One of the commonest causes of infertility is
ignorance .
This might sound surprising , because you would expect that
in this day and age of sexual enlightenment, where everyone has access to
Google , everyone would know everything about how to have sex , and what their
fertile time is .
You would be completely wrong !
Even people who think they are well educated actually have
very little understanding of medical concepts such
as ovarian reserve , trying time, or how to track their ovulation.
In fact, some couples don't even know how to have sexual
intercourse properly . Many Indian couples are virgins, and
no one has ever taught them how to have sex . As a result of this, a lot of the
information they get is derived from watching porno
films , which distort reality.
This is why many of them believe they aren't able to perform
, and this sexual inadequacy is compounded by their ignorance.
This problem gets progressively worse over time, because neither the husband nor the wife
knows what the problem is - or even if there is a problem ! They don't know how
to find a solution, and keep on groping in the dark (pardon the pun, I couldn't
resist !)
This starts to become a negative vicious cycle . Every time
they try to have sex, they are burdened by their past failures. As a result,
this becomes a self-fulfilling prophecy.
This causes anger, resentment, and guilt . Many of these
couples have an inferiority complex , because they are
ashamed that they can't even do something as simple as having sex properly .
Sadly, this is not one of the things that they can talk
about openly to anyone , as a result of which they hide
the fact , and suppress it. This becomes the elephant
in the room, and because it's such a touchy and sensitive topic, and because
neither husband nor wife is comfortable bringing it up, this makes a bad
problem even worse .
While schools are supposed to provide sex education, they do
a terrible job at this, and this is why many adults don't know what to do in
order to have intercourse properly in order to get pregnant . This creates all
kinds of problems , such as premature ejaculation , and
vaginismus. The bigger tragedy is that doctors often make this even worse !
Rather than sitting with the patient , and patiently
counselling them , by explaining to them the normal physiology of the sexual
act , and what they can do in order to solve the
problem for themselves in their bedroom , they medicalise the problem.
They know they will make money by treating the problem in
the clinic, even though they know that the couple could solve this for
themselves in their bedroom , with the right
information .
Putting a medical label on the problem makes it even worse ,
and these couples become dependent on a doctor in order to get pregnant . This
may be great for the doctor , because it helps them to make more money , but it
is really not fair for the patient .
This is why, one of the first things I do when I talk to
patients who have sexual dysfunction as the underlying reason of their
infertility, is to advice them to invest in information therapy , and buy the
right books , so they have a better understanding of how they can deal with
this themselves.
This can be very reassuring for them , because they realise that they are not the only people in the world with this issue - and that other people have dealt with this problem successfully in the past. Armed with this information , many of them are able to fix the problem for themselves in the privacy and comfort of their bedroom without having to waste any money, which is great for their self-esteem, and helps them to make their marriage even stronger.
Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !
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