AFRH endorses guidelines for IVF practice in Nigeria
THE Association for Fertility and Reproductive Health (AFRH) of Nigeria has approved minimum standards for clinics offering Assisted Reproductive Technology (ART)/In VitroFertilisation (IVF) in the country. Read more at:
http://ivfnewsnigeria.blogspot.com/2012/10/afrh-endorses-guidelines-for-ivf.html

Center for Human Reproduction More Than Doubles IVF Pregnancy Rates in Women Over 44
“This pregnancy rate for women 44-49 is almost unbelievable, considering that patients at these ages, at most other IVF centers in the world, are no longer even given the chance of pregnancy with use of their own eggs and are usually
advised to use donor eggs... MORE AT:
www.invitrofertilisation.blogspot.com

When IVF Fails, Other Therapies Can Help

Practical Advice from a Nigerian IVF Doctor:

Before ivf: candid, practical advice that you cannot afford to ignore at:
http://www.naturalfertilityaids.blogspot.com
IVF by CCTV: Britain's first baby born. DETAILS AT:
www.ivfbreakthroughs.blogspot.com

Are IVF clinics hiding the risks of PGD from parents?

IVF clinics have adopted the PGD technology for a wide range of uses -- from eliminating defective embryos to testing for genetic defects to sex selection -- without a thorough understanding of the risks involved.
READ MORE AT:
http://www.invitrofertilisation.blogspot.com

Boost IVF chances with self massage. Free details at:
http://www.unblockmytubes.blogspot.com

LUTH:Quadruplets after 17 years of marriage!

1st Test Tube Baby in Black Africa is now 23 years old
On March 17, 1989 history was made at the Lagos University Teaching Hospital when the first test tube Baby in Black Africa (comprising of West, East and Central Africa), conceived through the delicate In-Vitro Fertilisation and Embryo Transfer (IVF-ET) method was born. The bouncing baby boy named, Olushina, Eghosa, Oluwaremilekun, is nature’s gift to the family of Mr & Mrs Pius Oni and the crowning glory of five years of painstaking research endeavours of Professors Osato Giwa-Osagie, an Obstetrician and Gynecologist and Oladapo Ashiru, an Endocrinologist, both of the Lagos University Teaching Hospital, LUTH Idiaraba, Surulere, Lagos.The lad then, thus, became the First TestTube Baby in East, West and Central Africa. Read more at: www.ivfhistorynigeria.blogspot.com



Saturday, May 4, 2013

ADVICE, OVERVIEW & CONTACT INFO BELOW:

The IVF Units at a Glance:
*Ayomide  * Bridge  * DIFF  *Dove  *EKO  *Fusion Nest * Georges *Gynescope  * Hope Valley  *Kingscare  *Kingsway  *LASUTH  *Life *Lily  *MART  *Midland  *M&M  *National  *Nisa Premier  *Nordica   * Omni  *Prime  *Roding  *St Ives  *Trucare  *UBTH…
ADVICE:'IVF IN NIGERIA' DOES NOT ENDORSE ANY INDIVIDUAL DOCTOR OR CLINIC AND ADVISES WOULD-BE PATIENTS TO ENDEAVOUR TO VERIFY ANY CLAIMS BEFORE COMMITMENT.

p.s. all corrections and addendums to info on the clinics welcome.

Tuesday, February 14, 2012

IVF CLINICS IN NIGERIA

You do not need to travel abroad for standard IVF treatment as it is now available in Nigeria at a fraction of what it would cost you abroad.

You save on air fare and hotel bills and the success rates are comparable with those of clinics overseas. Plus, you are likely to get more suitable egg donors in the country, if you happen to need them. Nigerians resident abroad also find it cost effective to make the trip back, for IVF treatment.


Today, there are about 26 IVF clinics in Nigeria (mostly located in Lagos, Nigeria's commercial centre). After the birth of Nigeria’s 1st test tube baby, an event led by the Dapo Ashiru-Giwa-Osagie team in 1989, there was no follow-up in this field until a few years ago with the establishment of some private IVF clinics.
Although relatively few in number, these clinics offer value for money and can boast of success stories. It must be stressed however that the number of women actually treated in each clinic, their set up dates and the take home baby rates, must be taken into consideration when assessing their success rates.
In making a choice of clinic for IVF treatment, you can always go with the recommendation of your gynaecologist but you will be better off knowing what your options are, as set out in the following list.
THE CONTACT INFO OF NIGERIA'S IVF CLINICS - ALSO ALPHABETICALLY LISTED AT A GLANCE ABOVE,  ARE SET OUT BELOW. THERE IS AS YET NO NIGERIAN BODY SUCH AS BRITAIN’S HFEA (AN INDEPENDENT REGULATORY BODY THAT LICENSES FERTILITY CLINICS), TO VERIFY ANY CLAIMS OF SUCCESS RATES.

