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 Adults

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.”

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Lifestyle Is A Major Contributor

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.”

Warning Signs Young Couples Overlook

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

• Irregular or painful periods
• Acne and excess hair growth
• Sudden weight gain or loss
• Persistent fatigue
• Low libido or erectile issues
• Difficulty 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 Treatment

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.

How Assisted Reproductive Technologies Help

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.

Seeing your child suddenly screaming at night, with wide eyes and thrashing limbs, can be deeply unsettling. However, remaining calm and focusing on safety is crucial for parents during the sleep terror episodes, said health experts.

Sleep terrors, also known as night terrors, are episodes of sudden fear, screaming, or intense distress that occur during sleep.

The condition is more common in children, especially between the ages of 3 and 8 years, as their sleep patterns are still maturing.

Unlike nightmares, which usually happen during dreaming (REM sleep) and are often remembered, sleep terrors occur during deep non-REM sleep.

Dr Preeti Singh, Senior Consultant, Clinical Psychology, Max Super Speciality Hospital, Dwarka told HealthandMe, that while it may be frightening to witness, especially for parents, sleep terrors themselves are usually not harmful.

Although most kids outgrow this naturally, if the episodes are violent or very frequent, consult a specialist, added Dr Sudhir Kumar, a neurologist at Apollo Hospitals, Hyderabad.

What Are Sleep Terrors

During sleep terror, the child may sit up abruptly, shout, appear frightened, sweat, breathe rapidly, and be difficult to console. In most cases, they do not recall the episode the next morning.

Sleep terrors typically occur in the first third of the night, during deep sleep (slow-wave sleep). They are considered a type of parasomnia, meaning an unusual behavior during sleep.

Dr Kumar, in a post on social media platform X, explained that unlike a bad dream, a sleep terror happens in deep sleep (Stage N3).

It is characterized by abrupt sitting up/screaming, with physical signs that include a fast heart rate, sweating, and dilated pupils.

"It is 11 PM. Your child suddenly sits up, screams at the top of their lungs, and looks terrified. They are not responding to you, and they seem to be looking right through you. This is likely a sleep terror (night terror), a common NREM sleep parasomnia in children aged 3-12,” said Dr Kumar, popularly known as the Hyderabad doctor, on X.

The expert noted that the children are unlikely to recognize the parents and be "consoled" during the episodes.

What Factors Trigger Sleep Terrors

• Sleep deprivation or irregular sleep schedules
• Fever or illness
• Emotional stress or anxiety
• Major life changes or trauma
• Family history of parasomnias
• Certain medications

For children, sleep terrors are often developmental and tend to reduce as the nervous system matures, Dr Singh told HealthanMe.

How Can Parents Respond?

Parents often feel alarmed during a sleep terror episode, but the key is to remain calm, the experts said. They said during an episode:

• Do not try to fully wake the child, as this may increase confusion and agitation.
• Gently ensure the child is safe and cannot injure themselves.
• Speak softly and reassuringly, even if they do not respond.
• Wait for the episode to pass, which usually happens within a few minutes.

Other preventive measures include:

• Maintaining a consistent bedtime routine
• Ensuring the child gets adequate sleep
• Reducing screen time before bed
• Managing stress during the day
• Creating a calm and secure sleep environment

How To Manage

Most children do not require medical treatment, as sleep terrors usually resolve on their own with age. Treatment is considered when episodes are frequent, severe, cause injury, or significantly disrupt family life.

However, addressing sleep deprivation, treating any underlying medical conditions (e.g., sleep apnea), counseling or stress management strategies can help.

Mexico has reported more than 2,700 new cases of measles so far this year, as per the government data. Most of these infections have been detected among infants and young children. Not too far away, in the US, as per the Centers for Disease Control and Prevention (CDC) data, 900 new cases have been confirmed.

However, unlike in the 1990s, the Secretary of Public Education in Baja California Sur, Alicia Meza Osuna, clarified that it is not a requirement to present the complete vaccination schedule for children to attend schools. However, in the Mexican city of Cabo San Lucas, specific health measures are being taken.

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What Parents In Cabo San Lucas Must Keep In Mind?

• The standard school enrollment process will continue as usual, and families are not required to present a complete vaccination record to register.
• In areas where recent cases have been reported, localized health precautions may be introduced. Families in Cabo San Lucas should be prepared for temporary preventive measures if an outbreak occurs.
• Parents are advised to take their children to a medical facility if they notice symptoms such as fever, cough, runny nose, conjunctivitis, small white spots inside the cheeks, or skin rashes so they can receive timely medical care.
• Except during declared emergencies, vaccination certificates are not required for school admission.

What Happened In Mexico In The 1990s?

In the 1990s, the Ministry of Health (SSA) and the Ministry of Public Education (SEP) required that children be protected against diseases such as measles, polio, rubella, tetanus, diphtheria and tuberculosis before entering preschool or primary school, as part of the health prevention policies. However, at present, as Alicia Meza Osuna stated, "It is not a requirement to enroll children in school to present their vaccination card. Under no circumstances is it a requirement to present a complete vaccination schedule for a child to attend school."

What Is Measles?

Measles, also known as rubeola, is an extremely contagious viral illness that typically causes high fever, cough, runny nose, red and watery eyes, and a characteristic rash that begins on the face and spreads downward across the body. It spreads through respiratory droplets and can lead to severe and sometimes fatal complications, including pneumonia and inflammation of the brain known as encephalitis.

Although it is preventable through the safe and effective MMR vaccine, measles remains a serious threat in many regions. There is no specific cure, and treatment focuses on managing symptoms, according to the Cleveland Clinic.

What Are The Symptoms Parents Must Look Out For?

Measles has a high transmissibility, and high measles immunity levels are required to prevent sustained measles virus transmission.

This is why herd immunity for measles could be easily breached.

It easily spreads from one infected person to another through breathes, coughs or sneezes and could cause severe disease, complications, and even death.

Symptoms include:

• High fever
• Cough
• Runny Nose
• Rash all over the body

The most unique symptom or the early sign of measles in the Koplik spots. These are tiny white dots that look like grains of salt on red gums inside the cheeks that appear before the red rash starts to appear on a person's face and then the body.

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Furthermore, the symptoms of measles are also characterized by the three Cs:

• Cough
• Coryza or runny nose
• Conjunctivitis or red and water eyes

How Long Does The Infection Last?

The progression of the symptom comes in two stages, first is the prodromal stage or Days 1 to 4, where one would notice high fever, cough, runny nose, red and watery eyes, sore throat, fatigue, and Koplik spots.

The second stage is called the rash stage or the days 5 to 10 or even more where rash start to appear on the hairline, and then it runs down the body. It lasts for several days and fades in the same order.

The first symptoms, notes the Centers for Disease Control and Prevention (CDC), appear 7 to 14 days after a measles infection. Often, it could also lead to ear infection, or even diarrhea. Though these complications happen in every 1 in 10 children or individual with measles.