by Dr Agilan Arjunan , Fertility Specialist & Gynaecologist, KL Fertility Centre (Malaysia)
For many years we have known the importance of age and female fertility . A woman’s chances to get pregnant decline with advancing age.
As for men, we used to think that he can reproduce as long as he can produce sperm. That’s not the entire truth. Men’s fertility also decline with age. However, the decline is much more subtle. In the last 5-10 years , we are seeing a rapid decline in male fertility , i.e. the sperm quantity and quality is poorer even in a younger men.
In my daily practice, I too have noticed the same trend in male fertility.
Scientific research over the last decade has shown that children born to older men has higher risk of certain condition such as autism and schizophrenia. This again reminds us that men should not delay his first child.
Interestingly , a recent research found that older men maybe can produce smarter kids! When the researchers looked at relationship between father’s age and certain features in their son, they noticed that older father’s have a more ‘intelligent’ sons.
According to medical history, in the periods of Hippocrates in 460-375 BC , fibroid was known as ‘uterine stone’. The first surgery for fibroid was done for the American President Abraham Lincoln’s cousin in 1809. The term fibroid was introduced in 1860.
Many women had been diagnosed with uterine fibroid. For some the fibroid is not medically important but for some women, fibroid can cause infertility.
What is uterine fibroid?
A woman’s womb or uterus is made up of muscles known as ‘myometrium’ . This ‘myometrium’ is composed of many strands of muscle fibres.
Fibroids arise from genetic alteration in a single muscle fibre. This causes the muscles to overgrow and form a fibroid. Circulating female hormone called oestrogen can cause growth of the fibroid.
However, fibroids can also grow in low oestrogen environment , possibly due to conversion of male hormone called androgens into oestrogen. Yes, females have male hormones too!
The problem with fibroid is , it can be a silent killer. Woman may have fibroids without ever knowing about it! This is because not all the fibroids cause symptoms. Whether the fibroid causes a problem depends on the size and location of the fibroid.