Sunday, May 15, 2011

* Ayomide Clinic


*Ayomide Women’s Health Specialist Hospital &Fertility (IVF) Centre
30, Gate 2, Powerstation, Powerline,
Ikirun Road, Opp. Dayus Petrol Station,
Oshogbo,
Osun State
Tel: 08161832528 ; 07060916229
Medical Director: Dr. Johnson Komolafe
Set up date: February 2010
1st IVF Cycle: March 19, 2012.

 


*Bridge Clinic
Dr. Ajayi

Plot 1397A Tiamiyu Savage Street,
Victoria Island, Lagos.

Tel: 01-2623268 ; 2610686

Email: bridge@om.metrong.com ; info@thebridgeclinic.com
Website: www.thebridgeclinic.com
Medical Director: Dr. Richardson A. Ajayi
Ikeja Centre:

63 Oduduwa Crescent,

Ikeja G.R.A,

Lagos.

Tel:
07028806815 ; 01-4485401-2
Port Harcourt Centre:
41A Evo Road,

G.R.A Phase II, Port Harcourt.

Tel: 084-465 003 – 5


Kaduna Centre:
26 Kinshasa Road,
Ungwa Rimi GRA,
Kaduna North, Kaduna State
Tel: 00234- (84) 0819 140 2315

Set up date: 1999






*DIFF Hospital


*DIFF Hospital

Dr. Idahosa

6 Udi Hills Close

Aso-Drive,

Maitama, Abuja

Telephone: DA Office: 09-2908426 ; Reception: 09-2906387 ; Nurses Station: 09-2906387 ;

E-mail: info@diffhospital.com
Medical Director: Dr. John O. Idahosa
*Dove Fertility Centre
Dr. Efetie
Plot 20,
Block 5, Setraco, Gwarinpa Estate
Area 11
Garki, Abuja Municipal
Abuja
Telephone: 08033118171 ; 08079328287
Email: efenae@yahoo.com
Fertility Consultant: Dr. Efena Efetie

Wednesday, January 26, 2011

*Eko Hospital Fertility Centre

*EKO Hospital Fertility CentreDr. Ogunmokun









Telephone: 01-4978800-9

E-mail:


Chief Medical Officer: Dr. Adegbite Ogunmokun

START UP DATE: 2009. 4 babies, 11 ongoing pregnancies to date. 36% success rate.
Cut off treatment age: 55



*Fusion Nest Fertility Centre


Dr. Soyinka







3, Adebowale Close, Off Lola Holloway,
Omole Phase 1, Ogba, Lagos.

Telephone: +234 8022514723 ; 08156979893 ; 08187929978



Medical Director: Dr. Soyinka


START UP DATE: 2012 

Wednesday, January 13, 2010

*George's Memorial Medical Center

*George's Memorial Medical Center
Dr. Iketubosin





6, Rasheed Alaba Williams Street,
Off Admiralty Way,
Lekki Phase One, Lagos.
Telephone: 01-2715320

Email: info@georgesmedical.com
Website: www.georgesmedical.com
Medical Director: Dr. Faye Iketubosin

*Gynescope Specialist Hospital

Dr. Okohue
1, Mini Ezeku Street,
Rumuogba,
Portharcourt,
Rivers State.


Telephone: +234-08037275377; 08166593030
Email:
info@gynescopesh.com; drjude@gynescopesh.com
Website: http://www.gynescopesh.com
Medical Director: Dr. Jude Ehiabhi Okohue


Monday, October 5, 2009

*Hope Valley Clinic

*Hope Valley Clinic
Dr. Ogunkoya

261, Etim Inyang Crescent,
Victoria Island Annex, Lagos.

Tel: 01-4618989 ; 08033069466

Email:
thehopevalleyclinic@hyperia.com
Website: www.thehopevalleyclinic.net

Medical Director:
Dr. Olugbenga Ogunkoya

Portharcourt clinic:

17b Ahiamakara Road, Nwaja Junction,
Transamadi Industrial Layout Rd.,
(Between Magnum & Platinum Bank)
Port Harcourt.
Tel:
084-578956 ; 084-462118 ; 08037048154

Abuja Clinic;

Plot 1021, B5 Shehu Yar’Adua Way,
Opposite Fed. Ministry of Works,
(Within Zankli Medical Centre) Utako District, Abuja.
Tel:
09-2733013 ; 09-6715876 ; 07039324220

Kaduna Clinic:

23/24, Aliyu Turaki Rd., Off Isa Kaita Rd,
Matali GRA, Kaduna.
Tel:
062-371253 ; 07035903551; 08033069466

Benin Clinic:

No. 7B, (Behind No7) Eguadasa Str.,
Off Akpakpava Rd., Benin City.
Tel: 08033069466 ; 08050240728 ; 08037227238

*Kingsway Clinics *Life Specialist Hospital *Lily Fertility Centre

*Kingsway Clinics

Dr. O. Olaitan




Dept. of Human Kinetic & Health Education


Ilorin Kwara State.


