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 1:28a : 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