In an exclusive conversation, Dr. Hrishikesh Pai, Consultant Gynaecologist & IVF Specialist, discusses the changing fertility landscape, the growing impact of modern lifestyles on reproductive health, and the need for greater awareness around fertility preservation. Drawing from decades of experience in reproductive medicine, he shares valuable insights on how individuals and couples can make informed decisions about their fertility while embracing the latest advancements in treatment and care.
Q1. Fertility conversations are becoming more mainstream today. What factors have contributed to this shift in awareness?
Over the past decade, there has been a noticeable increase in public awareness around fertility and reproductive health. Greater access to information, increased media discussions, and a willingness among individuals to openly discuss fertility challenges have all contributed to this shift. Additionally, changing societal patterns, including delayed parenthood and lifestyle-related health concerns, have made fertility a more relevant topic for many individuals and couples.
Q2. Many young professionals today choose to delay parenthood. What should they know about preserving their fertility options for the future?
While career growth and personal aspirations are important, it is equally important to understand that fertility naturally declines with age. Awareness is key. Individuals should proactively seek information about their reproductive health and consider fertility assessments when appropriate. Advances in fertility preservation, including egg and sperm freezing, have provided greater flexibility for people who wish to delay family planning while preserving future reproductive options.
Q3. How significantly do lifestyle choices impact fertility in both men and women?
Lifestyle plays a crucial role in reproductive health. Factors such as poor diet, obesity, smoking, excessive alcohol consumption, lack of physical activity, inadequate sleep, and chronic stress can negatively affect fertility. Fertility is closely linked to overall health, and adopting healthy habits can contribute positively to reproductive outcomes. Small but consistent lifestyle changes can often make a meaningful difference.
Q4. What are some of the common misconceptions about infertility that still persist today?
One common misconception is that infertility is primarily a woman’s issue. In reality, male-factor infertility contributes significantly to fertility challenges. Another misconception is that IVF can overcome all fertility issues regardless of age. While IVF has advanced considerably, age remains an important factor influencing outcomes. There is also a tendency to delay seeking help due to stigma or misinformation, which can reduce available treatment options over time.
Q5. How can healthcare providers encourage earlier fertility assessments and intervention?
Education and preventive healthcare must become integral to fertility care. Just as people undergo routine health check-ups, fertility assessments should be viewed as part of overall reproductive wellness. Healthcare providers can play a critical role by initiating conversations about fertility planning, especially among individuals who may be considering delaying parenthood. Early awareness empowers people to make informed decisions.
Q6. What role do you see fertility preservation playing in the future of reproductive medicine?
Fertility preservation is expected to become increasingly important. Beyond individuals choosing to delay parenthood, it offers valuable options for patients undergoing medical treatments that may affect fertility, such as cancer therapies. As awareness grows and technologies continue to improve, fertility preservation will become an integral component of reproductive healthcare and family planning.
Q7. Looking ahead, what is your vision for the future of fertility care in India?
My vision is for fertility care to become more accessible, awareness-driven, and patient-centric. We need greater public education, continued investment in research and innovation, and stronger support systems for patients. India has the expertise, infrastructure, and talent to emerge as a global leader in reproductive healthcare. By combining scientific excellence with compassionate care, we can help more individuals and couples achieve their dream of parenthood.
