SECRET FERTILITY SYSTEM: July 2011

Tuesday, July 19, 2011

OVERCOMING FIBROID INFERTILITY WITH IUI

OVERCOMING FIBROID INFERTILITY WITH IUI

To many of us in Nigeria and black Africa, Fibroid is not a new issue, because about half of all women in Nigeria have Fibroids, so most ladies know about it.

Just this last week alone more than 60% of cases I had to handle in the clinic had fibroid issues.

Even though fibroids have not been shown to be the major cause of infertility, in about 60% to 70% of ladies above 35 years of age, it is infact a very big obstacle to their getting pregnant, because it has either become very big and multiple so locating itself in a very dangerous position that can make conception difficult.

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One of the basic reasons that can make ladies with fibroids to suffer prolonged infertility is the issue of big wombs due to multiple fibroids. The fibroids, though located away from the center of the womb are mainly in muscle layer of the uterus, so expanding the uterus. Most ladies without fibroids have a uterine cavity length of about 30 to 50mm but ladies with fibroids have cavity length over 70 to 150mm with this extra length, the male sperm cell now have a very difficult and tortous journey to make it to the fallopian tubes, so almost all of them die before they reach the released egg during ovulation, naturally in this case the lady will continue to suffer from infertility.

In other cases the fibroids are located in the lower segment so making it almost impossible for the sperm cell to even bother entering the womb.

The most pathetic case of all is where the lady’s husband now have a problem of low sperm count. This is serious because it has been proven that men with low sperm count, produce sperm cell that have low motility and poor stamina, so imagine that, how now will such sperm cell be able to run a marathon race that the goal post have now been shifted by the fibroids in the womb.

This is the main reason of fibroid infertility, it is becoming a major issue that is making many families to cry. The question is this, is there any solution? and is there any way that we can go around this difficulty and assist the couples to get pregnant?

The answer is YES. There are many things that can be done to improve the chance of the couple to get pregnant such as Routine Ultrasound Scan Check Up, Saline Infusion Scan [SIS] to evaluate the endometrium, HSG to check out tubal blockage, Sonohydrotubation to clear the fallopian tubes in case of blockage and Folliculometry to evaluate ovulation. In this article I will mainly explain the simplest and very effective solution known worldwide. It is called sperm washing and intrauterine insemination (IUI). If you have been a close follower of my write ups you would have seen a lot of my articles on sperm washing and IUI.

However I will just do a brief writing up about it.

Sperm washing is a laboratory process where the male sperm is collected and processed to remove all weak and dead sperm cells and only the best and active cells are now injected into the ladies womb by a simple catheter during her ovulation period, this other process is called intrauterine insemination (IUI).

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Sperm washing is recommended for couples who have married for over 2 years without pregnancy due to unknown causes, that means, the couples have been tested and both have been found okay, but they are just not getting pregnant, this is called UNEXPLAIN INFERTILITY.

Another group that need sperm washing and IUI are those couples where the husband has low sperm count, low sperm count have been found a very difficult condition to treat because it continues to reoccur , so the only known sure treatment especially where the count is above 3 millions is sperm washing.

Also another group that need sperm washing and IUI are couples, where the lady (Wife) has fibroids, as I have explained earlier, the womb with fibroid are large so making it difficult for the sperm to reach the fallopian tube. In sperm washing and IUI, with the help of insemination catheter which is pushed near the fallopian tube and the washed sperm cells injected near the tubes to very much shorten the journey of the sperm cells and increase their chances of meeting the egg so helping the lady get pregnant.

One other group that need sperm washing and IUI apart from ladies with fibroids, are ladies with cervical problems. These are ladies who have had a difficulty in deliveries in the past where they had damage to their cervix , after healing some of them are known to suffer from SECONDARY INFERTILITY because of scarring that make it uncomfortable for the sperm cell to sperm through cervix, sometimes the cervix is so dry that no sperm cell can really survive in the vagina after the husband has released, sometimes the lady produce toxic vaginal discharge or have infections that really affect the released sperm cells badly. All these groups of couples must really avail themselves of 3 to 4 cycles of sperm washing and IUI to make it possible for them to conceive and have babies of their own.

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For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.

For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact

JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,

Opposite The Synagogue Church Busstop,

Bolorunpelu, Ikotun, Lagos

Postcode: 100265

Nigeria.

