Thread by @DietDrsayajirao

Infertility is silently breaking marriages, confidence and mental health.
But most people never look at the real causes.
Let’s break the silence, understand the root causes, and start fixing them. 🧵👇

1️⃣ What is Infertility?

Infertility is when a couple can’t get pregnant after trying for 12 months (or 6 months if woman is over 35).

It affects BOTH men and women.
It does not always mean you can’t ever have children. It means you might need help.

2️⃣ Top 7 Causes in Women

🔸 PCOS (Polycystic Ovary Syndrome)
🔸 Thyroid dysfunction (hypo/hyperthyroidism)
🔸 Blocked fallopian tubes
🔸 Endometriosis
🔸 Hormonal imbalances (low progesterone, high prolactin, etc.)
🔸 Early menopause
🔸 Excess body fat or being underweight

🧠 Your hormones run the show. Imbalance = irregular or no ovulation.

3️⃣ Top 5 Causes in Men

🔸 Low sperm count
🔸 Poor sperm motility or shape
🔸 Hormonal imbalance (low testosterone, high estrogen)
🔸 Varicocele (enlarged veins in testicles)
🔸 Exposure to heat, toxins, smoking, alcohol, or anabolic steroids

📉 Sperm quality has dropped by 50% in the last 50 years. Lifestyle matters more than ever.

4️⃣ Hormones You Should Know

📌 Women
•FSH & LH: control ovulation
•Estrogen: builds the uterine lining
•Progesterone: supports pregnancy
•Prolactin: too much stops ovulation
•AMH: ovarian reserve
•TSH: thyroid function

📌 Men
🔸Testosterone: drives sperm production
🔸FSH & LH: stimulate sperm and testosterone
🔸Estradiol: excess can reduce fertility

5️⃣ Signs of Hormonal Imbalance (Women)

✅ Irregular or missing periods
✅ Acne, oily skin
✅ Hair fall or facial hair (PCOS)
✅ Weight gain around belly
✅ Cold hands/feet, fatigue (thyroid)
✅ Mood swings, low libido

🩺 Blood tests, ultrasound, and symptom tracking help identify root causes.

6️⃣ What About Stress?

Chronic stress = high cortisol
👉 This suppresses ovulation and testosterone
👉 Increases prolactin
👉 Impacts libido & menstrual cycles
👉 Reduces sperm quality

🧘🏽‍♀️ Sleep, rest, breathing exercises, and nervous system regulation are not optional – they’re fertility tools.

7️⃣ Weight Matters – in Both Sexes

⚖️ Overweight = higher insulin, estrogen, inflammation
⚖️ Underweight = low leptin, no ovulation
Men with belly fat → convert testosterone to estrogen

💡 Even 5–10% weight loss can restart ovulation or improve sperm.

8️⃣ Insulin Resistance – Silent Fertility Killer

Especially in PCOS & obese men.

High insulin →
🔹 Increases testosterone in women
🔹 Stops ovulation
🔹 Increases inflammation
🔹 Affects egg & sperm quality

🩺 Check fasting insulin & HOMA-IR. Reverse it with low-carb, high-protein real food.

9️⃣ Gut & Fertility Connection

Bad gut health →
🦠 Poor hormone detox
🦠 Inflammation
🦠 Nutrient malabsorption
🦠 Autoimmunity (thyroid, endometriosis)

👶🏼 Healthy pregnancy starts with a healthy gut. Probiotics, fiber, and fermented foods help.

🔟 Key Nutrients for Fertility

🧬 Women
•Folate (not just folic acid)
•Vitamin D
•B12
•Iron
•Zinc
•Omega-3
•Magnesium

🧬 Men
•Zinc
•CoQ10
•Selenium
•Vitamin C & E
•Omega-3

🧠 Deficiency in any of these can reduce fertility. Test and correct.

1️⃣1️⃣ Lifestyle Factors that Hurt Fertility

❌ Smoking
❌ Alcohol
❌ Plastics & pesticides (xenoestrogens)
❌ Sleep deprivation
❌ Overtraining or zero movement
❌ Excess caffeine
❌ Fast food, sugar, trans fats

📉 All of these lower sperm quality, egg quality, and hormone balance.

1️⃣2️⃣ What Helps? – Real Lifestyle Fixes

✅ Eat real, unprocessed food
✅ 7-8 hours of deep sleep
✅ Walk 8,000+ steps daily
✅ Strength training 3x/week
✅ Remove plastic & pesticides
✅ Breathe deeply, reduce blue light
✅ Track ovulation (women)

👫 Do this as a couple. Fertility is teamwork.

1️⃣3️⃣ Tests to Ask For (Women)

🩸 Day 2-5: FSH, LH, Estradiol
🩸 Day 21 (or 7 days before period): Progesterone
🩸 AMH, TSH, Prolactin
🩺 Pelvic ultrasound
🩻 HSG for tube blockage
🧬 Insulin, Vitamin D, B12

1️⃣4️⃣ Tests to Ask For (Men)

🔸Semen analysis (volume, motility, morphology, count)
🔸Testosterone (total + free), LH, FSH
🔸Prolactin, SHBG, Estradiol
🔸Varicocele check

Start simple. Lifestyle improves most metrics without meds.

1️⃣5️⃣ Infertility is NOT the End

Today we have:
🔸 IUI
🔸 IVF
🔸 Ovulation induction
🔸 Surgical correction
🔸 Supplements and functional nutrition
🔸 Emotional support + therapy

Many couples conceive naturally once root causes are addressed.

❤️ Final Thoughts

Infertility is not a label.
It’s a signal.
From your body.
Asking you to pause, heal, and rebalance.

You are not broken.
Your story isn’t over.

🔁 Share this thread

Someone silently suffering may feel hope again.
Let’s build healthy families – naturally. 👶🌿
#Fertility #PCOS #Hormones #Nutrition #Health