Tag: IVF

  • Our IVF story, by beneficiaries

    Our IVF story, by beneficiaries

    The first twins conceived in the country through in-vitro fertilisation (IVF), in a private clinic, unveils a world-class IVF facility in Lagos. WALE ADEPOJU was there.

    The twins exude confidence. They beamed with smiles. They chatted and mingled with the guests, gathered at the unveiling of the world-class fertility clinic.

    Kosisochukwu and Ogechu-kwu Emekwue were conceived through the same procedure some 13 years ago. They were invited by the assisted reproductive centre, The Bridge Clinic, as chief guests, to unveil the clinic’s state of the art clinic, which is an improvement on the facility where they were conceived years ago.

    The twins, the first in-vitro fertilisation (IVF) babies of the clinic, were the cynosure of all eyes as they unveiled the new facility in Ikeja, Lagos State.

    They were a wonder to behold on arrival.

    People marvelled and remarked openly “at God’s wonders”, words used to describe them, as they heeded the Medical Director (MD), Dr Richardson Ajayi’s call when he beckoned on them to open the centre. They cut the tape. Declared the facility opened, for use of humanity. To bring smiles, joy and fulfilment to homes as they did. They were applauded by the guests.

    Speaking on their conception, their mother, Mrs Ifeoma Emekwue, said she took the step after six years of marriage without pregnancy.

    “I was finding it hard to conceive, so I was in that condition for six years. After going to several hospitals, I came to The Bridge, the doctor advised I have an IVF. I had gone to different places, including churches. I was diagnosed of blocked tubes due to an ectopic pregnancy. I realised that I had no chance for conceiving naturally,” she said.

    Mrs Emekwue said she got to know about IVF through a friend who encouraged her never to lose hope but rather ‘try the procedure’.

    “I went to the clinic but the MD, Dr Ajayi told me they were not yet ready that he was going to call me when they are ready. This was in 1998, so he called us in 1999. I went on and had the procedure and got pregnant and delivered a set of twins on January 19, 2000,” she said.

    She said the family didn’t come out to tell their story because people believed that the babies will be stigmatised. But the truth of the matter is if I’m childless I will even be stigmatised than when I have a baby through IVF,” she added.

    Mrs Emekwue said she had always made it known to people that she was happy about it and wanted other women who are having similar experiences to know about it.

    “A lot of women don’t even know what IVF is. So I wanted people to know. My friends were even asking me why I wanted people to know but I said it wasn’t a crime. God did it for me and I want other women to know about it so that they can also benefit from it,” she said.

    Mrs Emekwue said her husband had been very supportive and she had other people helping her to raise the children because they grew up like all other children. “As you can see, they are big and matured. They will clock 14 in January by the grace of God,” she said.

    She said it was difficult initially to convince her husband to allow them have an IVF. “So, when I went to The Bridge Clinic the first time, I didn’t tell him because I didn’t just want to be telling stories that I don’t know about. I only went to enquire and then tell him my findings. He was going to go anyway if I was going to go there. When I went there and came to tell him, he was angry. He said how dare you go to the clinic without telling me. Are you the husband? I told him that Dr Ajayi wanted to see him. He said tell him to tie a rope around my neck and drag me to his office.

    “But with a little bit of emotional blackmail of cry and the rest, he followed me to see him. But, initially, he was very angry not because he didn’t want to go but because I went ahead to enquire without letting him know. But I told him I wanted to find out the necessary information,’ she said.

    She said she was through with child bearing, adding that she has male and female children.

    Mrs Emekwue advised any couple trying IVF to go ahead because it is not evil.

    She said: “The procedure is not painful, even if it is, can one month of injection compared to a life time joy?”

    Dr Ajayi said it is the clinic’s professional response to provide patients with best facility to help solve their problems.

    He said 1,500 babies were born in the clinic’s facilities in Lagos, Abuja and Port Harcourt, adding that the clinic has been accredited since 2004.

    He said the facility collaborated with Prof Nicholas Zech, an IVF expert based in Austria because he has 25 years experience and over 25,000 babies born throgh his expertise. “The current facility can ensure 70 per cent chances of achieving pregnancy,” he said.

    On the collaboration, Prof Zech said his clinic had carefully selected The Bridge clinic because of its history as a standard clinic, which is among the very few with ISO.

    “Success is measured through subjective and objective measurements.”

