ABIMS Fertility & Andrology

FOLLICULAR TRACKING, OVULATION AND AMH.

During follicular tracking, a sonographer may report the presence of 2, 3, or 4 follicles. It is important to understand that these are follicles, not confirmed eggs. The presence of a follicle does not guarantee the presence of a viable egg within. Only during IVF can eggs be retrieved and assessed by an embryologist to determine their number and quality. Egg quality plays a crucial role in fertility and is assessed through a blood test called Anti-Müllerian Hormone (AMH). An AMH level between 1.0 and 3.5 ng/mL generally suggests a good ovarian reserve and potentially better egg quality. Levels below 1.0 ng/mL may indicate diminished ovarian reserve. If you are trying to conceive, it is advisable to conduct hormonal tests such as AMH, LH (Luteinizing Hormone), and FSH (Follicle-Stimulating Hormone). These results should be interpreted by a qualified fertility specialist for accurate guidance and appropriate treatment planning.

WHY YOU ARE NOT RESPONDING TO THE SEMEN TREATMENT.

Persistent low sperm count (oligospermia) or absence of sperm (azoospermia) over time—ranging from 3 months to 2 years, may indicate underlying pathology. Normally, sperm is produced in the testicles and transported via the epididymis through a duct (vas deferens) to mix with seminal fluid from accessory glands (seminal vesicles, prostate, and bulbourethral gland) during ejaculation. If sperm count fluctuates or remains at zero despite treatment, there are two main concerns: either the testicles are not producing sperm, or there is an obstruction preventing sperm transport. A common cause of obstruction is a cyst or blockage in the reproductive tract, preventing sperm from reaching the seminal fluid. This results in ejaculated semen lacking sperm cells. Such cases require thorough evaluation by a fertility specialist, including advanced semen analysis, hormone profiling, and possible scrotal or transrectal ultrasound. Seek professional assessment for accurate diagnosis and targeted treatment.

WHEN YOU ARE TRYING TO CONCEIVE AT 40+

Fertility naturally declines with age, and while pregnancy after 40 is possible. It is advisable to aim for conception before age 40. However, if you are trying at 40+, here are key steps to take: 1. Assess Ovarian Reserve: Check your Anti-Müllerian Hormone (AMH) level to evaluate egg quality and quantity. A low AMH may indicate diminished ovarian reserve, making conception more difficult. 2. Evaluate Hormonal Balance: Test Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH). Elevated levels may suggest reduced ovarian function associated with age. 3. Check Tubal Patency: At least one fallopian tube must be open to allow fertilization. An HSG (hysterosalpingography) can assess this. 4. Assess Semen Quality: Ensure the sperm sample is of optimal quality—both count and motility are essential. Understanding and addressing these factors early can improve your chances of a successful pregnancy. Always consult a fertility specialist for guided support.

IF YOU ARE A VIRGIN OR NOT SEXUALLY ACTIVE. THESE SIGNS ARE NOT GOOD.

This message is directed to women who have never been sexually active or are virgins prior to marriage. It is important to understand that virginity is not an indicator of fertility. The assumption by some that marrying a virgin guarantees fertility is medically incorrect. Fertility is determined by several physiological and hormonal factors not by sexual history. In fact, certain symptoms experienced even in the absence of sexual activity may signal underlying reproductive health issues. For instance, if a woman has irregular or absent menstrual cycles, it may be a sign of hormonal imbalance or conditions such as Polycystic Ovary Syndrome (PCOS). These issues, if not identified and addressed early, can impact her ability to conceive later in life. Other signs that should not be ignored include cyclic breast tenderness (swelling before menstruation that resolves afterward) or a lack of sexual arousal, which may be linked to hormonal insufficiencies or endocrine disorders. Regardless of sexual activity, any woman experiencing these symptoms should consult a fertility scientists for proper evaluation. Early detection and management of reproductive health issues are key to preserving fertility, even in women who remain virgins until marriage. 

IS IT TRUE THAT SPERM CELLS STAYS 3 DAYS IN THE VARGINA?

There is a common misconception that sperm cells can survive for up to three days within the female reproductive tract. While this is sometimes possible, it is not a guarantee and it depends on several biological factors. Firstly, the cervical mucus plays a critical role. This fluid, produced at the cervix (the opening of the uterus), varies in composition throughout a woman’s menstrual cycle. During the fertile window, cervical mucus becomes less acidic and more conducive to sperm survival, creating a pathway for sperm to swim toward the egg. Outside this window, however, the cervical environment can be hostile, and sperm may be destroyed almost immediately after ejaculation. Secondly, the quality of the sperm itself is essential. Sperm with poor motility (sluggish movement) or abnormal morphology may fail to reach the cervical canal or may not survive long enough to fertilize an egg. Additionally, the integrity of the sperm DNA is another critical factor that can affect viability. Therefore, if ovulation is expected on a specific day say, it is not advisable to rely solely on intercourse three days prior, assuming that sperm will survive until then. For the highest chance of conception, it is recommended to have intercourse on the day of ovulation or within the fertile window as guided by ovulation tracking. In summary, while sperm cells can survive up to five days in optimal conditions, this is not always the case. Factors such as cervical mucus quality, sperm health, and timing all play significant roles in determining the likely hood of conception.

Can Ovarian Reserve Be Restored at Age 40?