Tel: 08034715348


Website: http://www.lanreproductivehealth.webs.com


Scientific Director: Dr. O. Lanre Olaitan




*Life Specialist Hospital, Nnewi
Prof. Ikechebelu


Life Specialist Hospital, Nnewi
7 Ikemba Drive


Umuele-Umudim


Nnewi


Anambra State


Tel: 080-404-4189, 046-309471




Email:info@lifehospital.org, lifehospital@yahoo.com,
jikechebelu@yahoo.com
Website: http://lifehospital.org/lifehospital/aboutus.html
Medical Director: Professor Joseph Ifeanyichukwu Ikechebelu



*Lily Fertility Centre


Lily Hospitals
6 Brisbe Street,
Off Etuwewe Road
Off Deco Road, Warri
Delta State.
Tel: 234-8039637765, 234-7092010621
E-mail: contact@lilyhospitals.com
Website: http://lilyhospitals.com/lily-fertility-centre/
Directors: Dr Okogun Austin (Medical Director/CEO), Dr Alekwe Louis (Diagnostics), Dr Onuwaje Mayomi (Clinical Services)
START UP DATE: 2008 By 2010: 98 procedures; 52 pregnancies (27 chemical; 25 clinical with live births)


*King's Care Hospital, Abuja

*Kings Care Hospital, Abuja

Dr. Alasa Abu

Plot 2181, Ibrahim Babangida Way

Wuse II, Abuja.

7, Christmas Road, behind Police Affairs Quarters,
Phase 4, Kubwa, Abuja
Tel:
+234-9523552-4 ; +234-95235515
Email: info@kingscarehospital.org


Website: www.kingscarehospital.org
Chief Medical Director: Dr. Alasa Abu Humphrey

Portharcourt Center:


17B Ahaimakara Road,Transamadi Industrial Layout Road,Portharcourt.

Tel: 084: 578956 ; 08037048134 ; 08033069466

*Medical Art Center

*Medical Art Center
Prof. Dapo Ashiru

Lofom House,
21 Mobolaji Bank Anthony Way

P.O.Box 5747,Ikeja,Lagos

Tel: 01-4971970

Email:
mart@infoweb.abs.net
Website: http://www.medicalartcenter.com/
Medical Director: Professor Oladapo Ashiru

*Midland Fertility Center

*Midland Fertility Center
Dr. Abiodun Akanbi Gafar

Olusegun Obasanjo

Way


Adewole Estate, Ilorin(From the University of Ilorin Mini campus, drive straight to Adewole round-about and proceed right through Olusegun Obasanjo Way, then turn right at the traffic control junction, Midland Fertility Centre is on the Opposite road).



Tel: 034-742270 ; 08037252959 ; 08036850384



Website: http://www.midlandfertilitycentre.com

Medical Director: Dr. Jimoh Abiodun Akanbi Gafar

*National Hospital Abuja

*National Hospital Abuja

Plot 132, Central Business District,(Phase II)
Garki, Abuja
Email:
info@nationalhospitalabuja.net
Website: www.nationalhospitalabuja.net

IVF Department Consultants:
1. Dr. S. M. R Ibrahim, Coordinator, IVF Centre
Email:
bunlad@hotmail.com
Telephone: 08023263373

2. Dr. E. R. Efetie
Email:
efenae@yahoo.com
Telephone: 08033118171

3. Dr. S.M.R. Ibraheem
Email:
drirais@yahoo.com
Telephone: 08033154245

*M & M Hospital

*M & M Hospital
Dr. Prosper Igboeli
The Fertility and IVF Center
10 Ngozi Avenue / 127 Faulks Road,
Aba, Abia State.
Tel: +234-82-227-798 ; 08033240452

Branch: Nigerian Navy Service Housing Estate, Karshi, Nasarawa State.
Email:
drprosper@mmfertilityhospital.com
Website:
www.mmfertilityhospital.com
Medical Director: Dr. Prosper Ikechukwu Igboeli

*Nisa Premier Hospital

*Nisa Premier Hospital
Dr. Wada

Plot 618, Alex Ekwueme Way,
Jabi, Wuse,
Abuja.
Telephone: 08035967303
Website:
www.nordica.org/nisa-hospital
Medical Director: Dr. Ibrahim Wada

*Nordica Fertility Centre

*Nordica Fertility Centre
Dr. Abayomi Ajayi
106/108 Norman Williams Street,
South West Ikoyi,Lagos.
Email:
info@nordicalagos.com ;
yomiajayi@nordicalagos.com
Website: http://www.nordica-lagos.org/
Telephone: 01-4617023-4 ; 4610858
Medical Director: Dr. Abayomi Ajayi


Yaba Centre
6, Turton St,Off Commercial Avenue,
Sabo Yaba, Lagos
Tel: (01) 7744893, 7913537

Asaba Centre
5 Erhuvwu Club Street,
Off Summit Road. By Havilla Hotels
Asaba, Delta State .
Tel: 046830211

*Omni Advanced Fertility Center

*Omni Advanced Fertility Centre
Prof. Osato Giwa-Osagie

18 Boyle Street,
Onikan, Lagos.
Telephone: 01-2630304 ; 01-2646304
Email:
info@ivflagos.org
Website:
www.ivflagos.org
Medical Director: Professor Osato Giwa-Osagie




