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Fertility Quotient

Fertility quotient is an indicator of an individual’s capability to reproduce. The subjective topic of fertility reserve is being converted to an objective score based on a proprietary algorithm developed by GarbhaGudi IVF Centre. It is a score against 100, given against inputs provided by the user. The score is then converted to an indicative value to help the person understand the status of his / her fertility levels.

Female Fertility Quotient

There have many research articles that address this topic of fertility capability. All research articles are more or less unanimous in their findings that a lady’s fertility is based on several factors which include her age, her Antral Follicular Count (AFC), her AMH hormone levels and her general health condition.  There are also other fringe factors that contribute to the fertility aspect – like tobacco usage, addiction to alcohol or other drugs etc.

Fertility Quotient Algorithm has been designed and developed by GarbhaGudi IVF Centre to give couples a fair idea of where they stand vis-à-vis their capability to conceive and have a child. The score is calculated based on the woman’s fertility factors – AMH, AFC, Age and BMI. Some of these factors play a role more critical than the others. So, proper adjustments have been done in the algorithm to manage these variations.

Please note that the fertility quotient is an indicator of the fertility status. It is not a definitive advice from the doctor. Consult a fertility specialist to know more about your fertility quotient and fertility status. It is also important to note that a woman may move from one stage to another rather quickly based on the parameters that play a role. For example, a lady with a fertility quotient of “Best Fertility” may move to “Good Fertility” within the matter of a few months if her age is beyond 30 and if her AMH or AFC starts dropping quickly.

Different values of Fertility Quotient
Best Fertility – this status indicates that the lady is at the peak of her reproductive life-span. All her indicators are positive and the time is best suited for planning a child. Women who fall in this group need not worry much about their fertility status. Their internal systems are primed and ready for reproduction.
If women with “Best Fertility” status are planning to delay their plans of having a child by a few years, it may be better to freeze their eggs at this stage. The delay in child-bearing could be due to career reasons, personal reasons. GarbhaGudi recommends such women to go for oocyte freezing. The technology of oocyte freezing is improving quickly and eggs may be frozen for years. The frozen “best” oocytes can be used for fertilization with the husband’s sperms at a later point of time.
If a lady has a fertility quotient of “Best Fertility” and is still unable to conceive, there may be other factors at play. It is possible that there are male fertility is not optimum or there may be fallopian tube blocks or the oocyte quality has some problems or there may be infections that are preventing conception or it can be even be a thyroid related issue.

Please consult a fertility specialist for further investigation for the cause of infertility.

Good Fertility – A lady with a fertility quotient of “good fertility” is in good shape for having a child. There are one or two factors that have started to deteriorate but there is nothing alarmingly wrong. The hormone levels and the general health condition is good and there is no significant reason to be worried. Most couples with this fertility quotient should be able to conceive within a span of 1 year if they are having unprotected intercourse.
If women with “Good Fertility” status are planning to delay their plans of having a child by a few years, it may be better to freeze their eggs at this stage. The delay in child-bearing could be due to career reasons, personal reasons. GarbhaGudi recommends such women to go for oocyte freezing. The technology of oocyte freezing is improving quickly and eggs may be frozen for years. The frozen “good” oocytes can be used for fertilization with the husband’s sperms at a later point of time.
One important point to note here is that a lady with a fertility quotient of “Good Fertility” can still find it difficult to conceive because there are various other factors that play a role. There could be problems with the fallopian tubes, there may be infections in the female reproductive canal, the oocyte quality may not be good, there may be male factors also influencing conception etc. Such women may need to consult a fertility specialist for further investigation for the cause of infertility.

Average Fertility – A lady with Average Fertility needs to play it safe. It means that her fertility status is not too good, but neither is it very bad. It also indicates that it is not long before the fertility levels will drop quickly. Such women are advised to plan for a child immediately and if there is no conception within 6 months, they need to meet up with a fertility expert and take the doctor’s advice.
In-principle, women with Average Fertility should be able to conceive. In case this does not happen, it is possible that there are other factors that are contributing to the observed infertility. These factors could be problems with the fallopian tubes, there may be infections in the female reproductive canal, the oocyte quality may not be good, there may be male factors also influencing conception etc.
GarbhaGudi advises such women to meet up with a fertility expert as soon as possible and proceed as per their advice. Some investigations may be needed to understand the cause behind the observed infertility.

Low Fertility – A lady with a fertility quotient of “Low Fertility” has to take things seriously. There are some things that are not as good as they should be. It can be the age, the BMI or the ovarian reserves may be depleting or multiple factors may be affecting fertility. A lady with “Low Fertility” can move to “Poor Fertility” rather quickly. Such women should meet a fertility specialist quickly and address the problem of infertility.
One important point to note here is that some of the key factors affecting fertility cannot be rolled back. Once they deteriorate, they stay that way or become worse. So women with a fertility quotient of “Low Fertility” should move quickly, if they plan to have a child.
GarbhaGudi recommends such women to meet up with a fertility specialist immediately and get some investigations done to understand the situation in more detail. A good fertility specialist should be able to help such women conceive with the various artificial reproduction techniques that are available (Timed intercourse, IUI, IVF, IVF-ICSI, IMSI etc.)

