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World Breastfeeding Week (WBW), held in the first week of August every year, is a global campaign supported by the World Health Organisation and UNICEF and many Ministries of Health and civil society partners on the protection, promotion and support of breastfeeding. This initiative was started in 1992 to encourage mothers to breastfeed their children and build a support community for new mothers who face any difficulties in breastfeeding.
Gynaecologist, obstetrician and founder of Baby Soon Fertility and IVF Center, Dr Jyoti Bali with 26 years of experience says, “A reason why some mothers stopped breastfeeding was because of the increased marketing of formula as a convenient solution compared to breastfeeding.”
Experts agree that women undergo physical changes in their bodies during their pregnancy and while breastfeeding too, however, these have been exaggerated. “Breastfeeding can lead to temporary changes in breast size and shape, but these changes are typically normal and revert to baseline after weaning. Perceptions about breastfeeding causing long-term body changes are often unscientific or exaggerated,” says Dr Rao.
These were some of the reasons why women stopped breastfeeding and thus an initiative like World Breastfeeding Week was started. This also aims to highlight the health benefits to the mother and the child on breastfeeding.
Rao says that for the mother, it helps in faster postpartum recovery, reduces the risk of certain cancers, and can help with postpartum weight loss.
“Breast Feeding helps the mothers to shed their pregnancy weight more quickly because the production of milk requires the burning of calories,” agrees Dr Bali.
Other health benefits to mothers are postpartum healing, bonding with the baby and a decrease in the risk of ovarian cancer, mentions Dr Bali.
There are also nutritional values that help a preterm baby in his or her development. “For example, breast milk's higher protein content makes it easier for premature babies to absorb and digest than formula, which encourages better weight gain. Premature babies often have specific nutritional needs due to their early birth. Breast milk provides a tailored balance of proteins, fats, and carbohydrates that support their rapid growth and development. The composition of breast milk adjusts to meet the changing needs of a preterm infant, including higher levels of certain nutrients,” says Dr Goel.
Dr Bali also points out that breast milk contains antibodies, probiotics and DHA and ARA, a kind of fatty acids that are required for brain development. Thus, a baby can benefit a great deal from breastfeeding.
Poor breastfeeding practices in infancy and early childhood, resulting in malnutrition, contribute to impaired cognitive and social development, poor school performance and reduced productivity in later life.
Sarwa points out that psychological factors like stress, anxiety, postpartum depression, poor latch due to anatomical issues or improper positioning, and other medical conditions are the common reasons for this. “Identification and management of the specific cause, appropriate counselling by a healthcare provider, support (emotional and workplace both) and alternative feeding options,” he says.
Do not be worried about its safety, Dr Rao says that donated milk is screened, pasteurised, and distributed to ensure safety and nutrition.
“Purchasing a superior electric breast pump can increase the effectiveness of the procedure. Maintaining a consistent pumping schedule—ideally, every three to four hours—helps keep the milk supply steady. Pumped milk can be refrigerated for up to four days if stored in sterile containers or bags that have been labelled with the date and time. Milk can be frozen and thawed for extended storage,” suggests Dr Goel.
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Model and entrepreneur Hailey Bieber recently opened up about her postpartum journey, shifting focus on one of the least-discussed aspects of women’s health: premenstrual dysphoric disorder (PMDD).
Hailey said that she experienced PMDD after the birth of her son, Jack Blues Bieber. It is a menstrual health condition that can cause intense emotional and physical symptoms.
In an interview with Women's Wear Daily, Bieber spoke about how motherhood drew her towards women's health, especially considering the challenges she faced after childbirth.
"After I had my son, I struggled with [PMDD] a bit, and there's just not a lot of conversation or research around it," she said.
Bieber, who welcomed her son with husband Justin Bieber in August 2024, had previously discussed her diagnosis during an appearance on the SHE MD podcast in March 2026. She said she was diagnosed approximately six months after giving birth.
Although she had experienced premenstrual syndrome (PMS) before pregnancy, she noticed that the emotional symptoms leading up to her period had become much more intense.
"I was like, 'This just feels way more intense than before,' like, the lead-up to getting your period," she said.
She said she experienced overwhelming emotions, adding, “Why does it feel like my whole entire life is gonna end? Like, I don't understand.”
Bieber said her symptoms gradually improved over time. She also highlighted how speaking about her experience helped her feel less isolated. "Conversation, for me personally, makes me feel less alone," she said.
Also read: 8 Signs Of 'Pregnancy' That Are Likely PMS
Premenstrual dysphoric disorder is a severe form of premenstrual syndrome (PMS) that causes intense emotional, mental and physical symptoms during the days leading up to menstruation.
Symptoms usually surface one to two weeks before a period and improve within a few days after menstruation starts.
