Infertility has become one of the most common health issues that couples face in recent years. Infertility can be caused by a sedentary lifestyle with little physical activity, addictions, stress levels, different food habits, and irregular sleeping patterns, to name a few factors.
According to numerous studies, parenting is an essential part of most couples’ lives, and infertility is the most common health issue.
“Involuntary childlessness brings psychological and psychosomatic disorders, primarily in women, and has become a real social stigma,” says Dr. Hrishikesh Pai, among the best IVF specialists from Delhi.
They not only show signs of depression, distress, or high levels of anxiety, but they also have less social support. As a result, knowing your fertility score will be beneficial.”
What Is the Definition of Infertility?
After one year of regular sexual intercourse without protection, infertility is defined as the failure to achieve a clinical pregnancy.
“There is strong evidence that many female and malefactors, such as failure to ovulate, menstrual cycle issues, reproductive system structural issues, infections, egg maturation defects, implantation failure, endometriosis, polycystic ovary syndrome, primary ovary insufficiency, autoimmune disorders, and uterine fibroids, can all contribute to infertility.”
Female infertility and aging are caused by failure to ovulate, which reduces ovarian reserve. Ovulation disorders, oligospermia, and azoospermia have all been linked to lifestyle and environmental factors, according to Dr. Hrishikesh Pai, Delhi’s excellent IVF doctor.
Semen analysis, ovulation evaluation, hysterosalpingogram, and ovarian reserve test are among the couple’s tests. If all of the tests come back standard, the couple is diagnosed with infertility.
In previous studies, women’s fertility is affected by smoking, a high or low body mass index (BMI), and excessive caffeine or alcohol consumption.
Physicians advise their patients to maintain a healthy BMI and limit caffeine and alcohol consumption.
In these situations, the best treatment for patients is determined by the woman’s age and length of infertility.
Women of advanced age should have their reproductive health promoted by primary care physicians, educating them about their fertility potential.
“We score the contribution of these factors to the couple’s fertility by taking into account age, length of the marriage, lifestyle, and environmental factors on fertility, as well as the availability of assisted reproduction treatment (ART).” Dr. Hrishikesh Pai from Delhi, says, “We believe this will improve the outcome of fertility treatments and assist physicians in making the best decision for the couple’s next step.”
Using the Fertility Score to Make a Decision.
The Fertility Score Predictor (FSP) app assists in determining fertility potential in larger social contexts.
It is a simple and efficient method for calculating the couple’s score and determining which treatment category it belongs to.
Its goal is to educate the couple, their families, practitioners, and family physicians to provide a simple yet effective treatment road map for the anxious couple.
FSP, on the other hand, is beneficial for couples who can conceive without fear of falling into the treatment cycle’s vicious cycle.
The use of FSP could aid the couple’s decision-making process during infertility treatment.
The couple will determine their fertility potential, treatment options, and the severity of the situation using this simple and user-friendly application.
As a result, FSP can provide a road map and raise awareness about infertility treatment among the general public and improve decision-making among practitioners and gynecologists.
According to Dr. Hrishikesh Pai, the fertility score is classified by number and color-coded as follows:
- Green (over 20 points): Expectant management includes dietary changes, stress reduction, and a genuine attempt at conception for six months to a year. Weight loss, quitting smoking, and reducing caffeine consumption are all recommended for at least six months.
- Blue (score 15–19): Consultation with a fertility specialist to perform all basic investigations, timed intercourse (TIC), detection of ovulation by urinary kit or basal body temperature (BBT), or sonographic assessment are all examples of active participation in treatment options. All routine investigations, female hormonal investigations, and male semen analyses are included in primary studies.
- Orange (10–14 score): Consistent and active management, including ovulogens and gonadotropins for ovulation induction, 3–6 cycles of intrauterine insemination (IUI), and an endoscopy procedure.
- Red (5–9 score): IVF, ICSI, intracytoplasmic morphologically selected sperm injection (IMSI), testicular sperm extraction (TESE), percutaneous epididymal sperm aspiration (PESA), micro-TESE, assisted laser hatching, blastocyst embryo transfer, time-lapse monitoring for 3–6 cycles.
- Black ( less than 5 points): Other options include gamete donation, surrogacy, embryo donation, and uterine transplant.
Patients with black and red color results should receive IVF treatment, orange color patients should receive IUI, blue color patients should begin active involvement in treatment options, and green color couples should receive expectant management, according to FSP reading.
Note that the patient’s age, marriage length, menstrual cycle, sexual history, and any known obvious diagnosis related to infertility are all factors that influence the patient’s score.
“Because there is a significant association between the score (color group) and the treatment given, FSP could be useful in predicting the appropriate treatment that the couple should receive to achieve the best outcome.”
According to Dr. Hrishikesh Pai, an expert IVF specialist from Delhi “this association suggests that the score is suitable for detecting patients with good fertility potential or lower fertility potential at an early stage.”