#Reproductivehealth

A major international study is redefining how bacterial vaginosis (BV) is treated. BV is a common vaginal infection that affects about one in three women worldwide, including many in Thailand. New findings show that tackling BV effectively may require treating both partners, not just the woman. This challenges decades of medical thinking and offers new hope for women who experience recurrent BV.

BV is the leading cause of abnormal vaginal discharge among reproductive-age women. In Thailand, awareness is limited despite BV’s links to higher risks of sexually transmitted infections, including HIV, and complications such as preterm birth during pregnancy. The infection results from an imbalance in vaginal bacteria, with the beneficial Lactobacilli replaced by other bacteria. Typical treatments relieve symptoms, but relapse is common, with up to 60% experiencing recurrence within months.

Recent research is drawing unexpected parallels between the reproductive lives of seals and the challenges facing human fertility, sparking fresh conversations about the hidden environmental factors impacting reproductive health worldwide. As reported in a feature by Oceanographic Magazine, scientists are turning their attention to seals — charismatic marine mammals that live far from hospitals and clinics — in hopes of unraveling why fertility rates are declining across species, including humans (Oceanographic Magazine).

Secondary infertility—difficulty conceiving after having a first child—is rising globally and now concerns Thai families as well. New studies and human-interest accounts show an increase in cases and the often-overlooked emotional burden on parents, shaped by shifting demographics and social expectations in Thailand.

The narrative is underscored by a poignant case in which a mother describes profound guilt for not providing a second child for her son. In Thai communities, this pressure is magnified by the belief in the importance of sibling support and family completeness, a cultural cue that can intensify distress when pregnancy planning goes awry.

Secondary infertility, a condition where couples struggle to conceive after successfully having had at least one child, is becoming an increasing concern among families worldwide, including here in Thailand. Recent reports and new research highlight not only a steady rise in cases but also the typically overlooked emotional turmoil experienced by affected parents—an issue that has resonated with many Thai families amid shifting demographics and social expectations.

The significance of this trend is well-captured by the candid story of Charlotte Bennett, as reported in The Times. Bennett, already a mother, described the “horrendous” guilt of being unable to give her six-year-old son a sibling, despite years of effort. For many parents, secondary infertility brings an unexpected and deeply personal form of distress, often complicated by cultural expectations and misconceptions that once a couple has had one child, further pregnancies should be easy and natural (The Times).

As more Thai couples and individuals consider starting families later in life, questions about fertility—especially egg quality—are on the rise. Popular wisdom and online advice often tout lifestyle tweaks, diets, or supplements as the magic keys to improving fertility. But does the science back up these claims? According to a comprehensive review of recent research, including a widely cited article from SELF and several new studies in 2024, the answer is nuanced. While age remains the single most influential factor, certain everyday habits may indeed nudge the odds—though not as much as many would hope.

As Thai couples increasingly consider delaying parenthood, questions about fertility and egg health have surged. Online advice often promises quick fixes through diet, supplements, or “miracle” routines. New research, including recent reviews and 2024 studies, shows a nuanced picture: age remains the strongest factor, but certain daily habits may modestly improve outcomes when combined with medical care.

Egg quality matters as much as quantity. High-quality eggs carry the right chromosomes and robust mitochondria to support fertilization and embryo development. Age is the primary driver of decline; after 35, both the number and quality of eggs diminish, increasing the risk of infertility, miscarriage, and chromosomal issues. Conditions such as endometriosis, PCOS, or cancer therapies can further affect egg quality, according to research from major outlets and peer-reviewed journals cited in recent reviews.