INFERTILITY

Hello friends. Let me greet you in the words of KWAM1.'s song: "E ku atijo, se daadaa ni?/2x, se alaafia le wa gbogbo ile nko o." Hope you are all fine. It feels wonderful to be able to meet you here again.

Today I am writing about a very broad topic called infertility. Getting married and having children almost immediately is the dream of almost all newly weds  of African descent and I pray that God will bless us all with fruitful children whenever we are ready to have them. Amen.

Below is a fictional story about family battling with infertility.

 Mr Aye was a gentleman to the core. Handsome, intelligent, hardworking and cool headed. He was every woman's dream. He worked at one of the commercial banks in the country as an accountant and earned a good income. He was comfortable by all standards. But he was unhappy, very unhappy.

    He was turning forty and was beginning to have mid life crisis. The cause of which was the fact that he had been married for 15 years and was childless. He had married his best friend and sweetheart immediately after the youth service year. He did not know what the problem was. He had tried to make sense of it all to no avail. Why was this happening to them. He had never committed fornication not to talk of adultery. He neither drank nor smoked. He tried to be upright as much as possible. The same applied to the wife. She had been a virgin until their wedding night. So, why him. God why him.

He had friends who had been "original bad boys" and many ladies who had aborted countless times yet got pregnant whenever they wanted. Na wah o. If not for the fact that he really loved his wife and was scared to death of having a polygamous home, he had been tempted to marry a second wife. 

A few years ago, his mother had stormed into the house bringing in one dirty looking girl like that to him to marry so that he could have children. It was disgusting. It had been a sorrowful day. Was marriage all about having children? His wife had cried her eyes out but his mom did not even mind her. She had even labelled her a witch for making him disobey her. He had to be tough on his mother that day and banned her from coming to his house. Now no one visited them. They believed he had been bewitched by his wife.

They had prayed and prayed. They had fasted so much that they both came down with ulcer. They had visited so many men of God but nothing was happening. Someone suggested that they visited a gynecologist but what would they see a doctor for. They had never committed abortion and they did not have any problem with their reproductive system. So, which miracle would a doctor perform for them. They believed that God would answer them in his own time.

But he was still unhappy. He prayed he wouldn't have to wait as long as Sarah and Hannah did. He prayed his miracle would come soon. Amen.

DISCUSSION 

Introduction

Children are a gift from God and they must be seen as such. However God has also blessed our world by giving us medical education to be able to examine, investigate and treat or counsel people when these gifts of God are not forthcoming. We should not see the doctor's visit as a taboo to our faith.

 

Infertility means inability to conceive or to carry pregnancy to term. it is a common problem of about 10% of women aged 15 to 44.

There are two types of infertility:

• Primary infertility refers to couples who have not become pregnant after at least 1 year having adequate sex without using birth control methods.
• Secondary infertility refers to couples who have been able to get pregnant at least once, but now are unable. 

Having adequate sex means having sex at least three (3) times a week with one day in between. It is not for one to have sex on three consecutive days for example Monday , Tuesday, Wednesday. No. It will be on alternate days eg Monday, Wednesday, Friday etc. 

 Couples not having adequate sex are not considered to be infertile. A woman also has to know her ovulation cycle well. She must have sexual exposure at least for 3 days before and after ovulation. The sperm has a life span of 72 hours while the ovum lasts for about 24 hours.

I have to say this. As funny as it may sound some people may not know how to have sex. I have seen a couple married for years and claimed to be having adequate sex and yet unable to conceive. The consultant later found out that they woman still had her hymen intact! They had been having coitus interfemoris. I have also seen some who were having anal sex not intentionally but because they do not know how to perform the act. These set of people are not considered infertile. Let me also mention here that a man with erectile dysfunction may not be infertile.

CAUSES OF INFERTILITY

Many physical and emotional factors can cause infertility. It may be due to problems 

 in the woman (33%), the man (33%) and by both sexes or due to unknown problems (33%), approximately. 

