Any woman with an intact uterus can achieve pregnancy now. Last year, a 62 year old woman conceived with IVF and went on to deliver
Poorly treated or untreated sexually transmitted infections is common to both male and female as it can cause tubal blockage in both sexes.
In traditional Nigerian society, there are a lot of myth surrounding infertility. In Christianity and traditionally, some believe that it is due to a curse or a sin related to the woman or her ancestral lineage. Some have adduced inability to conceive to infidelity. However, factors like delayed marriages caused by prolonged educational pursuits and poor socioeconomic status are common these days in Nigeria. The peak of reproductive potential is from 24 to 28 years, therefore our young women should be advised not to marry late.
Poorly treated or untreated sexually transmitted infections is common to both male and female as it can cause tubal blockage in both sexes. Unsafe abortions is still prevalent in Nigeria since it is still clandestinely done. This has resulted in loss of many lives and has halted the reproductive career of many women by blocking the Fallopian tubes and uterine cavity. Other causes of female infertility are ovulatory challenges caused by polycystic ovarian syndrome, premature ovarian failure, and raised prolactin; metabolic conditions such as diabetes mellitus, thyroid diseases, obesity etc.
Male infertility is on the increase as most andrology clinics can testify to this fact. Many cases of azospermia and severe oligospermia present to our clinics often.
It is sad to note that so many couples patronize traditionalist before seeking orthodox care. They believe that traditional Health practitioners have special powers to cure their fertility challenges. Many especially women have either ingested toxic materials or inserted them in their vagina. This has led to untold complications such as gynetresia (closure of vagina from scarring), vessico and recto vagina fistula and kidney failure.
It is important for our men to note that life style modification is very important as alcohol, marijuana and smoking are injurious to sperm cells.
The good news is that infertility can be prevented and treated. There are new curing edge technologies that can bring about pregnancy.
Prevention of infertility include not delaying marriage, prevention and prompt treatment of sexually transmitted infections, avoiding unsafe abortions, use of contraception before marriage, life style modification with respect to smoking and alcohol and recreational drugs use cessation.
Different treatment protocols are used to achieve conception. Pelvic infections if any are promptly treated.
Any woman with an intact uterus can achieve pregnancy now. Last year, a 62 year old woman conceived with IVF in our Centre and went on to deliver. Mother and baby are doing well. We have had several women in their 40’s and 50’s achieving pregnancy through IVF. People have talked about and are concerned about the moral, ethical and religious issues associated with IVF. Some have said doctors are trying to play God and others have said it means I have no faith in God.
Persistence through Faith in God and persistent in fertility treatment has brought about positive outcomes in infertility treatment in Nigeria. It is doable and numerous testimonies abound that virtually every woman can have her own child.
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A Christian OBGYN physician based in Warri, Nigeria. He is a consultant to Shepherd Hospital and Fertility Center, Edjeba Warri and a Chief consultant and associate Professor of Obstetrics and Gynecology, Delta State University Teaching Hospital Oghara and Delta State University, Abraka, Nigeria respectively. His field of interest is in IVF, Gynecological endoscopy, Obstetrics and gynecology Ultrasound and preventive medicine. He his married to her lovely wife Osayi who is a psychiatrist and they are blessed with 4 sons.