*Prime Medical Consultants
4 Prime Close, Off Chief Nyenwenwo Avenue,
Rumuogba, Port Harcourt.
Tel: +234-84462808; 08033134822
Email: info@primemedicalonline.com
Website: http://www.primemedicalonline.com/
Clinical Director: Dr. Gabriel Ominyi

*Roding Medical Centre

*Roding Medical Centre
Dr. Adeyemi -Bero
29B Olabode George Street,
Off Ajose Adeogun Street,
Victoria Island, Lagos.
P.O. Box 73271 Victoria Island.
Telephone: 01- 2626169 ; 26226170
Fax:+234-2703628
Email:
info@rodingmedicalcentre.com
Website:
www.rodingmedicalcentre.com
Medical Director: Dr. Adewunmi Adeyemi-Bero

*St. Ives Specialist Hospital : IVF & Fertility Unit

*St. Ives IVF & Fertility Unit
Dr. Tunde Okewale
4, Mojidi Street,
Off Toyin Street,
Ikeja, Lagos.
Telephone: 01-8974878
Email:
info@stivesng.com
Website:
www.stivesng.com
Medical Director: Dr. Tunde Okewale

*Trucare Fertility Centre; *University of Benin Teaching Hospital, IVF Unit

*Trucare Fertility Centre


5, Eletu Ogabi Str.,

Off Adeola Odeku,Behind Bank PHB,

Victoria Island, Lagos.
Tel: 01-2805576, 08083843211, 08051841529, 08033910032


Website: http://www.trucarefertilitycentre.com
Medical Director: Dr. Sola Akinniyi


*UBTH IVF Unit

P.M.B 1111
Ugbowo Lagos Road,
Benin City
Edo State.
Telephone: +234-8066588944 ; 8037275398 ; 8023414302 ; 8023522668 ; 8032185212
Email (general enquiries):
info@ubth.org
Website:
www.ubth.org
Chief Medical Director: Professor Eugene Okpere
IVF Unit Programme Director: Professor A.A. O
rhue

Sunday, February 10, 2008

ALPHABETICAL LISTING OF IVF CLINICS IN NIGERIA

1. Bridge Clinic Plot 1397A Tiamiyu Savage Street,
Victoria Island, Lagos.
Tel: 01-2623268 ; 2610686
Email:
bridge@om.metrong.com ; info@thebridgeclinic.com
Website:
www.thebridgeclinic.com Medical Director: Dr. Richardson A. Ajayi

Port Harcourt Center
41A Evo Road,
G.R.A Phase II
Port Harcourt.
Tel: (084) 465 003 – 5

2. DIFF Hospital

3. Eko Hospital Fertility Centre

4. George's Memorial

5. Hope Valley Fertility Clinic
261, Etim Inyang Crescent,
Victoria Island, Lagos.
Tel: 01-4618989 ; 08033069466
Email:
thehopevalleyclinic@hyperia.com
Website:
www.thehopevalleyclinic.com Medical Director: Dr. Olugbenga Ogunkoya

Portharcourt Center
17B Ahaimakara Road,
Transamadi Industrial Layout Road,
Portharcourt.
Tel: 084: 578956 ; 08037048134 ; 08033069466

6. King's Care Hospital

7.Kingway Clinics

8. Medical Art Center Lofom House
21 Mobolaji Bank Anthony Way
P.O.Box 5747,
Ikeja,
Lagos
Tel: 01-4971970
Email:
mart@infoweb.abs.net
Website:
www.medicalartcenter.com Medical Director: Professor Oladapo Ashiru


9. Midland Fertility Centre

10. M & M Hospital
The Fertility and IVF Center
10 Ngozi Avenue / 127 Faulks Road,
Aba, Abia State.
Tel: +234-82-227-798 ; 08033240452
Email:
drprosper@mmfertilityhospital.com
Website:
www.mmfertilityhospital.com Medical Director: Dr. Prosper Ikechukwu Igboeli

11. National Hospital Abuja Plot 132, Central Business District,
(Phase II)
Garki, Abuja
Email:
info@nationalhospitalabuja.net
Website:
www.nationalhospitalabuja.net Chief Medical Director: 12. Nisa Premier Hospital Plot 618, Alex Ekwueme Way,
Jabi, Wuse, Abuja
Telephone: 08035967303
Website:
www.nordica.org/nisa-hospital Medical Director: Dr.Ibrahim Wada

13. Nordica Fertility Centre 106/108 Norman Williams Street,
South West Ikoyi,
Lagos.
Email:
info@nordicalagos.com ; yomiajayi@nordicalagos.com
Website:
www.nordicalagos.com Medical Director: Dr. Abayomi Ajayi

14. Omni Advanced Fertility Center 18 Boyle Street,
Onikan, Lagos.
Telephone: 01-2630304 ; 01-2646304
Email:
info@ivflagos.org
Website:
www.ivflagos.org Medical Director: Professor Osato Giwa-Osagie

