Hello, I am Prof. Frank Osato Giwa-Osagie and I am available NOW (from 3.30 – 5.30pm) to answer your questions regarding fertility and difficulty in conceiving. Good afternoon.
Wednesday, 4th July, 2012, 3.30pm
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Question: I’m 28yrs & been married for about 18months…my husband and I have been trying and are still. We have done some tests including scans, Hcg, sperm check and all, after trying for about a year. While mine came out just fine…our doctor, told us that my hubbie has low sperm motility and advised we go for IUI if we don’t want to waste any more time. This really got me worried and upset…What is your opinion Sir? Thank you –Chinwe C. E, facebook friend
Answer: About 30 to 40 percent of couples find that there is something wrong with the male partner during investigation for inability to conceive. From what you have said your partner should be examined for varicose veins of the testis and infections should be excluded by doing a culture of his semen, these are two causes of low sperm motility. It is important to note that it takes three months for sperms to mature from the time you start giving treatment to improve sperm count. During this interval IUI can result in pregnancy particularly by a technique known as “Swim up”, this increases the motility of the specimen which can then be used for the IUI. Simple life style precautions should also be taken such as no cigarette smoking, no tight underpants, reduce alcohol to not more than one bottle of beer a day and getting as much as 6 hours of sleep a day and getting exercise such as walking and swimming can also help.
Question: Please what are the chances of artificial insemination? –Temitayo O, facebook friend
Answer: Artificial insemination is the introduction of sperms into the female genital tract. So the sperm is injected through a syringe into the neck of the woman’s womb. It is done during the woman’s fertile period. Two types are artificial insemination are done: using donated sperms (Donor Insemination, DI) and using the husband’s sperm AIH.
DI is reserved for cases where the man’s sperm count is 0 and cannot be improved or very rarely if the man has some abnormalities that makes it not advisable to use his perm. If the woman is fertile, the pregnancy success rate can be as high as 50 to 60 % within 6 cycles of trying. A more usual success rate will be in the 40 to 50 % range within 6 months of trying for donor insemination.
The other form of AI uses the husband’s sperm (known as AIH). This is normally used where the sperm count is low, where the sperm motility is low, or where there is evidence that there are anti bodies against sperm being secreted at the neck of the woman’s womb. Semen sample is treated by a procedure known as “swim up” which selects the motile part of the semen for insemination. As little as 0.5ml of semen can be injected into the neck of the womb or the woman’s uterus using ICSI, and this is done during the woman’s most fertile time. The pregnancy rate of husband’s sperm insemination is of the order of 20 to 30% within 6 cycles, which is less than that of donated sperm, DI. This has led to the comment than when the sperm count is low or motility, there is something else wrong making the woman not get pregnant hence the rate is higher when you use donated sperm
THANK YOU for asking your questions and I enjoyed answering them. Good bye, Prof. Frank Osato Giwa-Osagie