by Dr Brian Chaka
Many people have misconceptions about reproduction, fertility and infertility treatment. The wrong information usually comes from well-meaning friends and family members.
With increasing infertility in our country, it is vital that accurate information about reproduction, fertility and infertility treatment becomes common knowledge.
Below are eight common myths about conception.
Myth #1 – Injectable contraception, such as Depo Provera and Nur-isterate causes permanent infertility.
Fact: Studies show long-term usage of Depo Provera will only delay pregnancy at most by a year. If more than a year has passed since stopping Depo Provera, visit your doctor, as there might be other causes.
Myth #2 – A man cannot be the reason that a couple is infertile.
Fact: Just because a man has fathered children before does not mean a new infection or medical condition isn’t the cause of infertility. Remember, infertility affects male and female reproductive systems equally. Sometimes the child isn’t even his, as recently highlighted by the Minister of Justice!
Myth #3 – Eating habits and weight have no bearing on fertility.
Fact: Poor nutrition can have an impact on fertility. Women with a Body Mass Index (BMI) over 30, or those who are severely underweight may have difficulties with fertility. The same issues impact male fertility i.e. bad eating habits; lifestyle and overweight, which affect the quality and quantity of sperm.
Myth #4 – There’s no rush to see a specialist.
Fact: This rule was true when people were trying to start their families at a much younger age. If you are younger than 35, with no other health issues, you may follow this benchmark. But anyone older than 35, or anyone with any gynaecologic or medical problems (irregular or painful periods, diabetes, thyroid problems, or just about anything else), should seek early evaluation by a medical doctor or a gynaecologist.
There are numerous fertility problems that can be treated easily, but make it nearly impossible to conceive without medical assistance. The key is to be informed. Don’t wait, as time is precious when it comes to fertility.
Myth #5 – The couple’s sexual position affects their chances of conception.
Fact: No study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position.
Myth #6 – Ovulation day is best for intercourse
Fact: Sperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary.
What is critical is knowing when you are fertile. According to data from the American Infertility Association, 20 percent of couples seeking infertility treatment are not timing intercourse correctly. A woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation.
A study by the National Institute of Environmental Sciences found – much to the researchers’ surprise – that a woman’s capacity to conceive seems to end on ovulation day. The Institute recommends using ovulation kits because they let you know when you’re about to ovulate then having sex two days prior to ovulation to have the greatest chance of conception
Myth# 7 – High temperatures affect sperm production.
While it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. Nonetheless, if low sperm count is detected all measures should be taken to keep it cool down there.
Myth #8 – Vitamins and supplements should be taken after pregnancy.
Fact: Folic acid should be taken BEFORE and DURING pregnancy to reduce birth defects, such as spinal abnormalities. Discuss with your doctor before taking DHEA, also known as androstenolone or prasterone, because of the potential side effects.
These are just a few of the common myths about fertility. One thing to remember is that the science of fertility is always evolving and there are a lot of successful cases. It’s normal to have questions.
If you are experiencing problems with conception, please make an appointment with your family doctor or specialist to discuss your situation and options available to you.
* Dr B Chaka is a General Practitioner and can be contacted at bchaka2000@yahoo.co.uk or 065 251373