00:00we are venturing into the month of May and the first installation we're going
00:04to talk about is how different viruses affect sexual health and also how it
00:11affects the actual fertility the most common thing that we think about a virus
00:17that can affect fertility is actually German measles or in medical term is
00:23called rubella rubella is quite prevalent in the 80s and 90s and why is it
00:35important because German measles is although a very mild viral infection but
00:42it has a very detrimental effect when somebody is pregnant for example if
00:48somebody has shot congenital measles congenital rubella then one will end
00:53up having a lot of problems such as the defects of the heart defects of the
00:58brain and deafness therefore in order to avoid somebody get rubella is crucially
01:04important although this doesn't directly cause infertility in women or in men it
01:11does reduce the actual sperm quality and the result in some degree of erection
01:17problems in the future but the evidence is not robust but what's important is
01:23that there is a vaccine and in the 80s and 90s there was only girls only
01:29vaccination why was it not effective it's because initially what was thought to be a
01:36herd immunity that if women all get vaccinated then you'll see elimination of
01:43this disease that's wrong because although girls get vaccinated but boy
01:49continue to be the reservoir of the virus and continue to affect girls later on in
01:55life especially during the important time of pregnancy so it's not until near
02:002000 when the World Health Organization decided that there is a gender-neutral
02:07vaccination ie both boys and girls are protected then is near elimination 20
02:13years down the line today we see nearly 97% actual pickup rate for this and near
02:22elimination of the disease in most countries especially in developed nations
02:28and we are expecting to see this disease to be eliminated by 2030 although in some
02:35minor countries that this is still you know prevalent but the incidence of that is
02:41very very small so what it tells us is that although this virus itself is a mild
02:47virus but it can affect the actual pregnancy and resulted in congenital
02:54rubella therefore gender neutral vaccination most of the time is the key of
03:00complete disease elimination for the following week we are going to talk about
03:05another virus which is well known it's called mumps mumps mumps is a virus that
03:11can affect men and it can affect their fertility quite badly so if you are
03:16concerned of that or you previously had mumps before stay tuned for next week's
03:21meeting Dr. G on the spot
03:24you
03:24you
03:30You
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