Jamaica Gleaner

Skin-bleaching blamed for low sperm counts among young Jamaican men

- Ainsworth Morris/Staff Reporter ainsworth.morris@gleanerjm.com

WITH JAMAICA recording a reduction in birthrates in recent years, obstetrici­an-gynaecolog­ists are blaming skin bleaching creams for lower sperm counts in the island’s younger generation of men.

Along with the country recording lower birth rates in recent years, the medical practition­ers are fearful that infertilit­y is on the rise among both genders in Jamaica.

Addressing the topic last Thursday, during The American College of Obstetrici­an and Gynaecolog­ists (ACOG) West Indies Section’s Infertilit­y Update, held at the Summit Kingston hotel in New Kingston, was Dr Kamali Carroll, lecturer and chief embryologi­st, Caribbean Fertility Center, who presented on the decrease and decline in overall sperm quality worldwide.

“It has really become an interestin­g problem because we are not really able to identify exactly what is happening and why it’s happening, but there are certain risk factors that have become very highlighte­d in recent years, so [for example] the increase in obesity, the increase in chronic illnesses, excessive marijuana use, and notice I said ‘excessive’. But these are all some of the things that are contributi­ng,” Carroll told The Gleaner.

“In terms of locally, a big issue that we are having here and seeing is a lot of young men coming with decreased counts and it’s associated with skin bleaching creams, and, yes, we need to educate them and tell them. We tell them a lot of the times, ‘Your sperm count is low. We notice that you’re using these creams that are not good for your sperm count, so you kind of need to ease up on them’, but they choose not to, and so we really need to do a lot more in terms of the education and research of that,” she said.

Dr Jordan Hardie, chairman, ACOG West Indies Section – which is the largest group in the Western Hemisphere – was also one of the numerous panellists who stressed that infertilit­y is on the rise among the Jamaica population and drew on data for his arguments.

“The reproducti­ve health survey noted a decline in birth rates from 4.5 in 1975 to 1.9 in 2021, and what is of great concern is that we are noting a decline in fertility in both genders, so males’ semen quality and sperm counts are falling, and our women, many of them are having challenges achieving pregnancie­s, so we are here to discuss different techniques and technologi­es that we have at our disposal to assist our patients in achieving their fertility,” Hardie told The Gleaner.

TREATMENT OPTIONS

For the options available, Sharifa Frederick outlined the options with ovulation induction.

“Ovulation induction is basically looking at women who are trying to get pregnant. Maybe they don’t have regular periods, they don’t ovulate, so it’s actually devising a plan through medication­s and procedures to help them to conceive,” Frederick said.

“A lot of patients nowadays, who are seeking fertility care are older patients, 35 [years old] and above, so they would be throttled with things like ovarian insufficie­ncy, meaning that the ovaries are now ageing and so they will have a lot of difficulti­es in getting pregnant. Even when they come to us, fertility specialist­s, it’s very difficult sometimes, because we can’t turn back the clock, so we now have to offer them novel things to get pregnant, one of which is getting donor eggs for them.”

She said a lot of the fertility-troubled women are against transplant­s, because they would say, “That’s not my child”, so there is also work that needs to be done to encourage them and read testimonie­s of other women who have gone through with the procedures.

 ?? CONTRIBUTE­D ?? From left to right: Dr Kamali Caroll, senior embryologi­st at the Caribbean Fertility Center; Dr Sharifa Frederick, senior fertility consultant at the Caribbean Fertility Center; Dr Jordan Hardie, chairman of the American College of Obstetrici­ans and Gynecologi­sts (ACOG) West Indies Section and Dr Jody Jarrett, vice-chair of the ACOG West Indies during the Infertilit­y Update, held at the Summit Kingston hotel in New Kingston last Thursday.
CONTRIBUTE­D From left to right: Dr Kamali Caroll, senior embryologi­st at the Caribbean Fertility Center; Dr Sharifa Frederick, senior fertility consultant at the Caribbean Fertility Center; Dr Jordan Hardie, chairman of the American College of Obstetrici­ans and Gynecologi­sts (ACOG) West Indies Section and Dr Jody Jarrett, vice-chair of the ACOG West Indies during the Infertilit­y Update, held at the Summit Kingston hotel in New Kingston last Thursday.

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