WELL WOMAN SERVICES

We are able to offer health assurance services such as health screening, ultrasound scans and cervical smear testing
 

EVALUATION OF THE CAUSE OF INFERTILITY.

Many couples get concerned when they experience delay in conceiving and require the reassurance of normal results.

We can assist in carrying out all the required investigations to determine if there are any problems.

TREATMENT OF INFERTILITY

The treatment of infertility will depend on the problems defined during evaluation and can range from:

A) Reassurance and advice: This may be all that is necessary especially in newly married couples where no problem has been defined or where the problem is not serious enough to require treatment and where the couple have not been trying to achieve pregnancy for a long time.

B) Ovulation Induction: A woman who is not releasing an egg every month has an ovulation problem and the treatment ranges from dietary advice to either gaining or loosing weight to taking medication which can be in the form of tablets or injections.

C) Intra-uterine Insemination (IUI): This is the introduction of a prepared sample of the husband’s sperm into the uterus. It is used for the treatment of unexplained infertility. It could be done with drugs to stimulate the ovaries or without drugs.

D) Donor Insemination (DI): This is like IUI, but the sperm is obtained from the sperm bank where we have vials of quarantined infection-free donor sperm.

E) In-Vitro Fertilization (IVF): This is the fertilisation of the woman’s egg with the husband’s sperm out of the body. Subsequently, the embryos are transferred through the cervix into the womb for continued development and hopefully a pregnancy. IVF is commonly used for the treatment of infertility caused by fallopian tube problems.

There are many variations to this process to the basic conventional IVF process:

i. Intra-cytoplasm Sperm Injection (ICSI):

This is used when the man has abnormal sperm that are unable to fertilise the eggs naturally during IVF.ICSI involves the use of very fine needles to inject the sperm directly into the egg for fertilisation to occur. The fertilised eggs are then transferred just like IVF.


ii. Surgical Sperm Collection (SSC):

This is required when the man does not produce sperm cells in the ejaculate (azoospermia). The sperm is obtained surgically from the testes and then used like in ICSI.

iii. Ovum Donation:

There is a natural decline in female fertility as a woman advances in age. Some women are unable to produce eggs due to genetic reasons, premature ovarian failure. Women who require IVF and are unable to produce good quality eggs will require ovum donation. Eggs can be donated either from known donors such as a sister or friend to the couple or anonymous donors. Anonymous donors are usually part of the egg share scheme where a woman donates some of her eggs in exchange for free IVF treatment. During ovum donation the donated eggs are fertilized by the husband’s sperm and after fertilisation transferred just like IVF.

iv. IVF Surrogacy:

Women with functioning ovaries but without a uterus, or women who have experienced repeated miscarriages, or with severe medical conditions that are incompatible with pregnancy may require IVF surrogacy.
The ovaries of the woman are stimulated; the eggs collected and fertilized with her husbands sperm and then transferred into a surrogate's womb where the pregnancy will hopefully develop.
 
v. Embryo Freezing:

Although, fresh embryo transfer results in higher pregnancy rates than frozen-thawed embryos transfer. FET has been shown to result in good cumulative conception rates following a single stimulation cycle. Embryo freezing can be offered to all clients whose female partners is of age 36 and below who have three or more top quality embryos available.