June marks Infertility Awareness Month, a vital time to spotlight the struggles millions of couples face in their journey to parenthood.
In this exclusive interview with Mediworld Middle East, Dr. Charles Badr Nagy Rafael, Consultant Obstetrician & Gynaecologist and Master Surgeon of Endometriosis at Medcare Women and Children Hospital, emphasizes the importance of early diagnosis, personalized treatment, and compassionate care in overcoming infertility.
Dr. Charles highlights the importance of identifying underlying causes, such as endometriosis, polycystic ovarian syndrome (PCOS), and hormonal imbalances, all of which can impact fertility. With advancements in minimally invasive surgery and reproductive technologies, many cases are now treatable with great success.
He encourages open dialogue, education, and timely medical intervention to improve outcomes and support emotional well-being. As more couples seek answers, raising awareness this month serves as a powerful reminder that fertility challenges are a medical condition – not a personal failure – and support and solutions are available.
He encourages individuals not to delay seeking help, noting that proactive care can preserve fertility and improve outcomes. As we observe Infertility Awareness Month, the message is clear: it’s time to remove stigma, promote understanding, and offer hope to those on their journey to parenthood.
What are some of the most common infertility issues you have come across?
The most common causes of infertility I see include hormonal imbalances like PCOS, blocked fallopian tubes, endometriosis, low egg reserve and male factor infertility. In many cases, lifestyle factors such as stress, obesity, or delayed childbearing also play a role.
Can endometriosis or similar conditions be detected early enough to preserve fertility options?
Yes, and that’s why early check-ups matter.
If you often have painful periods, discomfort during intimacy, or ongoing pelvic pain, it could be a sign of endometriosis. The good news? We have ways to detect it early like simple scans or minor procedures and explore options like egg freezing or treatment to help protect your future fertility.
Do most women only discover fertility issues when trying to conceive, or are there signs earlier?
Many women only find out when they start trying. But there are often signs irregular periods, painful cycles, acne, hair growth, or hormonal issues that suggest something is off. The key is not to wait talk to your doctor early if something doesn’t feel right.
Have you seen an increase in women under 30 choosing to freeze their eggs? If so, what’s driving this trend?
Absolutely. More women are freezing their eggs in their late 20s and especially by 30s. Reasons include focusing on career, waiting for the right partner, or managing health issues like endometriosis. It’s an empowering option that gives women more control over their future.
At what age do you recommend women consider egg freezing, and why? How does egg quality and quantity change over time?
The best time to consider egg freezing is between 27 and 35. Even in your 20s, egg quality starts to decline slowly, and by your mid-30s, both quality and quantity drop faster. Freezing eggs at a younger age gives you a better chance at a healthy pregnancy later.
At what age or stage should women with chronic reproductive health issues consider fertility preservation?
If you have conditions like endometriosis, PCOS, or need treatments like chemotherapy, it’s wise to talk to your doctor in your 20s or early 30s. The earlier we plan, the more options you’ll have.
Do you think there’s enough awareness among younger women about the biological clock and fertility risks?
It’s getting better, but there’s still a long way to go. With all the talk about IVF and egg freezing, many young women think they can hit pause on fertility but biology still plays by its own rules. Egg quality naturally declines with age, even if you feel perfectly healthy. That’s why we encourage open, honest conversations early on so you can plan your future with confidence, not surprise.
What’s changing in the fertility conversation today compared to 5 or 10 years ago?
Today, there’s more openness and less stigma. Women are asking questions earlier, exploring options like egg freezing, and understanding that fertility is a part of their overall health not just something to think about when they’re ready to have kids.
What does Medcare Women & Children Hospital offer for women struggling with endometriosis and infertility?
At Medcare Women & Children Hospital, we understand how deeply endometriosis can impact a woman’s ability to conceive. As a consultant obstetrician & gynecologist, the first and most important step is an accurate diagnosis and we’re proud to offer patients over 90% diagnostic accuracy, helping us truly identify the root cause of their symptoms.
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What sets us apart is our multidisciplinary approach. Women are supported by a dedicated team that includes fertility specialists, colorectal surgeons, radiologists, urologists, and pain management experts all working together to create a personalized and effective treatment plan.
We’re also proud to be accredited by the Surgical Review Corporation (SRC) in the U.S. as a Center of Excellence for Endometriosis, a recognition of our commitment to advanced care, surgical expertise, and patient outcomes. At Medcare Women & Children, you are not alone we are here to guide and support you every step of the way.
