This archive report was first published on 20 July 2021.
As women, it's essential to prioritize our reproductive health by visiting a gynaecologist at least once a year. This regular check-up can help identify and address various health issues, from thorough health checks to fertility concerns or treatment for a niggling issue.
Here are seven things your gynaecologist would like you to know:
1. Your Partner's Sperm Quality Declines with Age ¶
While it's commonly believed that the biological clock is a woman's problem, recent studies have shown that men also experience age-related decline in sperm quality. According to Dr. Rajesh, when a male partner is over 45, there is an elevated risk of miscarriage.
"There is enough evidence that shows that not only eggs, but sperm too undergoes genetic damage with advancing age," Dr. Rajesh explains. "When ready to have a baby, women and men should aim to be as healthy as possible," he adds.
2. The Vagina Narrows Down During Menopause ¶
As women age, sex can become more painful due to increased dryness of the vagina caused by hormonal changes or the narrowing of the vaginal canal, which becomes less elastic with time. This condition is known as vaginal atrophy and can set in as early as the late 30s, worsening during menopause.
However, there is a solution: more sex. Regular sex can help maintain some elasticity in the vagina. Your doctor can also prescribe oestrogen cream or lubricants to make sex more comfortable.
3. Fertility Preservation Works and Is Available ¶
It's essential to consider fertility preservation methods when planning to postpone parenthood. Apart from popular egg and embryo freezing, ovarian tissue freezing is an emerging technique that involves removing a small piece of the ovary, slicing it, and freezing it. The frozen tissues can then be grafted back into the pelvis, allowing for natural conception pregnancies.
According to the Nairobi IVF Centre, ovarian tissue freezing has shown promising results, with successful natural conception pregnancies after ovarian grafting. Further research is being conducted to optimize safety and success.
4. Never in the Mood? Check Your Birth Control ¶
Most birth control options work by changing hormone production, which can affect sex drive. Studies show that women on birth control have up to four times the normal amount of sex hormone-binding globulin (SHBG) in their bodies, leading to reduced testosterone levels and decreased sex drive.
Talk to your gynaecologist about possible birth control alternatives, such as non-hormonal contraceptives like an intrauterine device (IUD).
5. Leaking Urine Can Be Fixed ¶
Urinary incontinence affects almost 25% of women at least one year after childbirth. According to the Kenya Laparoscopic Surgery Services, there are various treatment options available, including pelvic floor rehabilitation and surgery.
Thanks to technology, less invasive surgeries through laparoscopy are now available, reducing the risk of blood loss, scarring, and infection compared to traditional "open" surgery.
6. Some Infections Do Not Show Symptoms ¶
Even if you feel okay, it's essential to have your annual check-up, especially if you're having unprotected sex. Some vaginal infections may not show symptoms, and it's crucial to get the right direction with the right timing to avoid serious repercussions.
