Friday - - Health -

What is in­fer­til­ity? Ac­cord­ing to Dr Diana Kayal (left), spe­cial­ist in re­pro­duc­tive medicine and in­fer­til­ity at Bourn Hall Fer­til­ity Cen­tre in Dubai, in­fer­til­ity is the in­abil­ity to con­ceive nat­u­rally af­ter try­ing for a year or more. ‘We ad­vise women un­der 35 to try for a year be­fore see­ing a fer­til­ity doc­tor, and women who are over 35 to try for six months.’ What are the most com­mon med­i­cal causes of in­fer­til­ity? Causes dif­fer be­tween men and women, says Dr Eset Dzey­gova, spe­cial­ist ob­ste­tri­cian and gy­nae­col­o­gist at Dubai Herbal and Treat­ment Cen­tre. In women, it can be due to an ovu­la­tion dis­or­der, prob­lems in the fal­lop­ian tube and early menopause. Among men, it can be be­cause of ab­nor­mal sperm pro­duc­tion or over­ex­po­sure to tox­ins such as pes­ti­cides and other chem­i­cals. ‘Smok­ing, al­co­hol, [drug use] or cer­tain med­i­ca­tions, such as se­lect an­tibi­otics and an­abolic steroids, can af­fect fer­til­ity among men. Heat, such as in saunas or hot tubs, can raise the core body tem­per­a­ture and may af­fect sperm pro­duc­tion too,’ she adds. How many times should a cou­ple try as­sisted con­cep­tion? Dr Diana says it de­pends on the health of the cou­ple. ‘It is rec­om­mended that the cou­ple takes a break be­tween IVF cy­cles. This al­lows the body to heal, and gives the cou­ple time to re­cover emo­tion­ally. We rec­om­mend a cou­ple try IVF a max­i­mum of 5-6 times, and if it’s not suc­cess­ful, we sug­gest other op­tions.’

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