We shall discuss female factor infertility as it is the most common. Majority of the causes can be treated when diagnosed.

FEMALE INFERTILITY

Female infertility may occur when:

• A fertilized egg or embryo does not survive once it attaches to the lining of the womb (uterus)
• The fertilized egg does not attach to the lining of the uterus
• The eggs cannot move from the ovaries to the womb
• The ovaries have problems producing eggs

Female infertility may be caused by:

• Autoimmune disorders such as antiphospholipid syndrome (APS)
• Birth defects that affect the reproductive tract
• Cancer or tumor
• Clotting disorders
• Diabetes
• Drinking too much alcohol
• Exercising too much: weight below 50kg
• Eating disorders or poor nutrition
• Growths (such as fibroids or polyps) in the uterus and cervix
• Medicines such as chemotherapy drugs
• Hormone imbalances
• Obesity
• Older age:>35 years
• Ovarian cyst and poly cystic ovarian syndrome (PCOS)
• Pelvic infection or pelvic inflammatory disease (PID)
• Scarring from sexually transmitted infection, abdominal surgery or endometriosis
• Smoking
• Surgery to prevent pregnancy (tubal ligation) or failure of tubal ligation reversal (reanastomisis), previous uterine surgery or procedures causing asherman's syndrome, or tubal surgery following ectopic pregnancy
• Thyroid diseases

We shall continue next time with male factor infertility . Thanks a lot. Please share as this may be beneficial to someone. Bye for now.

References

. Pictures from google.

. WebMd

. Medicinenet 

INFERTILITY

Hello friends. Let me greet you in the words of KWAM1.'s song: "E ku atijo, se daadaa ni?/2x, se alaafia le wa gbogbo ile nko o." Hope you are all fine. It feels wonderful to be able to meet you here again.

Today I am writing about a very broad topic called infertility. Getting married and having children almost immediately is the dream of almost all newly weds  of African descent and I pray that God will bless us all with fruitful children whenever we are ready to have them. Amen.

Below is a fictional story about family battling with infertility.

 Mr Aye was a gentleman to the core. Handsome, intelligent, hardworking and cool headed. He was every woman's dream. He worked at one of the commercial banks in the country as an accountant and earned a good income. He was comfortable by all standards. But he was unhappy, very unhappy.

    He was turning forty and was beginning to have mid life crisis. The cause of which was the fact that he had been married for 15 years and was childless. He had married his best friend and sweetheart immediately after the youth service year. He did not know what the problem was. He had tried to make sense of it all to no avail. Why was this happening to them. He had never committed fornication not to talk of adultery. He neither drank nor smoked. He tried to be upright as much as possible. The same applied to the wife. She had been a virgin until their wedding night. So, why him. God why him.

He had friends who had been "original bad boys" and many ladies who had aborted countless times yet got pregnant whenever they wanted. Na wah o. If not for the fact that he really loved his wife and was scared to death of having a polygamous home, he had been tempted to marry a second wife. 

A few years ago, his mother had stormed into the house bringing in one dirty looking girl like that to him to marry so that he could have children. It was disgusting. It had been a sorrowful day. Was marriage all about having children? His wife had cried her eyes out but his mom did not even mind her. She had even labelled her a witch for making him disobey her. He had to be tough on his mother that day and banned her from coming to his house. Now no one visited them. They believed he had been bewitched by his wife.

They had prayed and prayed. They had fasted so much that they both came down with ulcer. They had visited so many men of God but nothing was happening. Someone suggested that they visited a gynecologist but what would they see a doctor for. They had never committed abortion and they did not have any problem with their reproductive system. So, which miracle would a doctor perform for them. They believed that God would answer them in his own time.

But he was still unhappy. He prayed he wouldn't have to wait as long as Sarah and Hannah did. He prayed his miracle would come soon. Amen.

DISCUSSION 

Introduction

Children are a gift from God and they must be seen as such. However God has also blessed our world by giving us medical education to be able to examine, investigate and treat or counsel people when these gifts of God are not forthcoming. We should not see the doctor's visit as a taboo to our faith.

