INFERTILITY CARE TODAY OLUWABUKUNMI KOLADE

VINE BRANCH FERTILITY CENTRE IBADAN

19th July 2015

INABILITY OF A COUPLE TO ACHIEVE CONCEPTION AFTER TWELVE MONTHS OF FREQUENT UNPROTECTED INTERCOURSE

WHY TWELVE MONTHS ? CONCEPTION RATES PER MONTH

20-25%

INTRODUCTION

THE CONCEPTION PROCESS

SEMINAL FLUID ANALYSIS OVARIAN RESERVE TESTING

TUBAL PATENCY TESTS OTHERS

BASIC TESTS IN INFERTILITY

Conventional fertility treatment (25-30%) Intrauterine insemination Tubal surgery Ovulation induction Advanced fertility treatment (70-75%) In-vitro fertilisation Intracytoplasmic sperm injection Intracytoplasmic morphologically selected

sperm injection

OPTIONS OF TREATMENT

ANY FORM OF ASSISTED CONCEPTION IN WHICH THE MALE GAMETES (SPERMS) AND FEMALE GAMETES (EGGS) ARE HANDLED OUTSIDE THE BODY

ASSISTED REPRODUCTIVE TECHNIQUE

BLOCKED TUBE/TUBES MODERATE TO SEVERE ENDOMETRIOSIS OLIGOSPERMIA AZOOSPERMIA ADVANCED MATERNAL AGE TRADITIONALLY TREATMENT OF LAST

RESORT

INDICATIONS

EMBRYO TRANSFER

Louise brown

Microinjection

VARIES WIDELY DEPENDING ON SEVERAL FACTORS

<30YRS 40-50% 30-35YRS 30-35% 35-37YRS 20-25% 37-40YRS 15-20% >40YRS <10% (using own eggs)

SUCCESS RATES

FAILURE OHSS ECTOPIC PREGNANCY MISCARRIAGE MULTIPLE PREGNANCY

COMPLICATIONS

LASER ASSISTED HATCHING SURROGACY VITRIFICATION PRE IMPLANTATION GENETIC DIAGNOSIS

OTHER SERVICES

DAY 3 EMBRYOS

FIRST BABY

First triplets

FIRST TRIPLETS

FIRST QUADRUPLETS

OLDEST MOTHER

OLDEST MOTHER TO BEAR TRIPLETS

EX 23;25-26DEUT 7;11-15

WHAT DOES GODS WORD SAY ABOUT FERTILITY

Couple looking for short cuts =Gen 16;5

Frustrated wife = Gen 30 ;1 Angry/Insensitive husband =

Gen 30;2 Loving husband 1 Sam 1; 2 & 5 Prayerful husband Gen 25;21 The lone one 2 Sam6;16 &23

COUPLES IN THE BIBLE WITH FERTILITY CHALLENGES

CHILD BEARING IS GODS WILL FOR ME

BE SUPPORTIVE OF ONE ANOTHER

DON’T LOOK FOR THE EASY WAY OUT

SEE A FERTILITY SPECIALIST SEEK A SECOND OPINION IF

NECCESARY AVOID ANYTHING HIDDEN CONTINUE TO SERVE GOD

ADVICE TO COUPLES WITH DELAY

BE SUPPORTIVE SENSITIVE RESPECT THEIR RIGHT TO PRIVACY

WHAT IS OUR ROLE

MAMA NA BOY!