    Permanent Secretary, Lagos State Ministry of Health, Dr Femi Olugbile, said the state has set up a committee to regulate IVF practice in the state.

    He said Nigeria needs to have a conducive atmosphere so that it can perform open heart surgery and other complicated medical procedure, adding: “We need to make standard the basic starting point. This will ensure that patients are protected.”

     

     

  • ‘Facilities crucial to IVF success’

    ‘Facilities crucial to IVF success’

    • ‘Embryo important to successful IVF’

     

    Managing Director, The Bridge Clinic, Dr Richard-son Ajayi, has said the outcome of an in-vitro fertilisation (IVF) treatment does not depend on the doctors’ competence but on the quality of facilities.

    This, he said, was why his clinic opened a new state-of-the-art centre in Ikeja, Lagos State capital, to cater for fertility challenged couples.

    Ajayi, who conducted reporters round the clinic’s new facilities, said: “This was why the clinic acquired the latest equipment in IVF to ensure it achieved 45 success rates as obtainable in Europe and other developed countries. It will increase the chances of couples trying for a pregnancy.

    “For men with very weak sperm or too few (low sperm count) to fertilise in IVF, fertilising their wives’ egg is no longer a problem because we do deploy the intra-Cytoplasmic Sperm Injection (ICSI) technique.”

    He continued: “The clinic has partnership with the IVF Clinics – Prof Zech, Austria, thus setting the highest standard for itself. It has over 25 years’ experience and more than 25,000 babies conceived through various clinics spread in six different countries in Europe. Our clinics will provide clients services with shortest possible time to achieve pregnancy, the collaboration with IVF clinic- Prof Zech is to further adhere to a common code of conduct to ensure the highest ethical standards in treatment and clients service.

    “It is a building based on the science of IVF. It is equipped with a purpose built IVF laboratory, with special air handling systems and state of the art equipment to produce the best conditions to assure couples of the best chance of pregnancy.

    “The clinic voluntarily applied the regulatory code of the Human Fertilisation and Embryology Authority (hEFA) and hosted external audits by leading European auditors. The clinic runs its operations on the electronic platform DynaMed. It allows staff review client’s care daily,” he said.

    On how to ascertain that a woman is infertile, Dr Ajayi said this could be understood better when a woman released an egg every month, which is ovulation, the fallopian tubes transport it to the uterus by a combination of contraction and the wafting movement of hair-like lining of the tube, adding that the fertilised egg was then transported to the uterus for implantation, “the disruption to that process is infertility’’.

    He said: “This can be due to abnormalities of the sperm or abnormalities of the ovulation or the Fallopian tubes or the uterus. Male infertility is present in about 80 per cent of couples seeking assisted conception in the country. Male infertility is indicated by abnormalities of the semen under microscopic examination. It could be due to hormonal causes, genetic conditions, infections and azoospermia, which is lack of no sperm cell in male ejaculation. Others factors are diabetes, orchitis (inflammation of the testes), radiotherapy, surgery or medication. Being overweight, underweight, smoking and regular contact with chemicals or radiation are others.”

    He said the introduction of ICSI has reduced the requirement for donor sperm as men with the most abnormal semen parametres can now be assisted to become fathers. “The clinic implemented a quality management system (QMS) in 2004 to ensure the safety of its clients. Our QMS was certified to meet the required standards by TUV Austria. The clinic is committed to developing the next generation of fertility specialists through its partnership with the Lagos State University Teaching Hospital (LASUTH), Ikeja, at the Institute of Fertility Medicine (IFM).

    “With N250, 000 couples can access treatment at LASUTH with over 25 per cent success rate guaranteed.”

  • IVF: Nordica centre offers ‘money back’ scheme

    IVF: Nordica centre offers ‘money back’ scheme

    An In-vitro Fertilisation (IVF) clinic, Nordica Fertility Centre, has introduced a money back guarantee scheme.

    According to its Medical Director, Dr Abayomi Ajayi, the centre initiated the scheme as a result of interaction with clients who had undergone one form of assisted reproductive conception (ART) or the other, especially IVF.

    “Their concern has to do with the (perceived) high cost of the last resort (IVF) and its failure. So, they prefer to stay away.

    “As professionals, the scheme will also put us on our toes and bring the best of our skill to the core. We simply call it- ‘money back guarantee scheme,” he said.

