Health and Me

Ishita Roy

Why Many In Their 20s Are Struggling To Conceive, Explains Doctor

In<span>fertility</span> is no longer limited to couples in their 30s and 40s. Doctors are now seeing a steady rise in patients in their 20s seeking help to conceive. According to Dr. Bushra Khan, Fertility Specialist at Nova IVF Fertility, Kharadi, Pune, this shift is both real and concerning.

“Until a few years ago, <span>fertility problems</span> were mostly age related. Today, we are seeing women between 23 and 29 struggling to conceive,” she said. “Many assume they are too young to have fertility issues, so they delay medical advice.”

Experts say modern lifestyle factors, stress, and untreated health conditions are affecting reproductive health earlier than expected. The encouraging part, however, is that early diagnosis and treatment can significantly improve outcomes.

<h2>Common Fertility Issues Seen In Young Adults</h2>

In women, doctors frequently diagnose polycystic ovary syndrome, ovulation disorders, thyroid imbalance, endometriosis and pelvic infections. Some also show poor egg quality despite being in their 20s.

Men are not unaffected. Low sperm count, poor sperm movement and hormonal imbalance are becoming increasingly common. Obesity, smoking, alcohol consumption and prolonged laptop use that increases heat exposure can affect sperm health.

“These problems require timely evaluation rather than waiting for years,” Dr. Khan explained. “Early intervention keeps treatment simpler and more effective.”

Read: <a href="https://www.healthandme.com/parenting/diseases-you-can-pass-on-to-your-child-during-pregnancy-and-after-article-153635431" data-type="tilCustomLink">Diseases You Can Pass On To Your Child During Pregnancy And After</a>

<h2>Lifestyle Is A Major Contributor</h2>

Unhealthy diets, lack of physical activity, high stress and disturbed sleep patterns play a major role. Increasing obesity and insulin resistance among young adults also interfere with ovulation and sperm production.

Pollution and untreated infections further complicate reproductive health. In some cases, genetic factors may also contribute.

“Fertility health reflects overall health,” Dr. Khan said. “What we eat, how we sleep and how stressed we are directly impact reproductive hormones.”

<h2>Warning Signs Young Couples Overlook</h2>

Many young adults dismiss early symptoms because they believe infertility affects only older individuals. Doctors advise not ignoring the following:

<ul><li>Irregular or painful periods</li><li>Acne and excess hair growth</li><li>Sudden weight gain or loss</li><li>Persistent fatigue</li><li>Low libido or erectile issues</li><li>Difficulty conceiving after one year of trying</li></ul>

“Fertility issues are now being detected even in people aged 20 to 27,” Dr. Khan noted. “Ignoring symptoms can worsen hormonal imbalance over time.”

Delaying treatment may reduce egg or sperm quality and increase emotional stress. Couples may later require more complex procedures.

“Seeking help early improves both success rates and peace of mind,” she added.

<h2>How Assisted Reproductive Technologies Help</h2>

Assisted Reproductive Technologies such as ovulation induction, intrauterine insemination and in vitro fertilization are highly effective in younger patients because egg and sperm quality is generally better.

These treatments help conditions like PCOS, blocked tubes, severe male factor infertility and unexplained infertility.

Egg freezing is another option that allows women to preserve fertility for medical or personal reasons.

“Egg quality declines after the mid 30s. Preserving eggs earlier gives women reproductive flexibility,” Dr. Khan said. “The most important step is awareness and timely consultation.”

Doctors stress that fertility awareness should begin early. Monitoring symptoms and consulting a specialist promptly can prevent complications and significantly improve chances of conception.

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Infertility is no longer limited to couples in their 30s and 40s. Doctors are now seeing a steady rise in patients in their 20s seeking help to conceive. According to Dr. Bushra Khan, Fertility Specialist at Nova IVF Fertility, Kharadi, Pune, this shift is both real and concerning.“Until a few years ago, fertility problems were mostly age related. Today, we are seeing women between 23 and 29 struggling to conceive,” she said. “Many assume they are too young to have fertility issues, so they delay medical advice.”Experts say modern lifestyle factors, stress, and untreated health conditions are affecting reproductive health earlier than expected. The encouraging part, however, is that early diagnosis and treatment can significantly improve outcomes.Common Fertility Issues Seen In Young AdultsIn women, doctors frequently diagnose polycystic ovary syndrome, ovulation disorders, thyroid imbalance, endometriosis and pelvic infections. Some also show poor egg quality despite being in their 20s.Men are not unaffected. Low sperm count, poor sperm movement and hormonal imbalance are becoming increasingly common. Obesity, smoking, alcohol consumption and prolonged laptop use that increases heat exposure can affect sperm health.“These problems require timely evaluation rather than waiting for years,” Dr. Khan explained. “Early intervention keeps treatment simpler and more effective.”Read: Diseases You Can Pass On To Your Child During Pregnancy And AfterLifestyle Is A Major ContributorUnhealthy diets, lack of physical activity, high stress and disturbed sleep patterns play a major role. Increasing obesity and insulin resistance among young adults also interfere with ovulation and sperm production.Pollution and untreated infections further complicate reproductive health. In some cases, genetic factors may also contribute.“Fertility health reflects overall health,” Dr. Khan said. “What we eat, how we sleep and how stressed we are directly impact reproductive hormones.”Warning Signs Young Couples OverlookMany young adults dismiss early symptoms because they believe infertility affects only older individuals. Doctors advise not ignoring the following:Irregular or painful periodsAcne and excess hair growthSudden weight gain or lossPersistent fatigueLow libido or erectile issuesDifficulty conceiving after one year of trying“Fertility issues are now being detected even in people aged 20 to 27,” Dr. Khan noted. “Ignoring symptoms can worsen hormonal imbalance over time.”Risks Of Delayed TreatmentDelaying treatment may reduce egg or sperm quality and increase emotional stress. Couples may later require more complex procedures.“Seeking help early improves both success rates and peace of mind,” she added.How Assisted Reproductive Technologies HelpAssisted Reproductive Technologies such as ovulation induction, intrauterine insemination and in vitro fertilization are highly effective in younger patients because egg and sperm quality is generally better.These treatments help conditions like PCOS, blocked tubes, severe male factor infertility and unexplained infertility.Egg freezing is another option that allows women to preserve fertility for medical or personal reasons.“Egg quality declines after the mid 30s. Preserving eggs earlier gives women reproductive flexibility,” Dr. Khan said. “The most important step is awareness and timely consultation.”Doctors stress that fertility awareness should begin early. Monitoring symptoms and consulting a specialist promptly can prevent complications and significantly improve chances of conception.