In my many years of practice of obstetrics and gynecology I have attended to thousands of women suffering from infertility due to many causes including abortion, legal or illegal. Recently, I had this patient, who is now 40 years old; she has been married for over 7 years with no child. She came to me for an opinion, she had an ultrasound scan test, after the tests, I noticed that the endometrial cavity was thin and fibrosed with evidence of adhesion.
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Nairobians are personally responsible and accountable for their own health. Individuals can choose the most unhealthy habits and guarantee themselves a premature departure. Or live as healthily as possible. A summation of the city dwellers’ unhealthy habits tends to have a collective effect on all of us, thereby affecting everybody else’s health in the city.
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Gynecological problems are uncommon in pre-pubertal girls. And if they occur, there is often a blur about which specialist to consult, a Paediatrician or a Gynecologist?
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Health care is a 24/7 business. After all, illnesses don’t choose when to strike. It can be any day of the week, and any time of the day. Whenever you have been unwell, am sure you have just made your way to the doctor’s and expected optimal attention regardless of the time or day of the week. For most cases all goes well, and your doctor seems to always function at their best regardless of the timing of your arrival.
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This is the commonest cause of female infertility locally. Tubes may be blocked following sexually transmitted infections (STIs), other pelvic infections, or even after pelvic surgery. Tests to check the tubes are easily available.
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