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Changing Lifestyles and Declining Fertility
Today we live life in the fast lane, controlled and manipulated like robots, by the hands of the clock. Life is one mad rush to compete, excel, accumulate wealth and often spend it in “debauched” living.
The human body is comfortable. Food, sleep, recreation, sex are requirements that keep a person healthy. An imbalance in any of these essentials will create physiological and psychological disorders. Nowhere is it more explicitly evident than in the field of Reproduction and Fertility. In the last forty years, Fertility has shown a decrease especially in rich countries or where the level of education is high. Speed of social change is another factor.
Either the woman, the man or the couple together, can be the cause of a decrease in fertility.
o Changing roles of women were cited as the foremost reason. About 64% of all working women are married. In some families they are the only breadwinners. It is this empowerment that has given women a lot of attitude in both their behavior and fashion statements. Many working women claim that they have no domestic skills at all.
o Changing Lifestyles: Smoking, drugs and alcohol consumption can have an adverse effect on fertility. Someone described a child born to an alcoholic mother as “a pathetic creature, hungry, shriveled and imperfect.”
o Risky behavior: Uncoupling gender from marriage led to cohabitation before marriage and extramarital affairs. Promiscuousness is a significant trend of this millennium. Women are therefore exposed to sexually transmitted diseases, HIV, AIDS and other bacterial infections that can cause blockage of the tubes. Frequent termination of unwanted pregnancies can also leave residual infection in the fallopian tubes or cause incompetence of the cervix. The latter can cause recurrent miscarriages when the woman later decides to keep her pregnancy.
o Late Marriages and Late Pregnancies: The ill effects of delaying pregnancy until very late cannot be ignored. The most fertile period in a woman’s life is between 22-30 years. Fertility declines after forty. Although many women like Cherry Blair and Susan Sarandon have given birth in their forties, this is certainly not an ideal age. As one ages, the probability of spontaneous abortions and abnormal fetuses increases. Medical complications such as pregnancy induced hypertension, Eclampsia or Diabetes can occur. Jobs can also be difficult, and the incidence of operative deliveries is increasing.
Hypertension, Diabetes, Coronary heart disease are problems of middle age. When these already exist, pregnancy puts them in a ‘high risk’ category. The growth of the fetus may be affected or there may be chromosomal abnormalities. Children born to such mothers may also be genetically programmed to suffer from similar diseases in their adult life.
o Identity Crisis: Due to the dual roles of home maker and wage earner, long working hours, lack of sleep, women suffer from anxiety and tension. Stress acts on the adrenal glands, which become overactive, and even produce small amounts of male hormone. Many career women are aware of this. Some choose to ignore it, but others quit their high-powered jobs and choose motherhood.
Cortisol leads to a higher waist:hip ratio. A while ago the BMJ carried an interesting article about the way body fat distribution can affect fertility more than age or obesity. Researchers in the Netherlands reported that 0.1 unit in waist:hip ratio led to a 30% decrease in conception rates, regardless of age or weight.
Studies from the United States show that 25-30 million men have suffered from a decline in sperm count over the years. Another study by the Mumbai Research Institute for Reproduction shows that the quality and quantity of sperm has declined over the past few decades. Tests were carried out on 1500 men between 1986-95, which showed a reduction in sperm count by 30% and a reduction in motility by 10%. Similar trends were noticed in England, France, Denmark Scotland and Finland. In the West, this has been attributed to an increase in testicular cancer, and in India, due to pollution with pesticides containing a high percentage of lead.
o Behavioral changes: “Metrosexuals” learn to be more feminine, more accommodating and more emotional. They like to dress like women. Male beauty products increased by 30%, and those requesting plastic surgery increased by 20%. According to the New York Times, male models look “chicken-chested, hollow-cheeked and malnourished.”
With wives who are economically independent, many feel powerless. They are confused about their status within the family, and even classify themselves as the “newly squeezed minority”.
o Lifestyles: Lucrative and competitive jobs are not without their share of stress. erratic
mealtimes, fast food, processed food, lack of exercise, constant involvement in television or internet makes both male and female body resistant to Insulin. As a result, more insulin is produced, and there is more accumulation of fat, leading to obesity, which reduces fertility.
Alcohol, although it increases desire, decreases performance. Drugs such as marijuana reduce testosterone levels by up to 41%. Narcotics, tranquilizers, and certain medications are known to reduce fertility.
Similarly, infections like TB, Gonorrhea cause epididymal obstruction.
o Mode: The normal sperm count is between 60-200 million/ml. Studies show that numbers have decreased by 1/3 in men between 30-40 years of age. This may be due to groin hugging jeans which are popular with young people. Tight jeans push the testicles back into the body, where the temperature of 98.6 degrees is 3 degrees higher than in the scrotum. Similarly, men using laptops also increase the temperature in the scrotum, as laptops operate at 70 degrees C. Those who keep their mobile phones in their pockets or attached to belts while using an ear piece to chat can also endanger their sperm.
o Age: Men may be able to maintain their virility into their seventh decade, but the belief that they could father normal children is disputed. Advanced paternal age can cause autism or schizophrenia in their offspring. Harry Fischer in his book “The Male Biological Clock” says that fertility decreases with age, and the risk of genetic abnormalities in their offspring is high.
o Andropause or male menopause can occur between 50-60 years of age. Men suffer from loss of libido in addition to other symptoms such as fatigue, loss of muscle volume, enlarged prostate and emotional problems.
As income and social status increase, sexual activity decreases. Sometimes couples try to outdo each other in work status or earning capacity. This creates a “no-win” situation in the bedroom. Some dual-income couples say they don’t have time for sex. 50% of these suffer from infertility due to infrequent sexual activity. When it happens, it is a mechanical ritual.
Many men find it difficult to adapt to the demands of living with modern wives. With changing gender equations, women not only flaunt their sexuality but demand fulfillment. When disappointed, they openly express dissatisfaction with their spouses. This can cause psychological infertility and impotence in men.
When husbands work in other cities or countries, or are often away from home, such as pilots or traveling salesmen, there is less opportunity for marital sex. The “Absentee Husband Syndrome” is responsible for low sperm counts.
Voluntary Childless Couples are on the rise. This can be by mutual consent. Fear of what children can do to such career-oriented people makes them deprive themselves of sexual satisfaction. Sex becomes an enemy to be avoided at all costs. As natural urges are suppressed, instability in marital relationships can begin. Sexual anorexia expresses itself in psychosomatic symptoms including infertility.
On the other hand, it could also lead to extramarital escapades or create an addiction to clandestine sex.
Some couples consider the high cost of feeding and educating children, and prefer not to have.
It’s time for couples to reevaluate their lifestyles and work patterns. Sorting out power balances in a marriage partnership will facilitate “togetherness” and “intimacy”. Families are important building blocks of society, and children are ‘divine heritage.’
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