Trying to have a baby but unsuccessful? What’s your next step should be?

By Dr. Shweta Goswami 

I have seen many cases in my career as an IVF Expert where over 10% of reproductive-age couples are unable to conceive even after a year of trying. There are many possible reasons for this, including issues with the male’s sperm, the woman’s ovulation, hormonal issues; from being very underweight or very overweight, or from thyroid, cervical or uterine problems, or blocked fallopian tubes. 

What to do if unsuccessful.? 

The first step to identify possible issues contributing to a couple’s inability to conceive. Both man and her woman should undergo a physical exam depending on the risks identified, further testing is done to specifically identify the limiting conditions. This may include testing to examine the male’s sperm (amount, motility, etc.), evaluation of the female’s anatomy (for example a hysterosalpingogram, ultrasound, and/or other tests) and evaluation of the women’s ability to ovulate (possibly including hormonal testing and/or other tests). 

In fact out of 100% nearly 30% of all infertility cases, the cause is attributed to a problem in the male, 30% of cases, the cause is attributed in female and 30% to both male and female factors and rest 10% is unknown. 

The main cause of infertility is the 

• abnormalities in sperm of males which includes low sperm production or immobile sperm. 
• tubal issues in the woman account for another third, ovulation issues for about 15 percent, and
• other issues or no explanation identified in the rest. 

What treatment to go for when the cause is identified? 

Once a cause is identified, a specific care plan can be developed. This may include treatment for the male partner (or even consideration of using sperm donation), medical treatment of the woman to help increase ovulation (including weight

Why there is a loss of libido?

By Dr. Shweta Goswami 

Loss of libido (sex drive) is a common problem that can affect men and women of any age. It is normal for many people to loss sex drive after a certain age especially women. Usually it happens when you attain Peri-menopausal age which is 42 onwards. Usually women feels mood swings, vaginal dryness and pain during intercourse during the peri-menopausal phase i.e before menopause and after the age of 45 and above which is the ideal age of menopause, levels of the female hormone oestrogen begin to fall in their blood, which can affect libido and they loss interest in sex. 

What causes loss of libido: 

1. Physical issues: Physical issues such as low testosterone as they are responsible for building muscles and bone mass and stimulating sperm production. Decreasing testosterone is a normal part of aging. However, a drastic drop in testosterone can lead to decreased libido 

2. Medications: Certain medications can sometimes reduce libido in men: like medication for high blood pressure medications may prevent ejaculation and erections or any other allergy to certain drugs medication for hyperprolactinaemia, a rare disorder in which the gland at the base of the brain is producing too many hormones; anti-androgenic drugs such as

Your Lifestyle may be the cause of your infertility

By Dr. Shweta Goswami 

There is an old saying that “Good practices reap good results and bad practices reap bad results”. Here in the process of your parenthood your lifestyle choices plays a pivotal role which decides your fertility levels. If you have opted whole life the good choices then results will be good and vice versa. Modern day habits like easy reach to junk food, no physical activity, and sedentary lifestyle can reduce your chances of conceiving children. This is especially true in this time and age, where couples prefer to have babies late (in their mid 30s). In such a scenario, lifestyle choices become even more important. 

Here in my post, let’s throw some light on the various factors that can negatively affect your fertility levels. 

First and foremost your Age: 

Age is one such issue which tops the list because you can’t do anything about it. There’s no medicine, no cure for old age and the disabilities that come with it. The only thing you can do is plan your future well and make the best of today. The ideal age for pregnancy is the mid-to-late 20s. If you want to wait, then you can push that limit to 35. After 35, the chances of a successful pregnancy starts declining. 

Smoking, a lifestyle choice: 

Smoking has been associated with infertility in both male and female partners. It’s also known to cause many other problems in women, such as increased rate of

Vitamin E improves fertility among men

By Dr. Shweta Goswami 

Infertility is a common problem now. No one knows that what the exact cause of infertility is. Lifestyle plays a vital role in our fertility issues. For example what we take inside our body directly impacts on fertility if we drink alcohol or smoke regularly it badly affects our fertility. 

