When IVF Fails, Other Therapies Can Help

Monday, August 22, 2016

Fertility: National Hospital Reduces Cost of IVF

The National Hospital, Abuja, at the weekend said the hospital has drastically reduced the cost of In-Vitro Fertilisation (IVF) to help couples encountering challenges in giving birth to children.

Chief Medical Director (CMD) of National Hospital, Abuja Dr. Jafaru Momoh, stated this during a one day seminar on IVF in the hospital.

Speaking against the backdrop of affordability and accessibility of IVF, Momoh explained that the decision to cut IVF cost was aimed at giving couples the opportunity to have their own children without the pains of exorbitant prices associated with IVF.

According to Momoh, “The bottom line of access in Nigeria is affordability; that is cost. We have been enlightening the public. National Hospital IVF programme is less than one fourth of the cost of IVF in the lowest private hospital cost range.

“For the technical feat, we are talking about N350,000, you’ll buy your drugs; that’s all. But you’ll spend close to N2 million in some private hospitals.

“We have recorded over 500 pregnancies and over 350 actually delivered in this hospital from the IVF programme. Of course, you know that IVF is what you commonly referred to as test tube baby,

“People should not mistake it to mean that we grow babies in a test tube; it is the natural process of giving birth that has been replicated at the laboratory at a very early stage and the baby is transferred within 48 hours, immediately it fertilizes, to the mother’s womb to carry the pregnancy.

“Therefore, there should be no stigma. People should be proud to say technology gave humans, which is knowledge given by God,” Momoh stated.

He added that they want to collaborate with other hospitals that can not do this, particularly, government hospitals. He urged them to refer their patients to the National Hospital.

IVF: Hospital puts Nigeria on medical map

State-of-the-art theatre at Lily Hospital, Warri, Delta State
Our facilities, services, make medical tourism unattractive, say doctors...




Hundreds of hitherto barren partners are now having babies through the delicate breakthrough process known as In-Vitro Fertilisation (IVF) at Lily Hospital in Warri, Delta state.

The Guardian learnt that over 200 babies have been delivered through IVF at the privately-owned Hospital, which is reportedly pioneering the method in the Niger Delta region and has acquired state-of-the-art medical equipment for IVF births as well as paraphernalia for urology, orthopedic, otorhinolaryngology (treatment of ear, nose and throat) and key-hole surgery among others – all in the effort to end medical tourism by Nigerians.

The facilities at the Lily Hospital are said to be a relief to Nigeria’s deficient health sector as medical experts from other parts of the world including doctors from India team up with Nigerian doctors to give specialist medicare to patients, several of who are tourists from outside Nigeria.


Director of the IVF programme at the Lily Hospital, Dr. Louis Alekwe, told The Guardian that over 200 babies had been successful delivered via the IVF procedure at the hospital. He said even barren women over 50 years old have had babies including women who don’t have womb – as a surrogate mothers could be arranged to bear the pregnancy.

According to the doctor, even if a woman does not have a womb another woman could be made to carry the pregnancy for her. “That is if the woman’s eggs and the man’s sperm were used the IVF process the baby will look exactly like the man or woman because it is a genetic thing; the genes you are look at.”

He explained: “Many couples come here with their marriage at the brinks. We try to counsel them that what they really need is hope. There is really no reason why anybody should not have a child now; most people can be helped. If they can come forward most people can be helped. There are very few you cannot do anything for. There are always fears.”

Alekwe recalled a touching IVF case he handled at the hospital involving an elderly man married to a woman of about 34 years. Despite marrying for several years they remained childless.

“The man didn’t believe they could have baby through IVF. The woman came to me I checked her out and she was okay, then I invited the husband the man kept refusing. The woman broke down and cried. Later the man came we checked him there was no sperm in the ejaculate but we discovered that every other thing was okay with him. So it might have been a blockage of the testis and where the sperm comes out from. So we said let us try the testis if we will find sperm and when we found sperm – the man was happy! It was like a major victory, we had her IVF done and the woman had a beautiful baby girl.

“The husband did not believe he felt that what we were doing was a scam until the pregnancy came out and he believed. After then she had had two other babies through IVF.”

He disclosed that there are cases where the man’s testis is not producing sperm and that the man will have to decide whether to accept a sperm from another man – as there is hardly medical remedy to the condition – and that it is quite difficult to accept by some men.

On the common belief in Nigeria that childlessness was always the fault of women, the doctor said infertility is not only a problem associated with women but that it cuts across both men and women on 30 per cent ratio.