15. Roding Medical Centre 29B Olabode George Street,
Off Ajose Adeogun Street,
Victoria Island,
Lagos.
Telephone: 01- 2626169 ; 26226170
Medical Director: Dr. Adewunmi Adeyemi Bero

16. St. Ives Specialist Hospital : IVF & Fertility Unit 4, Mojidi Street,
Off Toyin Street,
Ikeja, Lagos.
Telephone: 01-8974878
Email:
info@stivesng.com
Website:
www.stivesng.com
Medical Director: Dr. Tunde Okewale
17. University of Benin Teaching Hospital; IVF Unit

RELATED FERTILITY LINKS: http://www.naturalfertilityaids.blogspot.com/
http://www.invitrofertilisation.blogspot.com

IVF SUCCESS TIPS AND HINTS

GENERAL IVF HINTS

The main IVF hint is to pamper yourself! An IVF cycle is a very stressful thing and anything that helps you through it without harming a potential baby is okay!

Decide ahead of time where and how you want to get news each day for how much medication to take, etc. This is especially important on the big days of finding out about fertilization and pregnancy test. Those days can be tough if things don't go well! You might want your partner or a good friend around!

Rest is very important, even before transfer. All those developing eggs are taking up a lot of space and energy.

Try to get to know the people who are treating you so you aren't just another patient.

It may help to make a friend or two who is at the clinic for IVF, too.
Bring a book, magazine, or hand-held game with you to appointments. You might be there for awhile.


Make sure they do a mock transfer prior to the actual embryo transfer. This is not fun, but it is necessary that they know the depth of your uterus so they know where to put the embryos.

Do whatever it is you need to do to make this manageable for you. (Naps, backrubs, favorite foods, etc. Be very good to yourself during this time.)
Small amounts of alcohol will probably not adversely affect you or your eggs, but caffeine has been shown to affect fertility, even in small amounts, so try to avoid it.

Buy a good, up-to-date fertility book and try to find out as much as you can about the IVF process beforehand. There are always new advances, so try to keep up with the changes in techniques.

Always ask your RE a lot of questions about your progress, what the numbers mean, etc. That is what they are there for! Also, you should be able to get copies of anything in your file (like your follicle growth and E2 test results and fertilization report). The more knowledgeable you are, the more likely they are to openly share information and take time to explain.

It can be very comforting to find someone, either in cyberspace or in person, that is in a similar situation (factor, cycle) that you can share stories and progress with.

Try to keep a very flexible schedule the week before the pregnancy test. Some people start their periods early and are stuck somewhere where they cannot just be alone and grieve.

Start taking a prenatal vitamin prior to your cycle. At the minimum, you should take 400mcg of folic acid daily for three months before conception to reduce neural tube defects such as spina bifida. The FDA suggests 800 mcg during pregnancy, so it is best to look for a prenatal with that amount.

Some clinics believe that a diet that is high in protein and low in salt and potassium can help you avoid hyperstimulation. Gatorade is a poor choice of fluid to drink to prevent/control hyperstimulation because it contains large quantities of salt. Water or Pedialyte is best, in quantities recommended by your RE. At a certain stage of OHSS, too much fluid can be detrimental.

Remember that some people get very uncomfortable and even have a lot of pain as the ovaries are stimulated. This may get worse as the follicles ripen. Loose clothing may help.

Don’t worry about your weight unless you are tracking it for hyperstimulation purposes. Unless you hyperstimulate, most of the weight gained during an IVF cycle usually disappears once your period starts and if you are lucky enough to get pregnant your weight won’t matter anyway!
If you are not taking birth control pills the cycle previous to your IVF, be sure to use birth control (no matter how ridiculous it may seem). Usually, you will start Lupron before you would know if you conceived or not and Lupron is very dangerous to a developing baby.


The extra fluid your developing follicles are taking up and being NPO before retrieval can sometimes cause constipation. Increasing your consumption of fiber and fluids as you approach egg retrieval may help alleviate this.

Don't talk to your partner too much about his role. This may cause him extra anxiety during an already stressful time and the extra stress can aggravate the performance anxiety that men suffer on the day of retrieval.

If this is your first IVF, be conservative about the number of blastocysts or embryos you transfer, especially if they are of very good quality. You may find that fertilization was your big hurdle and now that is complete you are on your way!

If you have had more than one failed IVF, consider changing clinics, especially if your doctor doesn’t have a change in protocol planned.
Remember that all cycles are not alike. Using the exact same protocol on another attempt even at the same clinic can lead to different results.
Some clinics use medications to prevent embryo rejection (low dose corticosteroids, etc.) which may help your chances of success. Check with your clinic to see if they think it would make a difference for you.

Always repeat the directions for medication to the nurse and get your E2 level. If something seems wrong or unclear, ask for clarification.Prior to the stimulation part of your cycle, make sure you and your partner discuss how many embryos or blastocysts you plan to transfer. (While remembering that your plan may have to change because of circumstances of the IVF!) If you think you will have extra embryos beyond what you want to transfer to avoid high order multiple risk, decide whether you will freeze them or discard them. Decide whether you would consider selective reduction. These are not things to discuss under pressure right before transfer!