Unlike premenstrual syndrome, PMDD can significantly interfere with a person's ability to work, relationships, social life and other daily activities. According to the UK's National Health Service (NHS), common symptoms include:
Some women may also experience suicidal thoughts, which makes it important to recognise the condition and seek medical help promptly.
Also read: The Menstrual Cycle and Nutrition: Does Your Body Really Need Different Foods at Different Times?
PMS and PMDD are both caused due to hormonal changes in the menstrual cycle. However, the intensity of symptoms and their effects on daily life distinguish the two conditions.
PMS can cause physical and emotional discomfort like bloating, tender breasts, headaches, food cravings, irritability and mood swings in the days leading up to menstruation.
PMDD symptoms can be more severe, especially depression, anxiety, irritability and emotional distress. These symptoms can disrupt work, relationships and everyday functioning.
PMDD is not just an extreme version of a bad premenstrual week. It is a recognised health condition that may require medical treatment.
Experts say that the exact cause of PMDD is not fully understood yet. But they believe it may be due to an increased sensitivity to normal hormonal changes during the menstrual cycle.
After ovulation, levels of hormones like oestrogen and progesterone fluctuate. In some individuals, the brain may respond differently to these hormonal changes, affecting mood regulation and other bodily functions. Serotonin, a neurotransmitter involved in regulating mood, sleep and appetite, may also play a role.
Hailey Bieber's experience has sparked conversation about PMDD risk after childbirth. Pregnancy, childbirth and the postpartum period involve significant hormonal and physical changes.
However, PMDD is linked to the menstrual cycle and its recurring hormonal fluctuations. The return of menstrual cycles after childbirth may make premenstrual symptoms intense. However, there is limited evidence establishing that childbirth directly causes PMDD.
PMDD should also not be confused with postpartum depression. Postpartum depression can occur after childbirth and is not restricted to the days before menstruation. PMDD follows a recurring pattern linked to the menstrual cycle. Its symptoms may generally ease after the period begins.
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Men are beginning to discuss fertility preservation, but the concept of freezing sperm before the age of 35 should not be promoted as something that all young men should undergo. There is no consensus on when men should freeze their sperm; rather, it will depend on their 'personal choice for future childbearing, medical risk, the quality of their sperm and whether, and when, they would be willing to pursue medical assistance or face new circumstances that may limit their options'.
Age still plays a role because male fertility is not entirely age-independent either. Although spermatogenesis persists with age, a prolongation of paternal age is associated with a gradual deterioration in semen parameters and sperm DNA.
A recent 2024 study of 200 turgescent samples from normozoospermic males aged 35 years or less demonstrated DNA fragmentation of 15.
4% in patients of 35 years or less versus 21.7% in patients of 42 years or more. In the older group, host freezing was linked with an increased DNA fragmentation index to 26.7%. This is the reason why sperm freezing upon retrieval at a younger age may have biological benefits.
But the biggest reason for sperm banking is still fertility preservation related medical issues. Men who are diagnosed with testicular cancer, lymphoma, leukaemia or other cancers should ideally freeze sperm before the commencement of chemotherapy, radiotherapy, or possibly fertility-damaging operations and surgery. The 2025 ASCO guideline explicitly urges that fertility preservation be taken into consideration and sperm banking made accessible before cancer therapy.
Men diagnosed with health conditions, receiving medical treatment, or taking drugs that could affect sperm production could also be eligible. Autoimmune diseases, certain systemic diseases, and certain medicines have been reported to interfere with normal sperm production. If testosterone treatment is on a man's agenda, then he should also talk about sperm preservation as a possible option since externally applied testosterone therapy can suppress the body's naturally occurring testosterone levels and, because of this, impair the production of sperm.
Sperm freezing may also be particularly relevant for men with persistently low sperm count or poor sperm motility, especially when these findings are accompanied by elevated follicle-stimulating hormone (FSH) levels. High FSH can indicate impaired testicular function and reduced sperm-producing capacity.
In some men, sperm production may decline further over time, and in severe cases, sperm may become very few or even difficult to retrieve from the ejaculate. Banking sperm when viable sperm are available can therefore provide an additional option for future fertility treatment. The decision should be individualised based on semen parameters, FSH levels, the underlying cause and the advice of a reproductive urologist or fertility specialist.
Also read: The Fertility Side of Metabolic Health: Why Your Waistline May Not Tell the Whole Story
Men who expect to delay parenthood are also showing interest in so-called "elective" or "social" sperm freezing, which is done when it's not related to any medical condition or infertility. It would be the right choice mostly for those men who would not be able or are not sure to get married or to have kids soon, who are exposed to occupational factors endangering fertility, or who want to have a medical treatment that might negatively affect their fertility.
A major 2025 registry analyzing 7,044 men undergoing sperm bank over 30 years indicated an average age at cryopreservation of around 33.1 years, whereas those between 3540 were among the ones most often coming back to take their samples from the freezer.