    Ajayi explained how the scheme will work. He said: “The Nordica Money-Back Guarantee Scheme is a multiple cycle strategy that greatly increases the possibility of conception due to the sustained treatment of challenged couples over time. The product is the first of its kind in this market. It serves as an alternative to the pay-per cycle and, most importantly, comes with a money back guarantee, like the name suggests. The Guaranteed Cycle is a reflection of the confidence we have in the result that a multiple cycle strategy would deliver.

    “ The scheme gives you an option of three cycles and at least one Frozen Embryo Transfer (FET) treatment for N3.5 million for own egg patients and N4 million for recipients. Should the patient not get pregnant after this, there would be a refund of N500,000 technical fee (for both own egg and recipient). The scheme comes to an end anytime pregnancy is achieved even if after the first cycle. There will be no other refund, apart from the technical fee of N500,000, which is only due, after three cycles and at least one FET. There will also be no refund if the couple decides to pull out of the scheme after commencement,” he added.

    Speaking on the benefits, the Clinic Manager, Mrs Ranti Ajayi, said: “It gives realistic expectation on a clear cut path to success with multiple cycle offer. Client undergoes three cycles and at least one FET treatment plan, gets pregnant or gets a refund (money – back) of N500,000 technical fee; gets better personalised treatment at a discounted rate. The scheme ensures cost effectiveness for the multiple cycles as against single attempt.

    “Also, participants in the scheme are protected from price increase during the 18 months period. Patients with complications arising within the first 12 weeks of pregnancy (Ectopic or miscarriage) won’t be precluded from the scheme as long as treatment for the above has been taken care of (pregnancy is defined as a conception that goes beyond 12 weeks),” she said.

  • More men are overcoming the infertility challenge

    More men are overcoming the infertility challenge

    Gone are the days when men refused to go for fertility treatment. Today, the number walking into fertility centres for treatment is on the rise, reports OYEYEMI GBENGA-MUSTAPHA.

    The paradigm is shifting in infertility treatment as men now walk into fertility centres to be screened, without reservations. For the result shows that they have low sperm count or poor sperm motility, they obtain treatment, without batting an eyelid. They actually get results, thanks to Intracytoplasmic Morphologically-selected Sperm Injection (IMSI) which was first introduced as an In-vitro-Fertilisation (IVF) technique in 2004. It is now available in Nigeria.

    Akeem Lawal (not real names) who is now a father a quadruplet was a patron. though he declined going into the details of his treatment, he said: “I am now a proud father. I accompanied my wife to the fertility centre, was screened and I was told of the need to improve my sperm production, and I agreed to be given some drugs to boost my sperm production. To day the rest is history.”

    Infertility is defined by the American Society for Reproductive Medicine (ASRM) as a disease of the reproductive system that impairs the body’s ability to perform the basic function of reproduction. Although conceiving a child may seem to be simple and natural, the physiological process is quite complicated and depends on the proper function of many factors.

    But what would make a Nigerian man walk into a fertility centre, submit himself for screenings and all other protocols involved in IVF, when male issue is the factor? The Managing Director, Nordica Fertility Centre, Dr. Abayomi Ajayi said: “Impressive results that are spread either by words of mouth, media or other ways are the reasons Nigerian men are now accessing treatment. The macho thing is disappearing. There is no shame in it.

    “If there is a need for a man to break down and weep and get comforted by his wife, there is no big deal in that. Let him go ahead. More so there are solutions to male infertility as a factor in fertility. We are seeing more male issues than what we saw 10 years ago. The sperm parameters are becoming worse, and therefore it is necessary to bring it to the front burner and we cannot talk about it without talking about technology that offers hope, because we know there is no drug right now that solves the problem of deranged sperm count or bad sperm parameters. Intra-cytoplasmic Morphologically-selected Sperm (IMSI) is helpful.

    “There are about 30 per cent decline in sperm count of men presenting now compared with 10 years ago. This is based on patients attending my clinic and not the whole nation.

    “IMSI is where a single sperm is injected into an egg, the only difference is that the sperm is selected using a very powerful microscope compared to the Intra-cytoplasmic sperm injection (ICSI) microscope. The image of the sperm is magnified around 6,000 times during IMSI and this allows the embryologist to analyse it in greater detail and choose the healthiest-looking one for injection.”

