Reproductive health is defined as a state of complete physical, emotional, behavioural, and social well-being in all matters related to the reproductive system and its functions, and not merely the absence of disease or infirmity.
Definitions [7]
Definition: Reproductive Health
Define amniocentesis.
It is a technique in which amniotic fluid is withdrawn from the uterus of a pregnant lady and the amniotic cells are cultured and studied for cytological observations to determine any chromosomal abnormalities.
Definition: Amniocentesis
Amniocentesis is a technique used to diagnose fetal abnormalities by drawing a sample of amniotic fluid by a hypodermic needle inserted through the mother’s abdomen into the uterus
Define sex ratio.
The sex ratio is the ratio of males to females in a population. In most sexually reproducing species, the ratio tends to be 1:1.
According to the United Nations, the sex ratio is defined as the number of males per 100 females.
Definition: Population Explosion
A population explosion means very rapid growth of the population, much faster than economic growth. In India, this has mostly happened because of a high birth rate and a much lower death rate in recent times.
Definition: Induced Abortion or Medical Termination of Pregnancy (MTP)
Intentional or voluntary termination of pregnancy before full term is called medical termination of pregnancy (MTP) or induced abortion.
Definition: Azoospermia
Azoospermia is defined as the absence of spermatozoa in the ejaculate semen on atleast two occasions and is observed approximately in 1% of the population.
Key Points
Key Points: Reproductive Health
- Reproductive health, as defined by WHO, refers to complete physical, emotional, behavioural, and social well-being in all aspects related to reproduction.
- India’s Reproductive and Child Health (RCH) programmes aim to promote reproductive health through family planning, maternal and child care, awareness creation, and access to medical facilities.
- Education and awareness, including sex education for adolescents, help prevent myths, sexually transmitted diseases (STDs), unsafe practices, and promote hygienic and responsible sexual behaviour.
- Preventive measures such as menstrual hygiene, genital cleanliness, planned parenthood, immunisation, and statutory bans on sex determination are essential for a healthy society.
- Sexually transmitted diseases like syphilis and gonorrhoea adversely affect reproductive health, highlighting the need for early diagnosis, treatment, and improved medical infrastructure.
Key Points: Amniocentesis
Key Points: Induced Abortion or Medical Termination of Pregnancy (MTP)
- Medical Termination of Pregnancy (MTP) is the voluntary termination of pregnancy before full term, also called induced abortion.
- MTP is done in cases of unwanted pregnancy or when fetal abnormalities are detected, often using amniocentesis.
- Amniocentesis is a diagnostic test that collects amniotic fluid to study fetal chromosomes and detect genetic defects.
- MTP is legally allowed in India under the MTP Act (1971, amended 2017), with conditions and is generally safe in the first 12 weeks.
- It requires the woman’s consent and a doctor’s approval, and is allowed only when pregnancy risks the mother’s life or involves serious fetal abnormalities.
Key Points: Sexually Transmitted Diseases (STD) or Sexually Transmitted Infections (STI)
Key Points: Infertility
- Infertility is the inability to conceive after 12 months or more of regular unprotected intercourse and may be due to male, female, or both partners.
- Male infertility includes low sperm count, no sperm production, poor sperm motility, or abnormal sperm structure.
- Female infertility may result from hormonal imbalance, poor egg production, or defects in reproductive organs like the ovaries, fallopian tubes, uterus, or cervix.
- Mechanical or physiological problems, such as blocked reproductive tracts or thick cervical mucus, can prevent fertilisation.
- Infertility is diagnosed and treated by identifying the cause and using methods like hormonal therapy, surgery, or lifestyle changes.
- Assisted Reproductive Technologies (ART) help infertile couples and include IVF, ICSI, GIFT, ZIFT, AI, and IUI, which assist in fertilisation and conception.
Key Points: Assisted Reproductive Technology (ART)
| ART Method | Gametes Used | Site of Fertilisation | Stage Transferred | Site of Transfer | Main Indication |
|---|---|---|---|---|---|
| IUI | Sperm only | Inside body (fallopian tube) | No embryo transfer | Uterus | Low sperm count |
| IVF | Ovum + sperm | Outside body (laboratory) | Early embryo | Uterus | Blocked fallopian tubes |
| ET | Ovum + sperm | Outside body | >8 blastomeres | Uterus | After IVF |
| ZIFT | Ovum + sperm | Outside body | ≤8 blastomeres (zygote) | Fallopian tube | Tubal infertility |
| GIFT | Ovum + sperm | Inside body | Gametes | Fallopian tube | Ovulation-related issues |
| ICSI | Single sperm + ovum | Outside body | Early embryo | Uterus | Severe male infertility |
| Cryopreservation (FET) | Embryo | Outside body | Frozen embryo | Uterus | Future pregnancy |
| Surrogacy | Ovum + sperm | Outside body (IVF) | Embryo | Surrogate uterus | Uterine problems |
| TESE | Sperm | — | Used in ART | — | Azoospermia |
Concepts [9]
- Concept of Reproductive Health
- Amniocentesis
- Social Impact of Sex Ratio, Female Foeticide and Infanticide
- Population Explosion in India
- Induced Abortion or Medical Termination of Pregnancy (MTP)
- Sexually Transmitted Diseases (STD) or Sexually Transmitted Infections (STI)
- Infertility
- Assisted Reproductive Technology (ART)
- Detection of Foetal Disorders During Early Pregnancy