“It is more difficult for the men to accept- most of the time the women are willing, even when you tell a woman she doesn’t have eggs she is always willing to accept eggs from the other women, men find it much more difficult. Some women come here with the two tubes blocked, we go ahead and do the IVF. The normal process of conception is the man sleeps with the woman and deposit sperms there, they travel and get into the tubes the woman releases her eggs. The eggs enter this tube so the sperm and the egg meets there and they form the baby, so if this is blocked there is no way the egg and sperm can meet naturally. The usual cause of blockage most times is infection,” Alekwe said.

It was learnt that Nigerians and non Nigerians come from the United Kingdom (U.K.), Ireland, Canada, United States (U.S.) and other African countries on medical visit to the hospital because they reportedly discovered that even though the standard are the same as those in the advanced countries services are cheaper especially when air fares are factored in.


Delta State governor, Dr. Ifeanyi Okowa, recently commissioned the massive four-storey edifice housing the Lily Hospital with its modern medical equipment ranging from dopler scans, CT scans, 3D and 4D scan, ECG, Spirometry and Audiometry, and he said that with the up-to-date equipment he saw at the hospital that there was no need for Nigerians to embark on medical tourism.

A computerised tomography (CT) scan uses X-rays and a computer to create detailed images of the inside of the body. An electrocardiogram (ECG) is a test that records the electrical activity of the heart. Spirometry is a test that can help diagnose various lung conditions, most commonly chronic obstructive pulmonary disease (COPD). An audiometry exam tests your ability to hear sounds.

Similarly, the operating officer at Lily Hospitals, Dr. Austin Godwin Okogun, told The Guardian that with the advancement in the medical sector in Nigeria there was no need for Nigerians to travel out of the country to seek medical aid as several private hospitals in the country including Lily were now equipped with latest tools to manage any medical condition.


Friday, April 15, 2016

IVF Pioneer urges more centres


UBTH
Determined to help address and reduce issues related with reproductive health that has plagued women in Nigeria and beyond, a joint pioneer of In-Vitro Fertilization (IVF)/Test Tube Baby technique in Nigeria, renowned scholar and University don, Prof. Osato Giwa-Osagie, has tasked the public sector to establish more IVF training centres in public hospitals across the country.

Giwa-Osagie said the move when successfully actualized would help to assist persons who do not have enough cash to fund two or three IVF cycles, which is sometimes required to achieve pregnancy through IVF method.

In the absence of insurance coverage for infertility or grants to assist infertile couples succeed in the field of reproduction, the medical expert asserted that of the 47 IVF centres in Nigeria, 42 of them were privately owned, with five owned and managed by government.

Speaking at the University of Benin Town and Gown symposium lecture titled: “The impact of IVF test tube-babies in Nigeria,” Prof. Giwa-Osagie, said the advancement in science has made it possible for women who have blocked tubes, which is the number one cause of infertility to access treatments that works.

Giwa-Osagie said among the government controlled health care centres where the IVF has become functional include the University of Benin Teaching Hospital (UBTH), National Hospital, Abuja, and Lagos University Teaching Hospital (LUTH). He said the IVF training centre in LUTH has just been re-opened after 30 years.

On his part, Vice-Chancellor, University of Benin, Prof. Faraday Orumwense, in his remarks, said the symposium was born-out of the need to sustain and improve reproductive health practice, as the institution under his leadership is determined to assist in resolving global problems through academic research.

Giwa-Osagie noted that the major cause of infertility is infection urging that, “there should be effort to always ensure that our women deliver safely and in hygiene environment under the expertise of qualified care provider including certified nurses and doctors.

He cautioned on the need for women to practice personal and environmental hygiene to achieve success in reproductive Health stressing that, “Each IVF circle has about 70 percent failure rate and 30 percent success rate.”

According to him, “Persons born without functioning ovaries or who do not release eggs, as well as others who have never experienced their menstrual circle in their lives can now have babies with IVF, while men who either have low sperm count or without sperm can have babies as well, by a process whereby their sperm is harvested from their testis and subjected to laboratory examination.”

 

Sunday, April 3, 2016

Nigeria records first baby by frozen egg

Baby Tiwatope
Nigeria has recorded the birth of its first baby conceived through the oocyte (egg) freezing protocol.

The feat was recorded by The Bridge Clinic, Lagos, on February 16, with the delivery of a male child, named Tiwatope.

The oocyte was preserved through cryopreservation, which is the cooling of cells and tissues to sub-zero temperatures to stop biological activity and preserve the cells for future use.

Human oocyte cryopreservation (egg freezing) is a process in which a woman’s eggs (oocytes) are extracted, frozen and stored. Later, when she is ready to become pregnant, the eggs can be thawed, fertilised and transferred to the uterus as embryo.

