Genital warts are common, and usually cause no symptoms. But most women find them disfiguring and annoying. They may sometimes be painful or itchy, and can rarely interfere with childbirth.
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Women should plan pregnancies when chances of conception are highest, they are in good health, and are more likely to deliver a healthy baby. The optimal biological decade for conception is between 25 to 35 years. This optimal conception decade is dictated by the fact that women are born with a finite, genetically determined number of eggs in their ovaries. The pool of eggs is highest at birth amounting to about 2 million. However most of these eggs are destined to die, and by puberty, there are only about 500,000 left.
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A visit to a health institution sometimes leaves women unsure of who’s who among the vast number and grades of doctors often available. This is especially so in teaching hospitals, which are becoming more common in Kenya. Every doctor should wear an identity badge, and always introduce themselves.
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Any woman who’s ever made a hospital visit to the emergency department or labor ward may be aware of an almost inevitable wait. It seems to take ages for people to get their turn, and there is often a feeling of unwarranted delays.
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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. This translates into millions of couples of child-bearing age. The biggest barrier to accessing modern fertility treatment is cost, coupled with limited choice of treatment centres.
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