    And what are some of his findings in the last 10 years that he had established his clinic, Nordica Fertility Centre. Dr Ajayi said: “Heat is a factor in male infertility. The enzymes required for the production of sperm are very sensitive to heat. Men, who frequent saunas or hot tubs, wear tight pants, sit at a desk all day, or stand in front of a hot stove may be inadvertently heating their testicles to such a degree that they can’t make sperm and get their partners pregnant. The reason that the testicles hang out and away from the body is that it’s about four degrees cooler than the normal body temperature. That cooler temperature is required for sperm to thrive. It is advisable to avoid overheating the reproductive organs by staying out of hot tubs and saunas, keeping laptop computers off your lap, etc. If your job requires you to sit for long periods, get up and move around frequently, and don’t sit with your legs crossed. Wear loose-fitting underwear and clothing.

    “Varicoceles also play a role. Varicoceles are varicose veins in the scrotum. The enlarged or dilated veins cause blood to pool, which raises the temperature in the scrotum; the heat affects sperm production. This is the most common cause of male infertility. Sex with a partner, at the wrong time, especially if the man is a high octave careerist. Likewise, men who take the ulcer drug cimetidine (Tagamet) or the heart drug digitalis have low sperm counts. A number of drugs used to treat high blood pressure may affect ejaculation, the “motility,” or swimming ability, of sperm, do prevent the sperm from reaching the egg, and the antibiotics sometimes used to treat urinary tract infections can inhibit sperm production.

    He continued: “I also experienced a client receiving testicular cancer treatment. That type is the most common cancer in men between the ages of 15 and 45, termed Prime fertility years, though cancer does not lead to infertility, the treatment does. The treatments that cure cancer in men often cause them to become permanently sterile. Treatments for some cancers such as leukemia, lymphoma, and tumours often cause only temporary sterility. The best way to ensure that a man who is being treated for testicular cancer can reproduce with his sperm is to preserve his sperm. Freeze as many samples as you possibly can before treatment, and we can do that. Lifestyle that brings stress; being overweight or under weight is also an issue. Men who are underweight may have lower than normal levels of testosterone, and being either under- or overweight has been linked with a lower sperm count and concentration. In men, stress has been shown to affect fertility by both lowering sperm volume and raising the percentage of abnormal sperm. Age is also important. The risk of having a child with chromosomal abnormalities, especially Down syndrome, rises after age 35 for men, just as it does for women. Sexually transmitted infections (STIs), smoking, drinking also impact negatively on the sperm.”

    He added: “IMSI is something we need to talk about. From our findings, IMSI has increased pregnancy rates in people with previous failures in ICSI, and we also saw there were less abortion rates. IMSI is only indicated when there is less than two million sperm count and motility less than five per cent. First, sperm count is low, then there is higher incidence of genetically deformed sperms. Much of the problems with bad sperm is genetic, and they can burn out.

    “Selecting the best sperm for ICSI is not a big deal if most of the sperm are normal. Where it becomes trickier is when you are hard pressed to find a normal appearing sperm in the sample. Some defects like sperm with two heads, huge heads, two tails, and kinked tails are easy to detect and avoid with standard magnification. Other defects, like vacuoles in the sperm head are not always glaringly obvious at the lower magnification (300x) used for selecting sperm for ICSI.

    “In 2001, Benjamin Bartoov, published his work showing that high magnification selection of normal sperm free of head vacuoles resulted in better pregnancy rates. His publication further supported his conclusion that the ability to identify sperm with normal nuclear morphology using high magnification motile sperm organellar morphology examination (MSOME) was responsible for the better outcomes associated with IMSI”.

  • 53-year-old woman gets twin babies

    •After 20-year wait

    For 53 year-old Mrs Omobola Bello, a joyous mother of a set of twins, it is better late than never.

    Mrs Bello, who had been married for 21 years, is now blessed with twins. She said she has been trying to have a child without success but God answered her prayer last week.

    She said her joy knows no bound because “I was expecting one child but God in His mercies gave me two baby boys. It was God alone that should be praised.”

    Mrs Bello, who had an in-Vitro Fertilisation (IVF) at St Ives Clinic, Ikeja, Lagos, was full of thanks to the staff and management of the hospital.

    She said the joy of every woman was to be fruitful. “But in my own case, there was pressure from within and without. But I am a strong believer. And I believe everything has worked to God’s glory,” she said.

    She recalled that at first, she pondered about having IVF many years ago, but couldn’t go through the process because of one reason or the other.

    “I came about St Ives by chance. I was having my Masters Degree programme at the Obafemi Awolowo University, Ile-Ife, and our administrative block was just behind the hospital in Opebi. But all through my studies, I never knew such hospital existed. So, you can see that it was an act of God,” she recalled.