Importantly, freezing sperm is not the same as guaranteeing a future baby. A 2023 study of 7,969 donor-oocyte cycles found broadly comparable outcomes using fresh and cryopreserved sperm, although fertilisation was marginally lower with frozen sperm after adjustment, 73.66% versus 74.65%.
So, before 35, sperm freezing is best viewed as an option for selected men, not a compulsory fertility insurance policy. Anyone considering it should first undergo a semen analysis and counselling with a reproductive urologist or fertility specialist, particularly if there is a medical, genetic or reproductive risk.
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With infertility affecting an estimated one in six couples, experts at the Times Network India Health Summit 2026 spoke about the importance of seeking timely reproductive health advice and acquiring awareness about treatment options.
They discussed how advancements in fertility treatment have improved the chances of conception, but in vitro fertilisation (IVF) cannot guarantee a pregnancy.
During a panel discussion titled “The Fertility Revolution: Reimagining Parenthood in Modern India,” experts also examined how technology is shaping fertility care, while focusing on the limits of treatment, the cost of repeated IVF cycles and the dire need to address stigma around infertility.
Dr. Hrishikesh Pai, Founder and Managing Director of Bloom IVF India, spoke about the improvement in IVF outcomes over the past three decades. “When I started my own area in 1990, the success rate was 5%. Now it has gone to 30%,” he said.
Pai also spoke about the expansion of India's fertility treatment sector, saying the country had moved from an emerging field to one with centres capable of matching international units in performance.
Technology is also fueling more possibilities in reproductive treatment. Pai discussed the use of artificial intelligence (AI) to assist with embryo selection, egg assessment and sperm identification, alongside emerging techniques like robotic-assisted microinjection.
However, Dr. Abha Majumdar, Emeritus Consultant in IVF and Human Reproduction at Sir Ganga Ram Hospital, cautioned against allowing these advances and spoke about the importance of maintaining unrealistic expectations.
“IVF is not a miracle,” she said, emphasising that patients should receive accurate information about likely outcomes and the limitations of treatment.
Majumdar also raised concerns about AI-generated advertisements promising successful IVF cycles. She stressed that technological progress does not remove the responsibility to communicate treatment outcomes honestly and compassionately.
For couples considering parenthood later in life, understanding age-related fertility decline is important. Dr. Ranjana Sharma, Senior Consultant in Obstetrics and Gynaecology at Indraprastha Apollo Hospital, explained that women are born with a finite supply of eggs, which declines over time.
She highlighted the need for greater awareness of reproductive timing and the options available to people who plan to delay pregnancy.
Majumdar also discussed reproductive autonomy, noting that women increasingly have the freedom to decide when, or whether, to have children. However, she cautioned against viewing egg freezing as a guarantee of future pregnancy, describing it instead as a form of insurance.
Fertility preservation may also be relevant for people facing medical treatments that could affect their reproductive potential. Pai highlighted egg freezing before chemotherapy or radiation therapy as an option for some women who wish to preserve the possibility of having children later.
Sperm freezing can similarly help some men preserve fertility before cancer treatment or in circumstances where future fertility may be a concern.
Even when treatment is available, its cost can be anobstacle. Some patients require more than one IVF cycle, making the overall expense staggering.
Majumdar warned that repeated treatment can become expensive for some families. Although access to fertility services and insurance coverage have improved, affordability remains an important concern.
She also emphasised that patients need realistic information before beginning treatment, including an understanding that one cycle may not result in pregnancy.
Dr. Vimal Grover, who spoke about rising infertility and changing reproductive patterns, identified delayed marriage and childbearing, along with work-related stress, among the factors she had observed. She also pointed to AI's potential role in transforming fertility care.
“One in six couples is infertile,” Grover said. The figure highlights the scale of the infertility crisis in the country.
The panel also addressed the tendency to blame women when couples experience difficulty conceiving. Sharma said women are often held responsible for infertility, even though reproductive difficulties can involve either partner. She also said that fertility specialists increasingly make a point of consulting both partners to encourage shared responsibility for getting tested and treated.
Pai similarly emphasised the importance of evaluating male fertility. Alongside sperm freezing before chemotherapy or radiation therapy, he highlighted its relevance for men with low sperm counts and some patients who may need fertility treatment in the future.
The experts urged couples experiencing difficulties conceiving to seek medical advice rather than feel ashamed or assume that infertility is solely a woman's concern.
The panel was part of the Times Network India Health Summit 2026, held in New Delhi under the theme “The Blueprint for a Future-Ready Healthcare Ecosystem – Innovation. Access. Self-Reliance.” The summit brought together healthcare leaders, clinicians, researchers, policymakers and industry stakeholders to discuss the future of India's healthcare system.
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