Fertility Health

Fertility Health (10)

How common is infertility?

Difficulty in conceiving is common, experienced by one in every six couples. This frequency increases with age, especially after the age of 35.


What causes infertility?

Causes of infertility are multiple and sometimes complex. Common causes in Kenya include: blocked tubes, problems with sperm production and transport; and infrequent, or failure to ovulate. Sometimes no cause is found.

How can I prevent myself from becoming infertile?

Some causes of infertility are not preventable. Here are several things you can do to maintain good fertility potential:

  • Avoid sexually transmitted infections (avoid multiple partners, use condoms, get screened and treated promptly if you contract an infection)
  • Maintain a healthy weight by exercise and good diet
  • Stop smoking and use of recreational drugs
  • Beware of rapid decline in fertility after the age of 35

Should I take over the counter drugs to boost my fertility?

No. Fertility drugs should only be taken after a gynecological evaluation. The commonly prescribed clomid tablet is open to abuse, and prolonged use may cause serious risks that may include ovarian cancer. Please talk to your gynecologist before commencing on any fertility drugs.

What tests should I have carried out if I am having problems conceiving?

Your medical evaluation will guide which tests are necessary. Some tests are expensive and should not be done routinely. Initial tests include assessment of sperms and confirmation of ovulation.  In some cases a reproductive hormone profile is recommended. Further testing may involve assessing the fallopian tubes, uterus, ovaries and testes.

What treatment options are available?

This will depend on the problems identified. Some couples will benefit from simple lifestyle modifications that include: stopping smoking and use of drugs, or simply losing weight.

Additional interventions include use of fertility drugs to promote ovulation, insemination of sperms into the uterus and advanced reproductive techniques like ‘test-tube babies’ (IVF). A minority of women may benefit from surgery to correct fallopian tube problems. 

Who should I see to address my fertility problems?

Consult your regular Gynecologist first, who may then refer you to a Fertility Specialist.

Take a fertility test today

Sub-fertility is the preferred terminology for couples who have difficulties conceiving. A recent survey in Kenya suggested that about 1 in every 4 - 6 Gynecological consultations are related to sub-fertility.

Dear doctor,You seem to have forgotten men in the fertility equation. I have heard so much about preserving fertility in women, what about us men? My age is advancing rapidly, without any foreseeable prospects of a suitable partner. How do I get my fertility preserved?

Most women have a regular menstrual cycle. This means they can predict fairly accurately when the next period is expected. Some will have irregular periods for various reasons. Still, regular periods could change into an irregular pattern, causing a bit of anxiety. Regular periods imply regular ovulation, and high chances of conception. Irregular periods on the other hand imply unpredictable ovulation patterns, and often a delay in conception.

Unwanted pregnancy loss, commonly referred to as miscarriage, is quite devastating. Couples go through distressing emotions after a miscarriage, often craving for another pregnancy as part of the healing process.

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