POSITIVE THINKING AND DE-STRESSING HINTS
Try self-hypnosis tapes to keep your mind on warm and fuzzy thoughts.
Keep social contacts to a minimum.


Use the cycle as an opportunity to focus on yourself and on each other.
Try to relax and think positive.


For sanity sake, review the odds of success ahead of time. Some people try to stay as neutral as possible to avoid major ups and downs, others try to stay hopeful to help make all the procedures easier.

Try doing things to take your mind off the process. Visualization may just make the obsessing worse.Try to manage stress in whatever way works best for you. Some suggestions are relaxation or deep breathing exercises, yoga, or meditation.



EGG RETRIEVAL AND EMBRYO TRANSFER HINTS
You will probably need at least the day after your retrieval off of work. You may be in pain or you may just be tired and need the rest. Levels of pain post-retrieval vary from person to person. Some people may have little or no pain and others may have a lot of pain. Be prepared for both extremes.
Prior to retrieval, remind your partner (or the nurse if your partner isn’t there) to keep pressure on your IV site for you once it is removed (especially if you are taking baby aspirin or heparin). You will still be a bit woozy and may not remember.


Often the medication used for sedation for retrieval is one that causes amnesia, so don’t be worried if you cannot remember everything that happened. It is disconcerting, but not a problem. Remind your partner about this so that he doesn’t expect you to remember everything!
Some people have reported that the sedation used for retrieval can cause nightmares.

A heating pad on your belly may help with pain after egg retrieval.
If you are concerned about nausea during the retrieval, ask for something to stem nausea. A drug called Phenergan is a mild sedative and also will help keep you from vomiting or having nausea from other medications.

Have someone there to drive you back from retrieval and transfer.
Make sure that you tell them about any allergies. You may be given a narcotic pain killer afterwards. If you have problems with narcotic pain relievers, you can ask for a non-narcotic pain killer which may work just as well for you.

Eat a low fat diet for a few days before retrieval. Sometimes the embryos are stored in a vial of the mother’s blood, and they don't react well to fat (or is it lipids, or whatever), which can temporarily rise as a result of high dietary fat intake. (You can check with your clinic ahead of time to find out whether they use your blood or not.)

Some clinics suggest you avoid soaps, shampoos, and perfume on retrieval and transfer day as embryos can react poorly to odors.

Don’t wear fingernail polish to retrieval. Some clinics use a clip on your finger to read oxygen saturation levels during retrieval and fingernail polish will interfere with that.

Remember that not every follicle contains an egg, so don't be surprised if the number of eggs harvested is less or more than the number of follicles you've been watching develop.

If you have any significant pain within the first couple of days after retrieval, something may be wrong. LET YOUR CLINIC KNOW IMMEDIATELY! Some people have had a blood vessel nicked which led to internal bleeding so they had to go to the hospital for monitoring.

You may find it very hard to lay still for the required time after transfer (this varies some from clinic to clinic). You may want to bring extra pillows to make you comfortable, or some music to distract you.Many clinics aren't requiring *any* post-transfer rest, as recent studies indicate it has no impact in success rate. If it helps you feel like you are doing everything you can, rest as much as you feel necessary.Most clinics recommend you avoid the following after transfer: swimming, saunas, baths, intercourse, orgasms, lifting over 10 pounds, exercise that breaks out into a sweat. So, look forward to taking it easy!


© Copyright 1996, 2000, 2001 Rachel Browne

DEALING WITH IVF FAILURE

Couples who undergo IVF treatment usually have very high expectations. There is a subconscious reluctance to admit that they might very well be among the unsuccessfully treated patients although it is still clear that failure is more likely than success.

IVF is an expensive and stressful experience which increases our expectations of the process. Expectations of success are considerably higher than the success rates quoted at their initial consultation.

The endpoint of IVF treatment, which is the transfer of two or sometimes three embryos into the uterus, is not the same as a pregnancy. There is a waiting period of about two weeks after the embryo transfer before it can be determined whether the woman has achieved pregnancy. This further increases the frustration of the process.

A success rate of 25-30% means that the failure rate is 75-85%. No one likes to think about failure when embarking on a new venture. There are very few medical programmes where emotions are so highly charged and where the failure rate consistently exceeds the success rate.


Treatment can fail at any stage: ovarian stimulation, egg collection, fertilization, cleavage and implantation. All that IVF demands of the person – financial, emotional, fear coupled with courage and determination potentates failure.

Any woman who decides to make the financial outlay for IVF and subject herself to the inconvenience of injecting herself everyday for up to three or four weeks expects to get pregnant from the process and the disappointment of failure becomes much more acute.

Two of the most traumatic points of failure are failure in fertilization and the return of the menses, which results from a failure in implantation. There is a feeling of isolation, confusion and helplessness and you ask, “what went wrong?”

Sometimes, one never really knows why it has failed despite the ‘good’ prognosis (relatively young age, normal uterus, high quality embryos transferred) but it is helpful to discuss with the doctor and embryologist who saw the embryos and can give an assessment. The unexplained situation is always the most difficult to bear. Failure is often easier to bear when we can pinpoint a reason for that failure.

