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.
by Dr Agilan Arjunan , Fertility Specialist , KL Fertility Centre (Malaysia)
Have you ever gone through a fertility assessment before?
For those who had done it , you know that it can initially look very complicated with all those internal ultrasound scans, blood tests, x-ray tests and sperm test. For those who have not, rest easy as all those tests are simplified for you.
Fertility test are divided into 2 , tests for female and test for male partner.
For a man , the most important test is a semen analysis (sperm test). About a third of couples has a major problem with the male partner and thus it is very important to do this test.
“A 70 year old man can still reproduce, so this can’t be a major issue right?” . Its yes and a no. It is true that a man continues to produce sperm but the QUALITY of the sperm deteriorates as he ages. Low sperm quality equals to low chance to conceive.
by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)
Hi ! We meet again in another of our educational ‘story’.
Many of you may be familiar with the 2003 movie ‘Pirates of The Caribbean : The Curse of The Black Pearl’. The curse of the Aztec King made the pirates, who stole the golds, undead and miserable.
Let me tell you of another curse that existed long ago that till today plagues our women…The curse of the Fibroid.
According to medical history, in the periods of Hippocrates in 460-375 BC , it 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.
by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre ( Malaysia)
Mrs M walked into the clinic with her beautiful daughter Maya, aged 5 . She is a happily married woman and conceived Maya within their first 6 months of marriage. Her pregnancy was well and Maya was delivered via a caesarean delivery.
The obvious question popped up in my mind, “ How can I help you ?”
“ Well one ain’t enough and we have been trying for a second child for the past one and a half years. I just don’t understand why i am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again ?”
She is just one out of many women who find it difficult to believe that they are struggling for a second child or what is medically known as secondary subfertility.
What leads to secondary subfertility ? Let’s find out why.