It is important to understand the biological changes that occur in female fertility, especially for women aged 40 and above who are trying to conceive. Ovarian reserve naturally declines with age, and this decline becomes more significant after the age of 35. At age 40 and above, evaluating key hormonal markers such as Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), and Anti-Müllerian Hormone (AMH) are crucial. If your FSH and LH levels fall within the normal range (typically between 4–10 IU/L), and your AMH is low, the use of fertility-enhancing supplements may offer some benefit. In some cases, with proper support and supplementation, there can be a mild improvement in ovarian function. However, if LH levels are elevated and AMH is significantly low, especially in women over 40, restoring ovarian reserve becomes much more challenging. This is why it’s essential to undergo proper diagnostic testing before starting any fertility supplement, including products like Fertilgain, which are designed to support ovarian function. In women with diminished ovarian reserve, abnormal FSH and LH levels can also disrupt menstrual regularity, further complicating conception efforts. Key recommendation: Any woman attempting to conceive, particularly at 40 years and above, should undergo an AMH test as part of their fertility assessment. It provides valuable insight into the quantity of remaining eggs and overall ovarian reserve, thereby guiding appropriate medical or supportive interventions.   

IF YOU REMOVED PREGNANCY AND YOU ARE NOW WAITING ON GOD, THIS IS MY ADVICE.

If you have previously undergone a pregnancy termination and you are now trying to conceive, it is important to take proactive steps in assessing your reproductive health. One essential investigation is a sonohysterogram (also known as saline infusion sonography). This diagnostic procedure provides a clear view of the uterine cavity and cervical canal. It helps detect abnormalities such as intrauterine adhesions, fibroids, polyps, or structural defects that may result from prior procedures. If any abnormalities are identified, your fertility specialist may recommend a hysteroscopy, which allows direct visualization and, if necessary, treatment of conditions within the uterus. These evaluations are crucial in ensuring that your uterus is optimally prepared for conception and implantation. Visit a reputable fertility clinic or gynecology center for a proper evaluation. Early diagnosis and treatment can improve your chances of achieving a successful pregnancy. With appropriate medical care and divine grace, all things can indeed work together for good. 

The Emotional Journey of Infertility

Infertility can be a difficult and emotional journey for many couples, affecting not only their physical health but also their mental well-being. Trying to conceive can bring a host of challenges and emotions, including stress, depression, anxiety, and feelings of hopelessness. For many couples, infertility can also take a toll on their relationship, leading to feelings of isolation, anger, and sadness. The stress of infertility can be overwhelming, especially when couples are faced with repeated negative pregnancy tests, unsuccessful treatments, and the pressure to have a child. It can be difficult to manage the constant ups and downs of the journey, leading to feelings of depression and anxiety. These emotions can also affect self-esteem and self-worth, leaving couples feeling hopeless and alone. It is important for couples facing infertility to understand that they are not alone and that there are resources available to help them cope with their emotions. Some ways to manage stress and depression include seeking support from friends, family, or support groups, practicing mindfulness and relaxation techniques, and seeking counseling or therapy. Couples can also find comfort in knowing that they have options to build their family, including assisted reproductive technologies, adoption, and surrogacy. Infertility can be a difficult journey, but it is possible to find hope and healing. Couples should reach out for support and not be afraid to ask for help. It is also important for society to break the stigma surrounding infertility and to provide a supportive environment for those who are facing it. In conclusion, infertility can bring a range of emotions and challenges, but couples can find ways to manage their stress, depression, and anxiety. With the right support and resources, couples can find hope and healing on their journey towards building their family.

How to increase fertility in women

Fertility is a major concern for many women who are trying to conceive. There are several factors that can affect a woman’s ability to conceive, including age, health, and lifestyle choices. Fortunately, there are several steps women can take to increase their fertility and improve their chances of becoming pregnant. Maintain a Healthy Weight Maintaining a healthy weight is essential for improving fertility in women. Being overweight or underweight can disrupt the menstrual cycle and make it difficult to conceive. Women with a body mass index (BMI) of 25 or above may have difficulty getting pregnant, while those with a BMI of 18.5 or below may have irregular periods or stop ovulating altogether. Eating a balanced diet and exercising regularly can help women maintain a healthy weight and improve fertility. Monitor Ovulation Ovulation is the process by which an egg is released from the ovaries and is available for fertilization. Women who are trying to conceive should track their ovulation cycle to determine when they are most fertile. This can be done using ovulation prediction kits or by monitoring changes in cervical mucus. Women should aim to have sex during their fertile window, which typically occurs 12 to 14 days before the start of their next period. Reduce Stress Stress can have a negative impact on fertility in women. When the body is under stress, it releases hormones that can disrupt the menstrual cycle and make it difficult to conceive. Women who are trying to conceive should find ways to manage their stress, such as through exercise, meditation, or yoga. They should also try to get plenty of sleep and avoid caffeine and alcohol, which can exacerbate stress. Quit Smoking Smoking can have a significant impact on fertility in women. It can damage the ovaries and reduce the quality and quantity of eggs, making it harder to conceive. Women who smoke should quit as soon as possible to improve their chances of becoming pregnant. Quitting smoking can also improve overall health and reduce the risk of complications during pregnancy. Limit Alcohol Consumption Excessive alcohol consumption can also have a negative impact on fertility in women. It can disrupt the menstrual cycle and reduce the quality of eggs. Women who are trying to conceive should limit their alcohol consumption or avoid it altogether. Take Prenatal Vitamins Taking prenatal vitamins can help improve fertility in women. Prenatal vitamins contain folic acid, which is essential for fetal development and can also improve the chances of conception. Women should start taking prenatal vitamins before they start trying to conceive and continue taking them throughout pregnancy. In conclusion, there are several steps women can take to increase their fertility and improve their chances of becoming pregnant. Maintaining a healthy weight, monitoring ovulation, reducing stress, quitting smoking, limiting alcohol consumption, and taking prenatal vitamins are all effective ways to boost fertility. By following these steps, women can increase their chances of conceiving and having a healthy pregnancy.