A review of the treatment cycle by looking at the ways in which a couple responded to the drug stimulation: number of eggs collected, semen issues, fertilization and the grading of the embryos, etc., may give some clues as to how to adjust a repeat treatment.

After experiencing a failure, there is often considerable merit in delaying the decision to undergo a repeat cycle treatment.

If you have had more than one failed IVF, consider changing clinics, especially if your doctor doesn’t have a change in protocol planned.
Remember that all cycles are not alike. Using the exact same protocol on another attempt even at the same clinic can lead to different results. (Rachel Browne)


References:
‘The Bridge Clinic’s ‘Fertility Update’ September 2005 Vol No 3
‘Birthright,’ August 2005

IMMUNE SYSTEM AND IVF FAILURE

IMMUNE TREATMENT ‘CUTS IVF FAILURES’

Suppressing the immune systems of women who suffer recurrent miscarriage may be able to allow many more to give birth.
The technique may also help those who suffer repeated IVF failures, or who cannot get pregnant, without an obvious reason why.


A leading US expert is presenting the results of his first, small scale study into a therapy at a UK conference on Monday, and these suggest it could be a highly successful approach - even among older patients.

Many thousands of women have unexplained infertility, suffer recurrent miscarriages, or cannot succeed with IVF, despite their young age and apparently good health.
Professor Alan Beer from Chicago Medical School, says that, in some cases, the problem may be an immune system which turns on the newly-implanted embryo and destroys it.


Although the father's genetic material is present in the embryo and on the surface of the placenta, the mother's body does not reject it.

However, in some cases, there is strong evidence that this process goes wrong.

Test and treat
He believes he has developed both a test for those women who are at risk - and a potential treatment to counter the problem.


Professor Beer concentrated on women who have suffered recurrent IVF failures, in which implanted fertilised embryos do not produce a successful pregnancy.

He found that seven out of ten women with three IVF failures had higher than normal levels of a chemical called tumour necrosis factor alpha (TNF alpha).

This is a product of a type of immune system cell called a natural killer cell, and is responsible for damage to tissues in "autoimmune" diseases such as lupus, rheumatoid arthritis and Crohn's disease.


Professor Beer's theory is that the immune system is also attacking the embryo in women with recurrent miscarriage, saying that the body was treating the embryo "like a cancer".

Existing drugs
There are existing medications used to reduce levels of TNF alpha in the body - but these are currently only licensed to treat established auto-immune disorders.


In trials involving 100 patient who had all suffered repeated IVF failures, he found that 78% of those under 35 years old managed to become pregnant.


Even a significant proportion of those aged 40 and above managed to get pregnant this way.

The treatment has so far produced 80 live births.
Professor Beer said: "It's like when you find the correct area code and you connect the telephone call - these healthily infertile women proved to me that their bodies were made to have babies.
"The breakthrough was to find what component of the immune system was doing the killing - and then reduce that component to normal levels."


'Astonishing'
Dr Simon Thornton, from Nottingham's Care in the Park clinic, said: "A third of our patients have an unexplained infertility.
"Professor Beer suggests that an abnormally active immune system is blocking pregnancy or acting to stop it from developing.
He has shown astonishing success rates in patients who would have otherwise had very very low success rates.
"At present, we use IVF as a treatment for many patients who have unexplained infertility - but this may be a much more straightforward treatment to allow them to have a perfectly successful pregnancy."


Dr Mohammed Taranissi, from the Assisted Reproduction and Gynaecology Centre, told the BBC that the results, although small-scale, were "impressive".
He said: "It's something we have suspected for a long time.
"Now we have to see whether we can apply a drug which has been developed for another problem for infertility problems."


SOURCE: BBC NEWS

FREE IVF TREATMENT

FREE IVF TREATMENT
The cost of a cycle of IVF treatment ranges between N500, 000 – 900,000.00, an amount out of the reach of many couples and unfortunately there is no government funding in Nigeria at the moment. However it is possible to benefit from free IVF treatment if you fall within certain criteria.

Free treatment is available to a woman who VOLUNTARILY shares some of her collected eggs with another infertile couple. The eggs will be shared only if the number of eggs you produce are sufficient so you do not lose out. You may be required to bear just the cost of the initial test/assessment that will indicate if you are suitable for the treatment.The receiving couple may however bear this cost in which case you do not have to pay anything at all. This arrangement varies with each clinic

GENERAL QUALIFICATIONS AND CRITERIA FOR FREE TREATMENT:

You should be aged between 19 and 34.
Weigh less than 85kg.
Have regular menstrual cycles.
Have 2 ovaries.
Have had a maximum of 2 previous failed IVF attempts and not less than 6 collected eggs in each of these cycles.
Have an FSH (Follicle Stimulating Hormone) level of less than 9.0 when measured between day 2 and 6 of your natural menstrual cycle.
Have an LH (Luteinizing Hormone) level of less than 10 when taken at the same time as above.
Do not have significant fibroids or polycystic ovaries (PCO).

