1. INFERTILITY CARE TODAY OLUWABUKUNMI KOLADE VINE BRANCH FERTILITY CENTRE IBADAN
19th July 2015

2. INTRODUCTION
INABILITY OF A COUPLE TO ACHIEVE CONCEPTION AFTER TWELVE MONTHS OF FREQUENT UNPROTECTED INTERCOURSE
WHY TWELVE MONTHS ?
CONCEPTION RATES PER MONTH %

3. THE CONCEPTION PROCESS

4. BASIC TESTS IN INFERTILITY
SEMINAL FLUID ANALYSIS
OVARIAN RESERVE TESTING
TUBAL PATENCY TESTS
OTHERS

5. OPTIONS OF TREATMENT 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

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

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

8. STAGES OF EMBRYO DEVELOPMENT
If sperm parameters are normal, approximately 50,000 to 100,000 motile sperm are transferred to the dish containing the eggs. This is called standard insemination. The ICSI technique is utilized to fertilize mature eggs if sperm parameters are abnormal. This procedure is performed under a high-powered microscope. The embryologist picks up a single spermatozoa using a fine glass micro needle and injects it directly into the egg cytoplasm. ICSI increases the chance that fertilization will occur if the semen sample has a low sperm count and/or motility, poor morphology or poor progression. If there are no sperm in the ejaculate, sperm may be obtained via a surgical procedure. ICSI is always used to achieve fertilization if the sperm is surgically retrieved.

9. EMBRYO TRANSFER

10. Louise brown

11. Microinjection

12. SUCCESS RATES VARIES WIDELY DEPENDING ON SEVERAL FACTORS
<30YRS %
30-35YRS %
35-37YRS %
37-40YRS 15-20%
>40YRS <10% (using own eggs)

13. COMPLICATIONS FAILURE OHSS ECTOPIC PREGNANCY MISCARRIAGE
MULTIPLE PREGNANCY

14. OTHER SERVICES LASER ASSISTED HATCHING SURROGACY VITRIFICATION
PRE IMPLANTATION GENETIC DIAGNOSIS

15. DAY 3 EMBRYOS

16. FIRST BABY

17. First triplets

18. FIRST TRIPLETS

19. FIRST QUADRUPLETS

20. OLDEST MOTHER

21. OLDEST MOTHER TO BEAR TRIPLETS

22. WHAT DOES GODS WORD SAY ABOUT FERTILITY
EX 23;25-26
DEUT 7;11-15

23. COUPLES IN THE BIBLE WITH FERTILITY CHALLENGES
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

24. ADVICE TO COUPLES WITH DELAY
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

25. RESPECT THEIR RIGHT TO PRIVACY
WHAT IS OUR ROLE
BE SUPPORTIVE
SENSITIVE
RESPECT THEIR RIGHT TO PRIVACY

26. MAMA NA BOY!