TEL:

08064981455

08032509975

08184590752

08037668535

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Tuesday, July 5, 2011

CAN FIBROIDS REALLY CAUSE INFERTILITY?

Hi Friend,

There is this client I know, she is now in her forties and seeking a child in her 10 years marriage. She told me that when she was young and unmarried she had been pregnant thrice , but like many young ladies in her age had done abortions. By the time she got married in her mid thirties she discovered that she now have fibroids and unable to get pregnant. She believed it was due to the many fibroids that are now in her womb that is causing her infertility.

She is just one client, but I assure you there are hundreds more in this situation. I have noticed that once a lady discovers that she definitely have fibroids, she just presume that it will cause her infertility. This will lead me to try and answer the question “Can Fibroids Really Cause Infertility?”

The answer is Yes and No. To briefly explain my answers I will go about it this way

In Nigeria and Africa, it has been proven that about 40 to 50% of ladies have fibroids.

Imagine that, that is half of all women in Nigeria, Now among those half with fibroid 90% of them are fertile and able to have as many children as they want.

Just about 10% of women with fibroids are infertile, if you also check the other half of women without fibroids 90% of them are able to have as many children as they desire, so also only 10% of them are also infertile. So approximately only 10% of the women population in Nigeria are infertile, whether with or without fibroid. so you can see that in the 90% with fibroids, the fibroids did not stop them from having children, they were as fertile as these without fibroids, so in that I will conclude that fibroids are not a major cause of infertility.

You will want to remind me that I also answered “Yes”, of course I did, among the 10% that are infertile and have fibroids, it is possible that in some of them (not all) fibroids could be a cause of their infertility. Fibroids can easily cause infertility if it is located abnormally in the womb. if the mass is located in the center of the womb it could act as a contraceptive devise stopping the implantation of pregnancy in the womb, if it is located near the fallopian tubes it could block the sperms from meeting the eggs so it cause infertility. if it is too large it could lead to miscarriages causing infertility.

Fibroid also make the womb large, so making the sperm cells travel for too long to meet the egg in the fallopian tube, so most of them die before they could meet the egg, and so fertilization will not take place, causing infertility.

In these cases, Fibroids could be a cause of infertility

Whenever a client comes to see me in cases of infertility and complained of fibroids, I always tell them to ignore the fibroids for now and concentrate on solving the infertility issues first. In most cases I usually recommend tests like

(1) SIS (Saline Infusion Scan) to really check the endometrium where implantation take place

(2) HSG (Hysterosalpingography) to check out the fallopian tubes and rule out blockages.

(3) Hormonal Profile to check her hormone states.

(4) Folliculometry to monitor her ovulation and see the size and quality of her eggs.

(5) Chlamydia test and HVS for infections

(6) and finally to check the husband sperms for volume, count, quality and motility.

In some cases, I recommend assisted pregnancy techniques like sperm washing & IUI, especially where the womb is enlarged so that the husband’s sperm cells can be placed near the fallopian tubes, so that the sperm cells can meet the egg quickly without going through the long wilderness journey that leads to their death.

One reason why I believe that husbands should check themselves early in marriage is that male factor infertility is about 40% of all cases of infertility in the world, the reason for the increase in low sperm count cases worldwide are not known , it is believed that environmental factors and modern life style are the major causes. A man that impregnates his wife or girlfriends just one year ago may just have low sperm count and infertility the next year. So the ego thing should be removed and let all married men submit themselves for sperm tests whenever their is a delay in conception.

Recently I had this client who informed me that earlier in their marriage about 4 years ago, she had done many scans that showed she had no fibroid, but the husband was diagnosed with low sperm count. After 4 years she have now developed very wickedly located fibroids that lead to herself been infertile even worse than the husband’s case. Her case is just one, I have seen hundred of these cases where the husband was the initial cause of infertility, now the wife is advanced in age and now the major cause. What I now advise men with long standing low sperm count, not to continue waiting but go ahead and try the superior sperm washing treatment. I believe that it is cheaper in the long run to try 2 or 3 trials of sperm washing and IUI to try and get pregnant, than to continue using all the many orthodox and non-orthodox drugs that have not shown any improvement .The truth must be told, very few drugs can really improve sperm count all they do is improve sperm motility.

So do not wait forever, try something new and adventurous, it may just do it, and save the ladies the torture of developing dangerously placed fibroids and becoming infertile.