Wednesday, January 23, 2008

IVF: BRINGING JOY INTO THE LIVES OF THE INFERTILES

Bringing joy into the lives of the infertiles

In medical profession, Dr. Adewunmi Adeyemi Bero, the Managing Director of The Roding Medical Centre, Lagos, is a pioneer. The medical practitioner is a solid advocate in new technology to foster the growth and development of medicine. He is making waves both in his practice and as a medical entrepreneur with a technology known as Assisted Conception Technology. With this technology, his organization has brought joy and hope into the lives of barren women and infertile men.

In Vitro Fertilization (IVF)

At the beginning, the IVF method was used to treat tubal blockage. The method is now most commonly used of the assisted reproductive technologies (ART). It is often known as the ‘test tube baby’ procedure, and has helped infertile couples conceive and bear children for well over two decades. It is essentially to stimulate women who cannot ovulate with fertility drugs and injections to produce eggs.

Qualified couples

Couples who qualify for the IVF are men with a normal sperm count and women with blocked tubes. Dr. Bero advocates the method when the cause of infertility is inexplicable and where insemination has failed. (men with low sperm count will benefit from ICSI where just a single sperm is used for IVF)

What Roding does

We look after women and children. When you look after women, infertility is part of it and we want to have a solution to every.Problem a woman comes with. We want to have a solution to every problem a child comes with – that is what we’ve been doing for the past eight years. Men also come. So, we sometime take care of the husbands too.

Challenges

Like any other business you embark on in this country, there is no infrastructure. You have to create your own constant power supply. You have to ensure water runs constantly. Here we open 24 hours and we ensure that there is constant power supply every second. I can tell you that our diesel bill every month is about N700, 000. That money should be profit and not spent it on things like this. What should be your profit you spend to ensure that you have all necessary infrastructures to deliver your services. The other problem is that a lot of our doctors don’t want to stay in Nigeria because they don’t earn good income. So, all of them travel out. The issue is that there is a personnel manpower problem in Nigeria. There were never enough doctors to start up with. So, the ones that are properly trained or are still undergoing training have all left. They are in UK, America, Europe. The ones that are still here are planning to go.

Government subsidy

For instance, I don’t know of any initiative from government that subsidizes the procurement of equipment for hospitals. If you go to a bank that you want to purchase medical equipment, they will tell you the equipment is too specialized. They are more ready to lease generator to you or a vehicle to you than medical equipment and you cannot blame them. So, to buy equipment one has to go and look for money at very huge cost to buy equipment when there should be some subsidy somewhere that encourages outlets to lease their equipment. I know it’s coming because we are getting there gradually.

The National Health Insurance Scheme

That’s a big problem now because there is a new dispensation in the field of medicine that is called ‘The National Health Insurance Scheme’. The health managers are like brokers who go out and collect business. They go to companies to collect business like reaching an agreement with you that for an amount of money in a year, they will manage the health need of your staff and they negotiate the tariff with you. All the companies are finding it cheaper to operate that way because they can actually budget the health needs of their staffs on annual basis so marketing really is becoming unnecessary because you are going to market for these same corporate people. Even individuals too are also learning that it is cheaper for them to go to these managers either as families or use their workplace so that they can assess hospitals and they don’t have to pay from their pockets.

Starting an IVF unit

When setting up a medical center, it’s not only the IVF equipment that you have to consider. You have to consider some other issues like two generators. You don’t need to have a mighty building for an IVF unit. You can even just rent a flat but it’s the infrastructure that matters. Like anything you want to do in Nigeria, you have to provide your own infrastructure which is what increases the cost. You have to sink a borehole. You have to put tanks everywhere just to ensure you can store enough water for your needs. Its not only the equipment you have to take into consideration, sometimes you find out that the money you spend for your infrastructure is even more than the cost of the equipment.

Spiritual and medical conflict

There is a conflict between spiritual and some aspects of medicine. The conflict essentially causes we waste of many years because when you look at the woman, her fertile years are not long. When she starts approaching 40, she begins to have fertility problems because she will not be ovulating as regularly or if she ovulates, the eggs will not be of good quality. Medical solution is minor if you are in the right place, and take the right course with prayers. All will work together.
IVF awareness We reach out to couples let them know that there are places that can make them pregnant. Like I said, there will be more IVF units. The whole idea is just that the more units we have, the more awareness we create. The more you have couples coming out early to seek medical intervention for their problems rather than other types of intervention. We all go to the same medical conferences. It is basically the same attitude, the approach may be slightly different but the service is the same. The only thing we are trying to do is to make it cheaper for young couples to come into the programme with us.


Success rate

The success rate of IVF is between 20 and 35 percent. That is in most units across board. May be If you are in America where there is no electricity supply problem, no environmental pollution where younger couples can come into the programme early because they can afford it, you will get success rate of 35% in some units. But here in this part of the world, you tend to see older couples and there is a problem of infrastructure even in spite of that, the pregnancies are there.