According to the fertility physician with The Bridge Clinic, Dr. Emmanuel Owie, who broke the news, Tiwatope’s birth was significant in many respects, as he puts the  country on the global map in the practice of oocyte cryopreservation, a new offering in the in-vitro fertilisation (IVF) space.

 

Monday, February 29, 2016

59-yr old has first baby after 30 years of marriage at St. Ives

'God is a faithful & covenant keeping father; we appreciate your loving kindness towards us. 'Pst. & Dcns. Abodunde E.S

Saturday, November 7, 2015

Physicians tasked on new IVF techniques

Dr. Ajayi
Fertility expert, and managing director, Nordica Fertility Centre, Dr. Abayomi Ajayi has advised physicians in the country to embrace new  In Vitro Fertilization (IVF) techniques in order to improve success rates, and meet up with international best practices.
He gave the advice during the recent round table organized by the centre for physicians with the theme “Personalized IVF: Techniques to improve success rate.”
He said the personalised idea involves the need to look at each couples’ need, and “what needs to be done for them that is peculiar to them.”
Ajayi said physicians should be able answer their patients questions on why IVF fails.
 “They should be able to answer questions on necessary tests that might be even outside the scope of what they do normally in IVF. For example, if anybody is not looking at the uterus in Nigeria, he or she is wasting time on IVF. Because we know that a lot of Nigerian women have problems with their uterus.
It is either they have done surgery before, like surgery for fibroids, or caesarian section, which has left a scare, and doing IVF  on such a  woman is like a putting a baby on a foam that is not comfortable,  the baby can’t sleep well,” he explained.
While stating that IVF has improved in many ways in the country, ranging from drugs to equipment, media used, to ways of selecting sperms and embryos, he said  they are now focusing on the part played by the endometrium in IVF.


He said the round table was aimed at exchanging ideas, increasing the knowledge of doctors, and brainstorming on what is happening all over the world, in order to do it in Nigeria.
According to him, in the last 13 years, Nordica Fertility Centre has produced about 1,100 IVF children.

Source: the Guardian

 

Wednesday, October 28, 2015

Health education graduate performs surgery in Kwara clinic

Dr.Olaitan
The Medical and Dental Council of Nigeria has raided a hospital in Ilorin, Kwara State, identified as Springway Hospital.

Many documents and a medical certificate believed to have been stolen from their owners were found during the raid on Saturday.

The Head of Inspectorate, MDCN, Dr. Okwuokenye Henry, who was in Ilorin on the instruction of the council’s registrar, Dr. Abdulmumini Ibrahim, said the council got a report that a doctorate degree holder in Human Kinetics and Health Education, Dr. Olaitan Lanre, established and operated the facility in Oko Erin area of the state.

He added that Lanre had allegedly been working as a doctor, carrying out surgery and fertility operations on patients in the clinic which operates 24-hour services.

 According to him, Lanre also claimed to be a lecturer at the University of Ilorin.

The head of the MDCN inspectorate stated that the council had already informed UNILORIN about the illegal activities of the fake doctor who claimed to be a lecturer at the varsity.

Henry ordered the closure of the facility pending the resolution of the matter. He also urged the police to arrest Lanre.

He added that the raid was to prevent the fake doctor from endangering the lives of unsuspecting patients.

He stated that the two doctors indicted by the recovered documents at the hospital had been summoned to appear before the MDCN.

Henry said, “We received a petition in my office in Abuja that somebody who had a Ph.D in Human Kinetics and also a lecturer with University of Ilorin named Dr. Olaitan Lanre opened a hospital in Oko Erin in Kwara State and has been working as a doctor carrying out surgery on people and fertility operations.

“During the raid, we discovered that the letter for the registration of the hospital was written by the fake doctor who used the name of one Dr. Jimoh A.A. as the overseer of the hospital and another Dr. Adeyemi as the medical director in charge of the hospital.

“During investigations, both doctors denied knowing Lanre who opened the hospital. Dr. Adeyemi, who is said to be the medical director of the hospital and whose certificate was also used to register the hospital, does not work there. Lanre’s operations at the hospital are fraudulent.

“When we got to the place with policemen, we met the place under lock and key which shows that he had been informed of our coming but some employees of the hospital were hovering around the place. Two were arrested, and policemen are already interrogating them.”

The Director, Medical Services and Training, Kwara State Ministry of Health, Dr. Subair Erubu, said the fake doctor used the name of some doctors to obtain his licence to register the hospital.

