Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production, leading to anemia and various other complications. While the primary focus of thalassemia treatment is managing the condition’s medical aspects, it is crucial to address the potential impact on fertility. Thalassemia can affect fertility in both men and women, causing hormonal imbalances, impaired sperm quality, irregular menstrual cycles, and decreased ovarian function.
There are a number of ways that thalassemia can affect fertility. One of the most common ways is through iron overload. Iron overload can damage the pituitary gland, which is responsible for the production of hormones that regulate fertility. This can lead to problems with ovulation in women and sperm production in men.
Other factors that can affect fertility in people with thalassemia include:
- Anemia: Anemia can make it difficult to conceive because it can reduce the number of eggs released during ovulation and the quality of sperm.
- Premature ovarian aging:People with thalassemia are more likely to experience premature ovarian aging, which means that their ovaries stop functioning normally at an earlier age. This can make it more difficult to conceive.
- Pregnancy complications: Pregnancy can be more complicated for people with thalassemia. They are at increased risk of miscarriage, premature birth, and other pregnancy complications
- The most important complication is the risk of having a child with thalassemia major. If both partners are carrying the disease, there is a high chance that the child becomes a thalassemia major and then it has its complications.