World Hepatitis Day: Dear men, a history of Hepatitis can be a major cause of infertility
Hepatitis causes inflammation of the liver, further leading to serious scarring (cirrhosis), which can prove fatal in the long run.health Updated: Jul 28, 2017 16:13 IST
As per recent statistics, about 400 million people around the world are living with Hepatitis B or C. Of these, 52 million are in India alone. Hepatitis causes inflammation of the liver, further leading to serious scarring (cirrhosis), which can prove fatal in the long run. Apart from these, what is not widely known is that hepatitis can cause infertility in males. Globally, every year 1.4 million people die from viral hepatitis.
Hepatitis can be transmitted from the mother to baby, via sexual contact or upon contact with infected blood. Of the five hepatitis viruses, hepatitis B is associated with impaired fertility. Studies indicate that those with HBV are 1.59 times more likely to experience infertility than individuals who are not infected. Hepatitis B virus’ S protein is known to lower sperm motility and reduce the fertilization rate of sperms by more than half.
Speaking about this, Dr Hrishikesh D Pai, Director IVF & Infertility at Fortis La Femme Hospital, Delhi said, “Hepatitis does not have any effect on the normal functioning of the ovarian or uterine glands. However, this virus impacts spermatogenesis negatively in males. This causes a reduction in the sperm count, free testosterone levels, motility, viability, and morphology which further impacts overall fertility and ability to produce an offspring in them.”
It is imperative to counsel couples who have been tested positive for hepatitis and seeking fertility treatment. This would in turn enable them to understand the transmission risk of the disease. Any assisted reproduction techniques should be suggested only once proper treatment is done and the viral load is reduced.
Adding his comments, Dr Nandita Palshetkar, Director, IVF and Infertility at Fortis Bloom IVF Center at La Femme GK 2 and Fortis Hospital Gurgaon, said, “Transmission risk from mother to baby increases by 80% to 90% in Hepatitis B cases and 11% in Hepatitis C positive cases, where there is high viral load. Some ways to reduce this risk include semen washing, administering the uninfected partner with hepatitis B vaccination, and treatment with Interferon and Ribavirin. Many couples would have doubts, fears, and misconceptions in their mind about this condition.”
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