Infertility is the inability to conceive by natural means, and is a medical condition with high prevalence affecting nearly 10 to 15% of married couples in India. Nearly 27.5 million couples who are actively seeking children suffer from infertility. It is estimated that while female factor accounts for 40 of infertility among couples, infertility attributable to male factors is on the rise and constitutes 30-40% of infertility too.
Fundamentally there are two key factors: at play Lifestyle and clinical, Lifestyle factors such as Increasing marital age, delay in child bearing, rising alcohol and tobacco consumption and rising levels of obesity and Clinical factors such as Increasing prevalence of medical conditions such as poly-cystic ovarian syndrome (PCOS), tuberculosis, endometriosis etc.
The recently-released National Family Health Survey (NFHS)-4 (2015-16) shows a decline in fertility in both AP and Telangana state. While the national Total Fertility Rate (TFR) average is at 2.51, AP stood at 1.8, as compared to 2.6 recorded for the erstwhile undivided AP during NFHS-3 conducted in 1992-93. As per NFHS-4, TFR is 1.5 in urban areas and 2 in rural areas. The total TFR for Telangana state as per NFHS-4 is same as AP, 1.8. However, for urban areas it is 1.7 while it is 1.9 for rural areas.
Talking about the objective of conducting the Artificial Reproductive Techinques Conclave in association with WOGS & TCOG At Warangal on 28th October 2018, at NRI Auditorium, Kakatiya Medical College, Warangal. Dr Durga G Rao, Co- Founder and Medical Director of Oasis Centre for Reproductive Medicine stated that “ The key issue in infertility treatment is not just the burden of infertile couples but also the lacunae in terms of number of fertility specialist required with skill sets to treat the patients. We are conducting this ART conclave to train clinicians from across the state by the way of live workshops in the areas of management of male infertility, hands on refreshers workshop on hysteroscopy to enable the clinicians to get comprehensive knowledge from surgical perspective and a workshop in utrasonography in fertility practice” Adding more she said “At the end of it we need the participants to get empowered with knowledge and recent updates on fertility treatment aspects so that they can start treating more of infertile couples also as it is being done in association with WOGS & TCOG the clinicians will be awarded 2 credit points for attending this conclave”.
Talking on the occasion Dr Krishna Chaitanya – Scientific Head and Clinical Embryologist of Oasis Centre for Reproductive Medicine said that “ In India the general notion or myth is that infertility clinics are meant only for treating women, the entire male infertility gamut is just ignored. According to Journal of Reproductive Sciences “Male factor” infertility is seen as an alteration in sperm concentration and/or motility and/or morphology in at least one sample of two sperm analyzes, collected 1 and 4 weeks apart, in India, nearly 50% of infertility is related to the reproductive anomalies or disorders in the male. Hence it is important that the male infertility is evaluated completely when a couple come forward for fertility treatment. We, at Oasis pride ourselves about the impeccable standards we maintain in our IVF lab which is an advanced lab. The lab is crucial for the treatments offered at our centre and we ensure that the highest level of quality is maintained here. Our lab is one of the very few labs in India that has proper Total Quality Management in place which optimizes the results of the Assisted Reproductive Techniques. We are first in TS to provide advanced services like PGS/ PGD /IVM/ mTESE/ Vitrification/ Fertility preservation”.
Speaking on the occasion Dr. J Kavya Rao – Clinical Head and and Fertility Specialist at Oasis Centre for Reproductive Medicine Warangal said that “Warangal city has seen a two fold increase in terms of awareness and also an increase in number of male fertility in last 10-12 years, we come across atleast 40 to 45 pecent male fertility issue in Warangal in our Centre and mostly it is due to the genetic disorders, obesity, environmental pollution, lifestyle issues, stress the other peculiar phenomenon we encounter in Warangal is that the mean age in atleast 40 to 45 percent of the infertile couple has been actually falling from 35 plus to 30 plus which is an alarming situation”. “
Adding Further she said “Oasis is one of the few centres in India and in TS first IVF center to provide PGS & PGD .PGS & PGD with Next generation sequencing is a recent development in modern medicine which is used it assess the genetic profile of the embryo before it is implanted there by increasing the chances of healthy foetus. This is helpful in couple with multiple failed IVF cycles and previous implantation failures, recurrent pregnancy failures, male factor infertility(Azoospermia), advanced maternal age.