reaches a 'receptive' endometrium (the inner lining of the womb), the embryo sticks and eventually burrows into the lining. These events lead on to a pregnancy and a baby if the growth continues normally.

Many factors can therefore affect conception and the impediments may be present in either the man or the woman or sometimes both. Those with irregular cycles may not ovulate regularly, psycho-sexual problems may preclude intercourse, occupation or travel or lack of libido may lead to a sub-optimal frequency of intercourse (once every two to three days), number or vitality of sperms may be reduced or absent, the tubes may be blocked preventing the sperms from reaching the egg or there may be a problem with the womb. The recommended advice is when a cohabiting couple are unable to achieve pregnancy within a year of trying they should seek expert advice. I confess I do not like the term 'Infertile'. I prefer sub-fertile as fertility is below par in these people and there are ways to overcome this situation, THERE IS HOPE......


  1. Coming from a doctor I have come to know as knowledgeable as sensitive, I hope this will go a long way in answering questions! Thank you Dr. Abha!

    1. Thank you Varsha! I will certainly try my best.

  2. You have written it very well. Effectively simplified and explained, it shows a very good explanation power that you are blessed with. best wishes

  3. Thank you Dr. Pankaj Desai for your encouraging comment. Have a great day!