CME programme at Essa Lab
Dr. Samrina Hashmi
speaks about infertility

KARACHI: Dr. Samrina Hashmi MRCOG Consultant Obstetrician and Gynaecologist who is also General Secretary of PMA Karachi delivered a lecture on Sub-fertility- basic investigations and how to proceed at Dr. Essa Laboratory and Diagnostic Centre recently.  Speaking at the occasion she said that a child is one of the most beautiful gifts of God. It is very distressing for women when she does not get pregnant.

She pointed out that in half of all cases of infertile couples, it is the man who is infertile, yet in our society, only women face tragedies when a couple does not produce a child even after two years into the marriage. There are however, various basic problems, which the women themselves, or their parents, do not share with the husband, which are an important factor in the woman’s inability to have a child.

A couple should seek medical advice, if they do not get pregnant after one year of marriage and living together. If the wife is more then 30 years of age they should approach after six months of trying, as increasing female age has profound effects on success rate of treatments cycles.  A woman over thirty years has much lower chances of becoming pregnant and should be referred for assisted reproduction, or to specialized centers in case she has failed to have a child after two years of the marriage, Dr.  Samrina Hashmi stated.

As far as the man is concerned it is important that doctors ask the husband to get a SEMEN ANALYSIS report since the true cause of infertility can never be established without taking both partner on board. The wife and husband should go together, to see the expert. The couple is interviewed in detail about their reproductive and health history to identify possible reasons for the causes of their infertility.

She concluded her presentation by stating that infertility is a serious problem which must be dealt with sympathy and expertise. Consulting time as per requirement should be given in proper setting. Ovulation induction and ART are solution for many infertile couples. Optimal results depend upon experience and judgment of clinician and sound knowledge and understanding of reproductive endocrinology. Male partner should be checked first and if needed both should be treated. Proper selection of patient and choice of drugs offer rewarding results. However, the last option is of adoption. (PR)

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