“The hospital didn’t register as a hospital but as a clinic and maternity home to carry out minor treatments on people. But we are surprised that the clinic has gone beyond what is expected of it by carrying out surgery for cases that do not even require such,” Erubu said.

 

By Success Nwogu,The Punch
 

****Dr. Olaitan has also run Kingsway IVF clinic in the past.
 

 

 

 

Friday, October 9, 2015

LUTH Reopens IVF Clinic

From left: Former Chief Medical Director (CMD) LUTH, Prof Akin Osibogun, Prof Ashiru, Prof Bode, Prof Giwa-Osagie and Provost, College of Medicine, University of Lagos (CMUL) Prof Folashade Ogunsola at the event.
The Lagos University Teaching Hospital (LUTH), Idi Araba, has revived its Assisted Reproductive Clinic. It folded up in the 90s due to lack of funding. Now known as LUTH Assisted Fertility Clinic (AFC), the duo of Professors Osato Giwa-Osagie and Oladapo Ashiru, pioneered the clinic that produced the first test tube baby in Nigeria in March 1986. They both were at  the event, glowing with pride.

Going down memory lane, Prof Giwa-Osagie said the clinic through its IVF programme treated 20 patients between 1984 and 1994, “but we could not sustain it because of lack of institutional and government support.

Thereafter, the IVF services in Nigeria were largely made available by the private hospital. LUTH IVF clinic, according to him, “was the first in West, East and Central Africa.  Only Egypt and South Africa were the two African countries that had it before Nigeria in IVF history.”

Prof Giwa-Osagie said the full commencement of IVF services at LUTH had to wait for the ideal environment to be provided by the management. The perfect environment include sterile atmosphere for the laboratory and theatre; tiling of the laboratory and theatre; design of fee structure; acquisition of modern equipment; dedicated workforce and recruitment of patients.

The hospital, he said, is setting a goal of producing not less than 200 babies through IVF per annum.  “I am proud that this is coming to be as there is no short cut in life. Good legacies are built through perseverance, consistency and determination. The reopening of this clinic put history in the right perspective.

“This marks a return of IVF where it started in West Africa. We are set to charge lesser price than what obtains in the private sector. There are now about 45 IVF centres in the country,” he said.

Prof Ashiru was beside himself with joy and said international standard should be maintained in the clinic and it “includes training of embryologists, who will be certified and willing to train other embryologists.  Success of IVF is in the laboratory. “World Health Organisation (WHO) standard should be brought back here, including documentation,” he said.

LUTH’s Chief Medical Director (CMD), Prof Chris Bode, said the clinic will make IVF service affordable, accessible and available, “As this is a foremost institution of excellence and we have the experts here that get things done,” he said.

Saturday, October 3, 2015

FREE IVF SCREENING & TREATMENT

Lilypie Assisted Conception tickersLilypie - Personal picture

Nigeria :Why Success Rate of In-Vitro Fertilisation Can't Be Determined in Nigeria - Expert

Dr. Ajayi
A consultant Obstetrician and Gynecologist, Dr Abayomi Ajayi, has said it is difficult to determine the success rate of In-Vitro Fertilisation, IVF, in the country due to lack of monitoring agencies.

Speaking in Asaba during the Physicians' Roundtable with the theme 'Personalised IVF: New Techniques to Improve Success Rate', Ajayi decried the lack of monitoring agencies and dearth of records to ascertain the success rate of breakthroughs in reproductive health across the country.

He said: "We can't talk about success rate in Nigeria because there are no monitoring agencies. You can talk about success rate in your own clinic that is what you know about your clinic. For us, our success rate is equal to what you find in advanced parts of the world."

While saying that the success rate can only determined at the individual clinics where IVF services are rendered, Ajayi who is the Managing Director of Nordica Fertility Centre, debunked the claim in some quarters that IVF services were beyond the reach of citizens at the lower rung of the economic ladder.

"When people say that IVF is expensive, I know that it is not cheap but I don't know if it is expensive. People sometimes have the idea that IVF is up to N5 million above. It is not, at least I know in my own clinic. What I say most of the time is that, if you can buy a fairly used car, you can get IVF. So, you have to find out how much it is in the clinic you are going to and know how to access it. It is not cheap but it is not as expensive as people think.

"IVF involves the process of bringing the egg and the sperm together outside the body, and then the embryo that is formed is flushed back into the woman with the hope that it becomes a baby. It is used for people who want to have children either because they are having problem bearing children or because they want to avoid a particular genetic disorder or they are looking for a particular sex."

 

By Festus Ahon
Source: vanguardnews