INFERTILITY DR AKINWUNMI LOUIS AKINWUNTAN M B B

INFERTILITY DR AKINWUNMI LOUIS AKINWUNTAN M. B; B. S (Ib), MHS (Pop & RH), FMCOG (Nig), FWACS OBSTETRICIAN/GYNAECOLOGIST

INTRODUCTION • Infertility – Inability to conceive after one year of unprotected intercourse (6 months for women over 35? ) – Primary or Secondary • Fertility – Ability to conceive

STATISTICS • 80% of couples will conceive within 1 year of unprotected intercourse • ~86% will conceive within 2 years • ~14 -20% of US couples are infertile by definition (~3 million couples)

ORIGIN…. –Female factor ~40% –Male factor ~30% –Combined ~30%

Emotional and Educational Needs • • • Disease of couples, not individuals Feelings of guilt Where to go for information? Options Feelings of frustration and anger Support groups (e. g. Resolve)

………. IN THE BEGINNING ……. . IT WAS NOT SO………

• Gen 1: 27 : So God created man in his own image, in the image of God created he him; male and female created he them • Gen 1: 28 a : And God blessed them, and God said unto them, Be fruitful, and multiply, and replenish the earth, and subdue it

CAUSES OF INFERTILITY • • • Sperm disorders Anovulation/oligoovulation Tubal disease Unexplained Cervical factors Peritoneal factors

CAUSES OF INFERTILITY…. • Sperm Disorders – No production/ No ejaculation – Poor quality – Diseases i. e STDx, Diabetes Mellitus, Surgeries, Varicocoele, Drugs

Anovulation –Simply means no ovulation –Polycystic ovaries

Tubal Disease – Most common cause in women in this environment – Largely preventable – Mostly from STDx i. e. Gonorrhea, Chlamydia etc

Unexplained Infertility • Occur in about 15% of couples • No cause found after investigations

HOW DO YOU MANAGE THE SITUATION?

COUPLES RESPONSIBILTIES • IDENTIFY THERE IS A PROBLEM: DON’T PLAY THE OSTRITCH • VISIT A SPECIALIST • BE COMMITTED TO GETTING A SOLUTION • ENCOURAGE EACH OTHER • FOCUS ON THE OUTCOME Heb 12. 2

OPTIONS OF MANAGEMENT • WATCH & PRAY • MEDICAL • SURGICAL • ASSISTED REPRODUCTION • ADOPTION

CONCLUSION • Hos 4: 6 My people are destroyed for lack of knowledge • Mark 9: 23 : Jesus said unto him, If thou canst believe, all things are possible to him that believeth

CHILDREN ARE THE HERITAGE OF THE LORD- Ps 127: 3

THANK YOU FOR LISTENING