    She said her advice to women waiting to have babies of their own is “never to lose hope”.

    She added: “I waited for 20 years and there is nothing impossible for God to do. If God can do mine at 53, no case is concluded. In my own case, for the shame of my life, God has given me double glory,” she noted.

    The hospital, she said was not after money, hence it would not have been possible for me to have my IVF. This is because I couldn’t get the money required to start it. I wouldn’t have registered for it if it were for money, she said.

    Recounting how their journey of life began, her husband, Tunde Bello said they met first time when they were in secondary school. “Then we got to know each other more when she was about 13. I was a few months older than her,” he added.

    He said she was a very special woman as “the condition never really reflected on her nor in her countenance until some years ago. This is because we are all human. It has been a trying period for everybody,” he said.

    On the procedure, she said: “At the beginning, we were not sure it’s 100 per cent. I am now Mama Twins not mama everybody.”

    Mr Bello, a Lagosian said he has other children but it was not due to pressure. Her marriage to me is not her first. “In a way, we were like Siamese twins even as we grow older and everybody went his separate way but we always have something bringing us together. Her first marriage produced no children,” he said.

    Thankfully, he said: “I don’t believe she has reached menopause at her age. I know women who have reached menopause at 40 years. She’s just like a teenager.”

    He said they were encouraged to take the bold step of having IVF because of the encouraging testimonies they heard. “We have read about a 59 year-old woman who gave birth. The woman said she reduced her church activities when she delivered her first child and stopped completely after the second because of the way religion affects peoples’ reasoning. IVF is good.”

    Medical Director, St Ives, Dr Tunde Okewale said IVF is expensive, adding that it costs between N650,000 and N1million.

    According to him, it is difficult for any woman above 40 years to get pregnant because of increase in infertility.

  • Taking medicine to the community

    Taking medicine to the community

    Since 1978, when the first baby was born through in-vitro fertilisation (IVF), a form of assisted reproduction technique (ART) more than one million babies have been born through it. Oyeyemi Gbenga-Mustapha writes on an ART centre in Otukpo, Benue State.

    Couples who want children will go to great lengths to have them, and there are providers to make services available to those who can pay for them. It is already more than 25 years since the first human baby resulting from in vitro fertilization (IVF) was born. Since then, IVF has become routine and widely accepted, and is now only one of a number of potential treatments for infertility.

    In addition to the personal grief and suffering infertility causes, the inability to have children, especially in poor communities can create broader problems, particularly for the woman in terms of social stigma, economic hardship, social isolation and even violence.

    Dr Emmanuel Audu Obe, who now runs his late father’s hospital, Salem Hospital, Otukpo, decided to introduce ART to help fight the troubles. His father, the late Dr Edwin Idoko Obe, Odejor of Owukpa Oso’Nyeta 1 of Idoma land, was the first indigenous doctor from Benue State. He established the hospital in March 1968.

    Social and public health issue

    According to Obe, “Various studies have found that childless women in developing countries like Nigeria are often abandoned by their husbands, subjected to violence or treated as servants by the husbands’ families. In our clime, motherhood is the only way for women to improve their status within the family and the communities. On a practical level, many families in developing countries depend on children for economic survival.

    “While many people therefore would not consider infertility a disease in itself; it can certainly be said to be a social and public health issue as well as an individual problem. It is not surprising therefore that there is a growing demand for services that can help infertile couples to conceive. The fact that these services are expensive and controversial has not prevented their appearance in developing countries like Nigeria. And why would my people and those in this environ (Benue) travel miles to also benefit from services like that?”

    According to him, most of the infertility in developing countries is attributable to damage caused by infections of the reproductive tract, notably by gonorrhoea and Chlamydia infection.

    He said, “My experience since 2004 working with various centres across the country has entrenched in me the fact that ART is good. And Benue infertility challenged people and those in the states around us don’t have to travel far again to get assisted to conceive. It is left for the people concerned to present early. This is because infertility is caused by sundry reasons.”