 

Infertility means inability to conceive or to carry pregnancy to term. it is a common problem of about 10% of women aged 15 to 44.

There are two types of infertility:

• Primary infertility refers to couples who have not become pregnant after at least 1 year having adequate sex without using birth control methods.
• Secondary infertility refers to couples who have been able to get pregnant at least once, but now are unable. 

Having adequate sex means having sex at least three (3) times a week with one day in between. It is not for one to have sex on three consecutive days for example Monday , Tuesday, Wednesday. No. It will be on alternate days eg Monday, Wednesday, Friday etc. 

 Couples not having adequate sex are not considered to be infertile. A woman also has to know her ovulation cycle well. She must have sexual exposure at least for 3 days before and after ovulation. The sperm has a life span of 72 hours while the ovum lasts for about 24 hours.

I have to say this. As funny as it may sound some people may not know how to have sex. I have seen a couple married for years and claimed to be having adequate sex and yet unable to conceive. The consultant later found out that they woman still had her hymen intact! They had been having coitus interfemoris. I have also seen some who were having anal sex not intentionally but because they do not know how to perform the act. These set of people are not considered infertile. Let me also mention here that a man with erectile dysfunction may not be infertile.

CAUSES OF INFERTILITY

Many physical and emotional factors can cause infertility. It may be due to problems 

 in the woman (33%), the man (33%) and by both sexes or due to unknown problems (33%), approximately. 

We shall discuss female factor infertility as it is the most common. Majority of the causes can be treated when diagnosed.

FEMALE INFERTILITY

Female infertility may occur when:

• A fertilized egg or embryo does not survive once it attaches to the lining of the womb (uterus)
• The fertilized egg does not attach to the lining of the uterus
• The eggs cannot move from the ovaries to the womb
• The ovaries have problems producing eggs

Female infertility may be caused by:

• Autoimmune disorders such as antiphospholipid syndrome (APS)
• Birth defects that affect the reproductive tract
• Cancer or tumor
• Clotting disorders
• Diabetes
• Drinking too much alcohol
• Exercising too much: weight below 50kg
• Eating disorders or poor nutrition
• Growths (such as fibroids or polyps) in the uterus and cervix
• Medicines such as chemotherapy drugs
• Hormone imbalances
• Obesity
• Older age:>35 years
• Ovarian cyst and poly cystic ovarian syndrome (PCOS)
• Pelvic infection or pelvic inflammatory disease (PID)
• Scarring from sexually transmitted infection, abdominal surgery or endometriosis
• Smoking
• Surgery to prevent pregnancy (tubal ligation) or failure of tubal ligation reversal (reanastomisis), previous uterine surgery or procedures causing asherman's syndrome, or tubal surgery following ectopic pregnancy
• Thyroid diseases

We shall continue next time with male factor infertility . Thanks a lot. Please share as this may be beneficial to someone. Bye for now.

References

. Pictures from google.

. WebMd

. Medicinenet 

SEX AND PREGNANCY

This is an excerpt from my book on pregnancy. Happy reading....

SEX AND PREGNANCY

......Again, if two lie together, then they have heat:but how can one be warm alone? Ecclesiastes 4:11(KJV)_

These are the words of the bible not mine.

 Sex in pregnancy is a very big issue. It has caused so much trouble in many homes. That is why I feel it should be addressed.

  Let us be judges for one moment. Lets us listen to different sides of the same story.

First scenario:

A Man complains that he dreads his wife being pregnant because he would be starved of sex. His wife tells him that the reason was because she didnt want her baby eating the husband's sperm. The man knows she is lying and he is frustrated. He wonders why his wife is denying him of his God given right!

Second scenario:

A woman complains that her husband keeps disturbing her for sex. He  has it too easy. That is why he can even think of sex in the first place. She is in pains, uncomfortable. She can not sleep well. Instead of her husband to be helping out by giving her a total body massage, he is thinking of having sex. Can he not see what she is going through?

