Infertility rates continue to rise annually, with experts noting that many women have not discussed their fertility health with their doctors. Studies show that 7 out of 10 women have not had a conversation with their physician about fertility, which is essential in today’s changing reproductive landscape.
In Texas, the fertility rate in 2023 was 60.6 births per 1,000 women aged 15 to 44. This marks a sharp decline from 2007 when the rate was 79.2 births per 1,000 women. The drop in birth rates has raised concerns among experts.
Dr. David Prokai, a fertility specialist at Aspire Fertility in Austin, explains that one key factor contributing to the rising infertility numbers is the trend of people delaying starting families. “People are waiting longer for various reasons, and that’s likely the biggest cause of the increase in infertility,” he said.
He further noted that education about fertility is limited. Many people don’t think about fertility until they are ready to have children. “Infertility affects one in six couples,” Prokai pointed out, which means it’s a common issue even if it’s not often discussed.
The Role of Age in Fertility
Prokai emphasizes that age-related infertility is something all women face. “We need to acknowledge that fertility naturally declines with age, especially after 35 or 40,” he said. He believes this fact is not sufficiently emphasized in fertility education. While some women may still conceive later in life, Prokai advises that anyone considering pregnancy after 35 should consult their doctor early.
“Even if it’s just a small thought or concern about fertility, it’s a good idea to ask your doctor,” he advised.
What Causes Infertility?
Infertility can result from a combination of factors, including ovarian, anatomical, and hormonal issues. Prokai explained that fertility specialists look at a patient’s menstrual cycle, ovulation, egg count, and overall reproductive health to diagnose the cause of infertility.
“It’s important to remember that male health, including sperm count and overall health, plays a significant role in fertility, too,” Prokai said.
Common Fertility Misconceptions
One major misconception Prokai encounters is the belief that birth control causes infertility. “Hormonal medication like birth control does not cause long-term infertility,” he said. Another myth is that couples must time intercourse perfectly. Prokai dispels this notion, explaining that focusing on the perfect timing can add unnecessary stress to the process. There is no “perfect date” for conception.
The Impact of Social Media on Fertility Information
While social media can be a helpful source of information, Prokai warns that it can also spread misinformation. Personal fertility stories shared online can be compelling, but they often fail to reflect the wide variations in individual health. “It’s crucial to remember that everyone’s fertility journey is different,” he said.
Patients should feel free to discuss any treatments or tests they come across on social media with their doctors to ensure they have accurate information.
Fertility Preservation: A Growing Solution
For those worried about future fertility, preservation methods like egg, embryo, and sperm freezing offer valuable options. Prokai highlighted that fertility preservation is particularly important for patients with chronic health conditions, such as cancer, who may face treatments that could affect their fertility.
“These patients are ideal candidates for preservation,” he explained. “By freezing eggs, sperm, or embryos before undergoing surgery or chemotherapy, they can give themselves a better chance to conceive when they’re ready.”
In conclusion, while fertility challenges are on the rise, education, early consultations with doctors, and preservation methods provide solutions that can help individuals navigate their reproductive health.
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