    Explaining this, he said late presentation of cases has made it difficult to rectify fertility problems. He advised couples to visit a centre once they have unprotected sex for six consecutive months and without pregnancy. “Fibroid is a major challenge to conception. Fibroids disturb implantation and can also cause miscarriage. A lot of fibroids in Nigerian women are not the type that should be operated yet. The cause is yet unknown but it has been established that a womb that does not experience conception early tends to develop it. Hence it is jokingly said –babies are for bad girls while fibroids are for good girls. Everybody has what it takes to develop fibroid. Some infections are not from the opposite sex but self induced. For instance, in the process of cleaning up, a lady can wipe the butts from the back frontally and automatically, some organisms from the faecal materials would migrate to her upper region and start disturbing the balanced flora and cause trouble. These are the most dangerous type of infection and if left undetected and untreated, trouble ensures.”

    On affordability of ART, Obe said, “In the last two years, we have tried to work out on low cost ART treatment. Low cost IVF for instance can be possible if you have a pool of many clients. Part of the fuelling factors for the misconceived perception on high cost of IVF is that almost everything being used is imported. And there is no recycling of anything. They are mostly disposables.”

    He clarified some areas on IVF, saying it is largely misunderstood. “It is just one of the many options in assisted reproductive technique. So IVF may be seen as being expensive but should not be capitalized on as reason why ART won’t be exploited. Clients would be surprised that they may not really need IVF, for that is the last option perhaps.”

    On following in his father’s footsteps, Obe said “He (his father) had done so much in medicine, especially in Otukpo that we cannot allow his legacies to fade out. He set up Salem Hospital when it was difficult for people here to access the General Hospitals because they were taken over by the military and only those from the war front were given attention. We are set to take the hospital to greater heights. We now have better techniques and equipments. We want to carry on with the legacy of treating the poorest of the poor, which was his cardinal working point.”

  • UK government backs three-person IVF

    UK government backs three-person IVF

    The United Kingdom looks set to become the first country to allow the creation of babies using DNA from three people, after the government backed the IVF technique, BBC reports.

    It would produce draft regulations later this year and the procedure could be offered within two years.

    Experts say three-person IVF could eliminate debilitating and potentially fatal mitochondrial diseases that are passed on from mother to child.

    Opponents say it is unethical and could set the UK on a “slippery slope.”

    They also argue that affected couples could adopt or use egg donors instead.

    Mitochondria are the tiny, biological “power stations” that give the body energy. They are passed from a mother, through the egg, to her child.

    Defective mitochondria affect one in every 6,500 babies. This can leave them starved of energy, resulting in muscle weakness, blindness, heart failure and death in the most extreme cases.

    Research suggests that using mitochondria from a donor egg can prevent the diseases.

    It is envisaged that up to 10 couples a year would benefit from the treatment.

    However, it would result in babies having DNA from two parents and a tiny amount from a third donor as the mitochondria themselves have their own DNA.

     

  • ‘Emotional counselling vital to assisted  reproduction conception success’

    ‘Emotional counselling vital to assisted reproduction conception success’

    Mrs Yinka Fatade (not real names) is 47 years old and a business woman, who has had 16 rounds of in-vitro fertilisation (IVF) at various fertility hospitals before coming to Nordica Fertility Centre.

    At the fourth attempt, the sperm and egg were able to unite; the embryo did not have any difficulty implanting and sustaining itself in the uterus. She conceived.

    Why didn’t she back out and what was her impetus?.

    To Mrs Ranti Ajayi, Clinic Manager, Nordica Fertility Centre, Mrs Fatade is just one of the several cases she had attended to. She is able to deplore her experiences, garnered over her everyday interactions with clients, into the skill with which she is able to convince clients to try “one more time”.

    According to the Clinic Manager, it is not easy convincing clients, especially those whose husbands are not cooperative, but, “You should know that many people are in a similar position. It is normal to feel overwhelmed, uncertain, or stressed. Although you may feel a bit embarrassed or nervous talking about the subject, talking to a fertility specialist is an important first step in conception effort.

    “If you want to conceive, it’s important to overcome the emotional hurdles and the sooner you see a health care provider, the sooner a problem may be diagnosed and treated. Often, the reason you are not getting pregnant is treatable. Problems in conceiving may be due to a single cause or a combination of factors that may prevent a pregnancy from occurring or continuing. It is a fertility specialist that may be able to determine what the cause is,” she stated.

    According to her, “The first obstacle to surmount is determining when to see a fertility specialist. If you are under 35 years and have been having one year of regular, unprotected sex, or you’re a woman of 35 years and above and you still aren’t pregnant after six months, it may mean you are infertile, since this is generally how infertility is defined. It’s time to see your family doctor. Women over 37 do not need to wait six months before seeing a doctor, because waiting too long to seek help could harm their chances of conceiving.”