Poor Fertility – Women who get a rating of “Poor Fertility” for their fertility quotient are advised to meet a fertility specialist immediately. The algorithm gives this rating only if the situation is dire and only if it needs quick intervention. In most cases, this rating will be got if the age of the women is well past the “best fertility age range” and if the ovarian reserves are depleted significantly.
Important point to note here is that there are various treatment options for such women, including IVF and various donor programs.

Male Fertility Quotient

The ability of the male to reproduce can be calculated from a set of parameters. To keep matters simple, we have considered only the most critical aspects – sperm count, sperm progressive motility and sperm morphology (normal forms). Along with this, certain sexual parameters like ability to have an erection and the status of ejaculation have been considered. We have also included the impact of diabetes mellitus on the overall ability of the male to reproduce.
The algorithm calculates a weighted score of the provided parameters and then gives an indicative value about the person’s ability to reproduce. The values are similar to the one provided for the male. The possible values are
1. Best Fertility Status
2. Good Fertility Status
3. Average Fertility Status
4. Low Fertility Status
5. Poor Fertility Status

Based on the fertility status, recommendations are provided on the immediate next steps and long term plans for the patient.

Poor Fertility Status : Men who get a rating of Poor Fertility for their fertility quotient are advised to meet a fertility specialist or andrologist (male infertility specialist) immediately. The algorithm gives this rating only if the situation is dire and only if it needs quick intervention. In most cases, this rating will be given if the sperm parameters have significant concerns. Important point to note here is that there are various treatment options for such men, including IVF and various donor programs. Also note that IUI may not be an option. GarbhaGudi advises such patients to visit an IVF centre immediately and not to waste time or money on other treatment options.

Low Fertility Status : A man with a fertility quotient of Low Fertility has to take things seriously. There are some things that are not as good as they should be. It can be the count, the motility or the morphology. It is also possible that there are multiple factors that may be affecting male fertility. A man with Low Fertility can move to Poor Fertility rather quickly. Such men should meet a male fertility specialist (andrologist) quickly and address the problem of infertility. One important point to note here is that some of the key factors affecting fertility may be managed through surgery. Delaying treatment may make the situation worse. So men with a fertility quotient of Low Fertility should move quickly, if they plan to have a child. GarbhaGudi recommends such men to meet up with an andrologist immediately and get some investigations done to understand the situation in more detail. A good male fertility specialist should be able to help such men conceive with the various artificial reproduction techniques that are available (IUI, IVF, IVF-ICSI, IMSI, Donor Programs etc.)

Average Fertility Status : man with Average Fertility needs to play it safe. It means that his fertility status is not too good, but neither is it very bad. It also indicates that his fertility levels may drop with age or due to environmental factors. Such men are advised to plan for a child immediately and if there is no pregnancy within 6 months, they need to meet up with a fertility expert and take the doctor’s advice. In-principle, men with Average Fertility should be able to conceive. In case this does not happen, it is possible that there are other factors that are contributing to the observed infertility. These factors could be due to issues with the wife too. GarbhaGudi advises such men to meet up with a fertility expert as soon as possible and proceed as per their advice. Some additional investigations may be needed to understand the cause behind the observed infertility

Good Fertility Status : A man with a fertility quotient of Good Fertility is in good shape for having a child. There are one or two factors that have started to deteriorate but there is nothing alarmingly wrong. The hormone levels and the general health condition are good and there is no significant reason to be worried. Most men with this fertility quotient should be able to conceive within a span of 1 year if they are having unprotected intercourse. If men with Good Fertility status are thinking of delaying their plans of having a child by a few years, it may be better to freeze their embryos at this stage. The delay in child-bearing could be due to career reasons or personal reasons. GarbhaGudi recommends such men to go for semen or embryo freezing. The technology of embryo freezing has matured significantly and the recovery rates of frozen embryos are very high without any drop in implantation rates. The frozen GOOD embryos can be transferred to the wife’s uterus at a later point of time. One important point to note here is that a man may have a fertility quotient of Good Fertility but his wife may still find it difficult to conceive because there are various other factors that play a role. These could be due to female factors like fallopian tube blocks, infections in the female reproductive canal, low quality of oocytes, uterine issues etc. Such couples should consult a fertility specialist for further investigation for the cause of infertility.

Best Fertility Status : This status indicates that the man is at the peak of his reproductive life-span. All his indicators are positive and the time is best suited for planning a child. Men who are in this group need not worry much about their fertility status. Their internal systems are primed and ready for reproduction. If men with Best Fertility status are thinking of delaying their plans of having a child by a few years, it may be better to freeze their embryos at this stage. The delay in child-bearing could be due to career reasons or personal reasons. GarbhaGudi recommends such men to go for semen or embryo freezing. The technology of embryo freezing has matured significantly and the recovery rates of frozen embryos is very high without any drop in implantation rates. The frozen GOOD embryos can be transferred to the wife’s uterus at a later point of time.
One important point to note here is that a man may have a fertility quotient of Best Fertility but his wife may still find it difficult to conceive because there are various other factors that play a role. These could be due to female factors like fallopian tube blocks, infections in the female reproductive canal, low quality of oocytes, uterine issues etc. Such couples should consult a fertility specialist for further investigation for the cause of infertility.