INFERTILITY - ALL YOU NEED TO KNOW
- Madhukar Dama
- Mar 23
- 4 min read

1. What is infertility, and how common is it in India?
Infertility is the inability to conceive after 12 months of regular, unprotected intercourse (or 6 months if the woman is over 35). In India, it affects about 10–15% of couples, according to the Indian Society of Assisted Reproduction. Urban areas report higher rates due to lifestyle factors, while rural areas face challenges from malnutrition and limited healthcare access.
2. What are the common causes of infertility in India?
- For Women: Polycystic Ovary Syndrome (PCOS, affecting 1 in 5 Indian women), blocked fallopian tubes (often from untreated infections), endometriosis, and hormonal imbalances. Stress and obesity, rising in cities like Delhi and Mumbai, also play a role.
- For Men: Low sperm count or motility (linked to smoking, alcohol, heat exposure from tight clothing), varicocele, and pesticide exposure in rural farming communities.
- Both: Idiopathic (unexplained) infertility, environmental toxins (pollution, plastics), and genetic factors.
3. How does the Indian lifestyle contribute to infertility?
Urban Indians face sedentary habits, processed food consumption (e.g., maida, milk, sugar, rice, refined oil), and high stress from jobs and family pressure. Rural lifestyles may involve overexertion, poor nutrition (e.g., rice-heavy diets lacking protein), and pesticide exposure. Late marriages, common in metros, also delay conception, reducing fertility with age.
4. Can traditional Indian practices help with infertility?
Yes, Ayurveda and Yoga can support fertility:
- Ayurveda: Herbs like Ashwagandha (for men), Shatavari (for women), and Triphala (detox) are widely used. Panchakarma cleanses aim to balance the body.
- Yoga: Poses like Setu Bandhasana (Bridge Pose) and breathing exercises (Pranayama) reduce stress and improve blood flow to reproductive organs.
Consult a practitioner, as these aren’t quick fixes and need personalization.
5. What role does diet play in infertility in India?
A nutrient-poor diet—common in rural areas—or excessive junk food in cities disrupts hormones. A sattvic diet (millets, lentils, plant based diet, greens, fruits, Buttermilk etc) supports reproductive health. Deficiencies in zinc (nuts, seeds), folate (spinach), and Vitamin D (low sun exposure in urban indoor lifestyles) are frequent culprits.
6. How does stress affect infertility in India?
Infertility carries a huge stigma in India, often blamed on women, increasing emotional strain. High cortisol from job stress (e.g., IT sector in Bangalore) or family expectations to conceive disrupts ovulation and sperm production. Meditation and community support can help.
7. Are environmental factors a concern in India?
Yes, air pollution in cities like Delhi, pesticide residues in rural produce, and endocrine-disrupting chemicals in plastics (widely used for food storage) can impair fertility. Opting for organic foods and steel containers reduces exposure.
8. What tests are available for infertility in India?
- For Women: Hormone tests (FSH, LH, AMH), ultrasound (for PCOS or uterine issues), and hysterosalpingography (HSG) to check tubes. Available in urban hospitals and some rural clinics.
- For Men: Semen analysis (sperm count, motility) is affordable and offered at diagnostic labs like SRL or Apollo.
Costs range from ₹500–₹5,000 depending on location and facility.
9. What are the treatment options in India?
- Lifestyle Changes: Diet, exercise, and stress management can resolve 30–40% of unexplained cases.
- Medications: Clomiphene for ovulation, widely available at pharmacies.
- Assisted Reproductive Technology (ART): Intrauterine Insemination (IUI, ₹10,000–₹20,000 per cycle) and In Vitro Fertilization (IVF, ₹1–2 lakh per cycle) are accessible in cities like Chennai, Mumbai, and Hyderabad.
- Ayurvedic Clinics: Offer herbal treatments and detox, popular in Kerala and North India.
10. Why is infertility stigmatized in India, and how can couples cope?
In India, fertility is tied to social status, especially for women, with childlessness often seen as a "failure." Rural families may blame the woman, while urban couples face pressure to conceive quickly post-marriage. Coping strategies include:
- Educating families about shared responsibility (40% of cases involve male factors).
- Seeking counseling, available in urban centers or online.
- Joining support groups (e.g., online forums or NGOs like Fertility Dost).
11. Can late marriages in India affect fertility?
Yes, delayed marriages (common in urban India, with women marrying at 28–35) reduce the fertile window. Female fertility peaks in the 20s and drops after 35, while male fertility declines more gradually after 40. Early awareness and planning can help.
12. How affordable is infertility treatment in India?
Compared to the West, India offers cost-effective options. IUI is far cheaper than in the US ($3000+), and IVF costs 1/5th of global rates. Government schemes like Ayushman Bharat cover diagnostics in some cases, though ART is rarely subsidized. Rural access remains limited.
13. Can men improve fertility naturally in India?
Yes, by quitting smoking (prevalent among Indian men), reducing heat exposure (e.g., avoiding tight jeans in hot climates), and eating zinc-rich foods (cashews, pumpkin seeds). Herbs like Gokshura and stress-busting yoga also help.
14. What should couples do if they suspect infertility?
- Track ovulation (using apps or kits, available at pharmacies).
- Consult a gynecologist or urologist after 12 months (or 6 if over 35).
- Start with basic tests before jumping to ART. In India, Tier-2 cities now have specialists, reducing travel to metros.
15. Is surrogacy or adoption common in India?
Surrogacy laws tightened in 2021, limiting it to altruistic cases (no commercial surrogacy), making it less common. Adoption is growing, with agencies like CARA facilitating it, though cultural resistance persists in some communities.
This FAQ reflects India’s unique blend of modern challenges, traditional solutions, and socio-cultural nuances, offering practical insights for couples navigating infertility.