    She said knowing what to ask your fertility specialist ahead of time will help ensure you get the most out of your first visit.

    “It helps a lot if you write everything down in advance. That includes medical histories and questions you want answered. I’m sure we’ve all left a doctor’s office only to remember a question we meant to ask but forgot. It is good to get the most out of your appointment

    “Many people are shy about asking questions, but you shouldn’t be. Your doctors want to make sure you understand your diagnosis and treatment options too. And if you don’t understand the answers, don’t hesitate to ask your counsellor to repeat them.

    “On top of dealing with the emotional issues that may arise with infertility, you now find yourself confronting a new and sometimes scary world of treatment options. Bringing this list of questions to your first visit may help you to keep track of your thoughts and increase your comfort level. Never forget to ask for the fertility clinic statistics for success rates. Understanding that keeps hope alive,” explained Mrs Ajayi.

    I should add as well that, “The majority of infertility cases, 85 per cent to 90 per cent are treated with conventional therapies, such as drug treatment or surgical repair of reproductive organs.

    “Fewer than five per cent of infertile couples in treatment actually use in-vitro fertilisation (IVF), even though it produces the best results, because it is often perceived as too ‘high-tech’ and too ‘costly’. I attempt to demystify assisted conception, especially IVF, and also disabuse other misconceptions.

    “I prepare client’s mind on why the doctor might perform tests to look for blockages within the uterus, fallopian tubes, or pelvis. One of these tests is an X-ray procedure called a hysterosalpingogram (HSG) that allows the health care provider to assess the contour of the inside of the uterus and determine whether or not the fallopian tubes are open. The doctor may also conduct tests that look for polyps or fibroids. Surgical procedures may help overcome these conditions.”

    “At the fertility clinic here”, the Clinic Manager said, “I present the different treatment options suitable for your condition. There are many safe and effective therapies that can help you become pregnant. When women of past generations were trying to get pregnant, fertility conversations, if they happened at all, were confined to the family doctor. There was no proper fertility care available to those in need. Now there are modern fertility clinics.

    “That is basically what Nordica Fertility Clinic is all about. As fertility specialists, we can address your particular concerns about fertility, provide information on fertility, and advise you on the next steps, including treatment options, on your journey to becoming pregnant.”

    Though, “Nordica is ten years, I have managed sundry cases for six years including clients crying on me, giving them loads of hugs and having to assure them that they have not make any mistake in visiting the clinic. The success stories are the hope of others.”

    Mrs Ajayi summed up that, “While at the clinic, ask as many questions as you like. It may be helpful to request fact sheets or literature about each of the options discussed so you can review them later. Remember, everyone at the fertility clinic is there to help you, so take advantage of our knowledge, experience, and expertise, you’re not in this alone. After testing and diagnosis, you will have a variety of treatments to choose from depending on the results and particular situation.”

  • Expert explains high cost of IVF treatment

    A medical practitioner in Port Harcourt, Rivers State, Dr. Preye Fiebia, has blamed the high cost of providing Invitro-fertilization (IVF), services in Nigeria on government’s failure to reduce the cost of doing business in the country.

    Dr. Fiebia, in a brief chat with The Nation at a free monthly infertility health workshop organised by the Bridge Clinic in Port Harcourt, yesterday also attributed high rate of brain drain in the country to the same problem.

    The University of Port Harcourt Teaching Hospital (UPTH) gynaecologist decried the situation where citizens pay taxes and still provide social amenities for themselves.

     

  • Hospital gets branch in Abuja

    Modern technology has increased the success rate of In-Vitro Fertilisation (IVF) to 40 per cent, Managing Director, Nordica Fertility Centre Dr Abayomi Ajayi has said.

    Ajayi spoke in Abuja ahead of the opening of a branch of his hospital in Abuja.

    He said the prevalence of infertility in Nigeria is on the increase with 20 to 25 per cent among married couples, but stressed that awareness of available solutions is also on the increase.

    “Acceptance is getting better by the day; it will get to a point when you don’t need to convince people, because if they need IVF, they come to you, just like it is routine in the western countries. Any Nigerian, who could afford a tokunbo vehicle, can afford an IVF treatment.

    “All the figures we have on infertility are from outside Nigeria and it shows that infertility is increasing. There is no doubt that we are seeing more infertility and that is because people now know that it is possible they can get help,” he said.