What is the market opportunity and is it expanding? What is the competitive positioning i.e. who are the major competitors? What internal and external factors are critical for success? 2 The report aims to answer these questions on the Nigerian Infertility Market 1

Source: Interviews, Site brochures 3 Overview: Types of Infertility services offered in Nigeria Initial Evaluation Consultation : o Includes medical history and physical examination o Some centers include investigation as part of the consultation fees Labs include and not limited to: o Follicle Stimulating Hormone (FSH) o Luteinizing hormone (LH), o Prolactin, o Testosterone (T), o Estradiol (E2), o Progesterone (P4), 17- hydroxyprogesterone (17-OHP), o Thyroxine (T4), o Thyroid stimulating hormone (TSH) o Semen analysis Imaging will include o Ultrasound o Hysterosalpingogram In some cases, laparoscopic surgery may be indicated to evaluate for endometriosis or pelvic scarring Procedures Ovulation induction and cycle monitoring with provision of Clomid Controlled ovarian stimulation followed by timed intercourse Intrauterine insemination (with husband’s sperm) Donor insemination In-vitro fertilization (IVF) Intra-cytosplamic sperm injection Intra-cytoplasmic morphologically selected sperm injection (IMSI) Surgical sperm collection Ovum donation, Embryo freezing Semen freezing IVF surrogacy Surgical Intervention including myomectomy and laparoscopy Sex selection Cyst aspiration Preimplantation genetic diagnosis Polymerase chase reaction 2

Source: present First baby to be delivered in Nigeria from gamete intra- fallopian transfer IVF performed by Profs. Giwa-Osagie and Ashiru of the Lagos University Teaching Hospital Three years later,they successful delivered a baby girl conceived via in-vitro fertilization (IVF) A pioneering breakthrough in IVF was achieved at Nisa Premier Hospital, Abuja (established in 1996 which later achieved Nigeria 1 st IVF multiples and delivery from frozen embryos) Authenticated by the Federal Government in 1998 In the private sector, over the next several years, infertility units/clinics were established in urban metropolis such as Lagos, Abuja, Port Harcourt,Kaduna Several of these clinics have satellite locations 3 Overview: History and trends (1 of 2) 3