We have to understand that humans are sexual beings. The fact that you are pregnant does nothing to reduce your husbands desire for you. Some men are even more turned on by the sight of their pregnant wives!

  You may have lost your libido due to the pregnancy but he has not lost his. If you do not want him in the arms of someone else try to work around this issue by talking about it. Let him understand how you feel. You probably had a rough first trimester, a better second trimester and a dragging third trimester. You may be irritable and even hate the sight of your husband but try and see things from his point of view too. He is suffering though in silence.

  You must know that sex is visual for men. Temptations abound all round for him. The only reason he is asking you for it is because he is not looking for it else where. An average man has a sexual cycle of 30 days only. It is hard for men to be celibate for more than 30 days. This is not his fault. It is human nature.

  As a general rule, a good sex position for pregnant sex is one where:

-both partners are physically comfortable

-the position allows for the kind of sex and physical contact you want to have

-both partners avoid putting pressure on the uterus, or a partner’s full weight on a pregnant belly.

Beyond this, figuring out pregnancy sex positions requires some creativity, a sense of humor, and often lots of pillows. It may also mean abandoning penetration if it isn’t working, and finding other ways to please each other and please yourself.

You are advised to try out new and creative sex positions comfortable for you. This will add some spice to the whole act. Let it not be like a chore. a lot of foreplay will go a long way to help out. 

 While many women have reduced libido, a lot of women also have high libido. If you do, do not feel awkward. Discuss with your spouse. You can also try out new sex positions. 

The following pregnancy sex positions may be useful for you.

-The spooning sex position can be very comfortable as there is no pressure on your abdomen and you have lots of movement. Your partner can position themselves behind you at different angles to allow for penetration. Avoid lying on your right side in this position.

-The side by side sex position allows for more equal physical contact than spooning, but penetration can be a bit trickier. You can cross your legs over each others and this may help. As with spooning, this position can be very comfortable as no one is feeling the weight of the other partner’s body.

-The woman on top sex position offers the benefit of you being in control of the depth and angle of penetration. Later in the pregnancy you may find this position more tiring, and if balance is a concern you may prefer a lying down position, but others find this the ideal position.

-The rear entry sex position is said to be good for g-spot stimulation and can be a comfortable change as it’s a position you aren’t in that often. This position can either be done on a bed, or modified as a version of the next sex position.

-The edge of the bed sex position offers many possibilities for greater comfort during pregnancy. You can lie on the bed (on your side, or briefly on your back) at the edge of the bed and your partner can be off the bed, either on their knees or standing up. Combined with the rear entry position, you can be off the bed on your knees (with a pillow underneath them) and rest your upper torso on the bed, with your belly off the bed.

   Sex on the whole is healthy in pregnancy except when otherwise indicated. There is a hormone called Relaxin. In the male, it is produced in the prostate and is present in human semen.In the female, it is produced by the corpus luteum of the ovary, the breast and, during pregnancy, also by the placenta, chorion, and decidua.Its function is to mediate the hemodynamic changes that occur during pregnancy, such as increased cardiac output, increased renal blood flow, and increased arterial compliance. It also relaxes other pelvic ligaments. It is believed to soften the pubic symphysis which makes the delivery process easier. Sex has its advantage after all!

 Women with history of bleeding in both previous and present pregnancy should consult their doctor to decide whether sex is safe for them or not.

Long time no see

Hello. Guess what? I am back!!!

How are you guys. Hope you are very fine. I am so sorry for being AWOL. It was due to reasons beyond my control.

I however have good news. God gave me a beautiful bundle of joy about a month ago who has been keeping me a little busier than usual. I pray for all those seeking the fruit of the womb that God will bless them and grant their heart desires. Amen.

I sure hope to be able to post more interesting health topics soon. I hope you will be there to read,share and advice me on how to do it better.

Thank you very much.

Love you lots.