While discussing about problems faced by couples in conceiving a child, experts mentioned unconsummated marriage as one of the reasons. Usually, couples do not realise that penetration hasn’t happened and they mistake this problem as infertility.
“When couples come to me with a problem in getting pregnant, in most cases the hymen is intact. The penile penetration doesn’t happen. Couples don’t realise this. In such cases, taking detailed history is very important. This problem is 100 per cent curable through proper counselling,” said Dr Priti Vyas, an Obstetrician and Gynaecologist.
Unconsummated marriage can be caused by few sexual problems for example if any of the partners is facing sexual dysfunctions. Like a woman can be suffering through vaginismus (makes any kind of vaginal penetration painful or impossible). The inability of man to erect may also result in non-penetration.
“Pregnancy is not concerned with only one person. It involves a couple. So, if they have proper communication and understanding the problem of unconsummated marriage can be solved,” said Dr Egbert Saldanha, an Obstetrician and Gynaecologist.
For correct diagnosis of infertility, experts are insisting that men get their semen examined through fertility labs instead of normal pathology labs. At Sexycon 2017, a conference organised by Indian Medical Association in Mumbai, during a panel discussion on ‘infertility and sexual dysfunctions’, experts expressed the need for examining semen in fertility labs to diagnose and cure the cause of infertility correctly. The concern of the experts comes from an observation that many normal pathology labs fail to meet the standards set by the World Health Organisation (WHO) manual for examination and processing of human semen.
“The WHO has been revising the standards of counting sperms in the specimen of semen. The most recent manual was issued in 2010, and for precise diagnosis and correct treatment it is essential for a doctor to get the correct report of sperms in semen. Many regular labs do not follow the recently revised WHO manual and hence an improper report is prepared. It may manipulate the clinical judgement,” said Dr Deepak Gupte, an Urologist.
Dr Sudha Tondon, an Operative Gynec Endoscopy Surgeon, who was moderating the panel discussion, also emphasised the need of following the WHO standards.