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Changing Lifestyles and Declining Fertility
Today we live life on the fast track, controlled and manipulated like clockwork robots. Life is a mad rush to compete, excel, accumulate wealth and often spend in a ‘riotous’ life.
The human body is comfortable. Food, sleep, recreation, sex are the necessities that keep a person healthy. An imbalance of any of these essentials is bound to create physical and psychological upheavals. Nowhere is this more evident in the field of reproduction and reproduction. Over the past forty years, fertility has declined, particularly in developed countries or where education levels are high. Another factor is the rapidity of social change.
Either women, men or couples jointly, can be the cause of reduced fertility.
o The changing role of women is considered a major reason. About 64% of all working women are married. In some families they are the sole bread winners. This empowerment has given women a lot of attitude in both their behavior and fashion statements. Many working women claim they lack domestic skills.
o Changing lifestyle: Smoking, drug and alcohol consumption can adversely affect fertility. One described a child born to an alcoholic mother as a “wretched little creature, starving, withered and imperfect.”
o Risky behavior: Removing sex from marriage has led to premarital cohabitation and extramarital affairs. This is an important trend of the millennium. So women are exposed to sexually transmitted diseases, HIV, AIDS and other bacterial infections, which can block the tubes. Repeated terminations of unwanted pregnancies can also leave residual infections in the fallopian tubes or cause uterine incompetence. When the woman finally decides to carry her pregnancy, the latter can cause repeated abortions.
o Delayed Marriage and Delayed Pregnancy: The ill effects of postponing pregnancy till too late cannot be ignored. The most fertile period in a woman’s life is between the ages of 22-30. Fertility declines after forty years. Although many women like Cherie Blair and Susan Sarandon have given birth in their late forties, this is definitely not an ideal age. With increasing age, the chances of spontaneous abortions and abnormal fetuses increase. Pregnancy-induced hypertension, eclampsia, or diabetes can lead to medical complications. Labor can also be difficult, and the incidence of operative delivery increases.
High blood pressure, diabetes, coronary heart disease are problems of middle age. When these are already present, pregnancy places them in the ‘high risk’ category. Fetal growth may be affected or chromosomal abnormalities may occur. Children born to such mothers may also be genetically programmed to suffer from similar diseases in adulthood.
o Identity crisis: dual roles of homemaker and wage earner, long working hours, lack of sleep, women suffer from anxiety and stress. Stress acts on the adrenal glands which are overactive, and also produce small amounts of male hormones. Many career women are aware of this. Some choose to ignore it but others opt to leave their high powered jobs for motherhood.
Cortisol leads to a higher waist:hip ratio. Some time ago the BMJ published an interesting article about how body fat distribution can affect fertility more than age or obesity. Researchers in the Netherlands reported that a 0.1 unit waist:hip ratio reduced pregnancy rates by 30%, regardless of age or weight.
Studies in the US show that 25-30 million men suffer from a decline in sperm count over the years. Another study by the Mumbai Institute of Research for Fertility found that sperm quality and quantity have declined over the past two decades. Tested on 1500 men between 1986-95, it showed a 30% reduction in sperm count and 10% in motility. A similar trend was seen in England, France, Denmark, Scotland and Finland. In the West, it was attributed to an increase in testicular cancer, and in India, to pollution from pesticides containing a high percentage of lead.
o Behavioral changes: “metrosexuals” are learning to be more feminine, more sociable and more emotional. They prefer to print themselves like women. Male beauty products increased by 30%, and requests for plastic surgery increased by 20%. According to the New York Times, male models look “chicken-chested, hollow-cheeked and malnourished.”
With wives who are financially independent, many feel powerless. They are confused about their position within the family, and even classify themselves as the “new oppressed minority”.
o Lifestyle: Attractive and competitive jobs are not without their share of stress. Irregular
Eating time, fast food, processed food, lack of exercise, constant busyness of TV or Internet make both male and female body insulin resistant. As a result, more insulin is produced, and there is more fat accumulation, which leads to obesity, which reduces fertility.
Alcohol, although it increases desire, decreases performance. Drugs like marijuana reduce testosterone levels by up to 41%. Narcotics, tranquilizers and some medications are known to reduce fertility.
Similarly, infections like TB, gonorrhea cause epididymal blockage.
o Fashion: A normal sperm count is between 60-200 million/ml. Studies show that in men between the ages of 30-40 the count drops by 1/3. This may be due to the groin hugging jeans popular among the youth. Tight jeans push the testicles into the body, where the temperature of 98.6 degrees is 3 degrees higher than the testicles. Similarly, men who use laptops also increase the temperature of the testicles, as laptops operate at 70 degrees Celsius. Anyone who keeps their cell phone in their pocket or strapped to their belt while using an earpiece to chat may also be compromising their sperm.
o Age: Men may be able to maintain their virility into their seventh decade, but the belief that they can produce normal children is debated. Advanced paternal age may lead to autism or schizophrenia in their offspring. Harry Fisher in his book “The Male Biological Clock” states that fertility declines with age and the risk of genetic abnormalities in their offspring is high.
o Andropause or male menopause can occur between the ages of 50-60. In addition to other symptoms such as fatigue, loss of muscle mass, prostate enlargement and emotional problems, men suffer from a lack of libido.
As income and social status increase, sexual activity decreases. Sometimes couples try to outdo each other in terms of job status or earning potential. This creates a “no win” situation in the bedroom. Many dual-income couples say they don’t have time for sex. 50% of these suffer from infertility due to infrequent sexual activity. When this happens, it is a mechanical ritual.
Many men find it difficult to reconcile the demands of living with modern wives. With the changing sex equation, women not only show their sexuality but demand fulfillment. When depressed, they openly express their dissatisfaction with their spouse. It 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 intercourse. Absent husband syndrome is responsible for low sperm count.
Voluntary childless couples are on the rise. This can be by mutual consent. The fear of what children might do to such career-oriented people deprives them of sexual satisfaction. Sex becomes an enemy to be avoided at all costs. As natural urges are repressed, marital instability can occur. Sexual anorexia manifests in psychological symptoms including infertility.
On the other hand, it can also lead to addiction to extra-marital escapades or secret sex.
Some couples consider the high cost of raising and educating children, and want none.
It is time for couples to re-evaluate their lifestyle and work patterns. Sorting out the balance of power in a marital partnership will facilitate ‘oneness’ and ‘inherence’. Families are important building blocks of society, and children are a ‘divine heritage’.
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