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Dr. Malpani’s Insights on Sexless Marriages

Patient: Dr. Malpani, I've been hearing about this term, "social infertility." What exactly does it mean?

Dr. Malpani: Social infertility is a relatively new concept. Unlike traditional infertility, which is defined by the inability to conceive after a year of regular, unprotected intercourse, social infertility arises from a lack of time or inclination for sexual intimacy. It's not due to any medical condition but rather the result of busy lifestyles and the stress associated with modern living.

Patient: So, it's more about lifestyle than a medical issue?

Dr. Malpani: Exactly. Many couples today aren't technically infertile but are childless because they're so consumed by their professional responsibilities that they rarely find time for sexual intimacy. High-powered professionals, like consultants, executives, and business travellers, often face intense work pressures that leave little room for personal time.

Patient: Can you explain how these busy lifestyles impact a couple's sexual relationship?

Dr. Malpani: In many cases, couples have overlapping travel schedules, making it difficult for them to spend time together. Even when they do manage to be home simultaneously, weekends are often consumed by household chores and other obligations, leaving them exhausted. Stress and fatigue are significant contributors to the decline in sexual activity. Some individuals even experience sexual difficulties like erectile dysfunction or vaginismus, further complicating the situation.

Patient: What are the consequences of having a sexless marriage?

Dr. Malpani: The irony is that the personal cost of professional success often includes the inability to start a family. Couples in sexless marriages may eventually seek medical assistance for conception, turning to treatments like in vitro fertilisation (IVF). However, there are simpler solutions available that don't require medical intervention.

Patient: What are some of these alternatives?

Dr. Malpani: One alternative is self-insemination, which couples can perform in the privacy of their own homes. It involves using a kit to collect and insert sperm into the vagina, mimicking the natural process of conception. While effective, it shouldn't be considered the first choice. It's much more fun to have sex in your bedroom and make a baby than to use a kit or go to a doctor.

Patient: That sounds much more natural. What advice do you have for couples dealing with social infertility?

Dr. Malpani: My advice is to re-evaluate your priorities and make a conscious effort to nurture your sexual relationship. Set aside dedicated time for intimacy, even in the midst of busy schedules. By prioritising your relationship and maintaining a healthy sexual connection, you can improve your chances of conceiving naturally.

Patient: Do you have any practical tips for us to follow?

Dr. Malpani: Sure, here are some practical tips:

  1. Schedule Intimacy: Just as you would schedule a business meeting, plan time for intimacy to ensure it remains a priority.
  2. Manage stress: Incorporate stress-reducing activities into your routine, such as exercise, meditation, or hobbies that you both enjoy.
  3. Communicate Openly: Discuss your feelings and concerns with your partner to strengthen your emotional bond and address any underlying issues.
  4. Seek Professional Help: If sexual difficulties persist, consider seeking help from a sex therapist or counsellor.

Patient: This is really helpful, Dr. Malpani. What should we do if we need more personalised guidance?

Patient: Thank you so much, Dr. Malpani. We’ll definitely look into that.

Dr. Malpani: You're welcome! Remember, maintaining a balance between your professional and personal lives is essential for overcoming social infertility and enhancing your chances of starting a family naturally.

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