Studies have shown that certain nutrients if we consume on a regular basis can directly impact the sperm quality in men and can ultimately results in improved pregnancy rates. Many times it is said that low levels of Vitamin E can cause impotence in men. Lack of vitamin E also causes low sex drive and infertility. So, in a way vitamin E is considered as very important nutrient for men. Vitamin E acts as a anti oxidant protecting cell membranes from oxidative damage. 

In a study conducted in USA, men undergoing IVF treatment who have been given vitamin E have shown better fertilization rates which suggest that the antioxidant activity of vitamin E makes the sperm more fertile. Vitamin E is known to

How old is too old to have a baby.?

By Dr. Shweta Goswami 

We all witnessed the recent news of an Indian couple where the woman of 72 years of age and her husband 79 years of age gave birth to a baby boy but at the same time we know that age factor is directly associated with decreasing fertility in women; their eggs grow old. But age does affect the fertility level in men too. 

Yes, you heard it right. Age is not a difficulty in women but after the age of 30, there is a drop in testosterone of 1% per year in men too. Testosterone is the energy, the hormone that you need to make good-quality sperm. It’s not just women who have to worry about their ticking reproductive clock. Men's sperm quality seems to decline after the age of 35. The older a man is the more his sperm cells are dived, and the more divisions present, the more there is a chance for an abnormality to occur. 

In males, sperm motility changed with age. Sperm motility is how well the sperm swim. Sperm motility is usually the best before age 25 and lowest after age 55. In fact, when comparing the number of “good swimming” sperm in men between the ages 30 to 35 with men over age 55, sperm motility decreased by 54 percent. 

In fact many studies have claimed that pregnancy rates decrease between 23% to 38% in comparisons between men under 30 and men over 50. Increased paternal age

Trying to conceive then quit smoking

By Dr. Shweta Goswami

If you are a chain smoker and trying to get pregnant then please stop smoking as cigarette smoking is harmful to the ovaries, and the degree of damage is dependent upon the amount and length of the time a woman smokes or is exposed to a smoked environment. Nicotine and other harmful chemicals in cigarettes interfere with the body’s ability to create estrogen, a hormone that regulates folliculogenesis and ovulation. Female smokers also have decreased rates of fertility and decreased fallopian tube function. It not only can lead to all kinds of serious problems with the baby but also reduces the chances of IVF producing a live birth by 34% and increases the risk of an IVF pregnancy miscarrying by 30%. A pregnant woman who smokes also adds a risk to pregnancy. 

If you smoke for many years or smoke many cigarettes per day, your risk for fertility problems is increased. When you smoke, more than 7000 chemicals spread throughout your entire body and all of your organs. This can lead to serious fertility problems like blocked fallopian tubes, damage to your reproductive organs, premature menopause, genetic issues etc.  Ovarian aging is thought to be a major contributor to unexplained infertility. 

Not only that but due to the toxins that released from cigarettes; smokers are more likely to suffer from miscarriage than nonsmokers. In addition, smoking increases

Stress declining fertility level among males

By Dr. Shweta Goswami 

Stress is the most over used term these days and there are numerous problems that stress causes like asthma, heart problems, constant headaches, obesity, depression and many more. Infertility is said to occur when a couple fails to conceive despite of one year of trying without any protection. Many researches in the past have shown the results that stress is the main factor that causes infertility in men.   

One of the very popular myth is that infertility is always a woman’s problem. In fact out of 100% nearly 30% of all infertility cases, the cause is attributed to a problem in the male, 30% of cases, the cause is attributed in female and 40% to both combined male and female factors . 

The main cause of male infertility is the abnormalities in sperm which includes low sperm production or immobile sperm. In addition to this one’s lifestyle plays a pivotal role in fertility levels. In today’s time stress is inevitably creeping into our lives and increasing cases of infertility globally. This has been scientifically established by comparing fertility levels of men in the older times compared to the present scenario with a definite increase in stress levels also on comparison.

Men with hectic jobs are at the highest risk of infertility especially those who works in night shifts are affected more as compared to men working in morning shifts as their biological clock is very badly disturbed. They sleep during the day and to keep themselves awake, they often smoke, which damages the system further. The stress at work place and sitting for long