Waiting in Silence: Infertility and Delay in the African Community

There are some topics that are rarely discussed openly within the African community, and infertility is one of them.

When a woman gets married, there is often an unspoken expectation that within a few months, news of a pregnancy will follow. For some couples, that may happen quickly. For others, however, the journey is very different.

Behind the smiles, family gatherings, and social occasions can be a silent struggle that many people never see.

The questions begin almost immediately.

“When are you having a baby?”

“What’s taking so long?”

“Is everything okay?”

While these questions may be asked innocently, they can carry a heavy weight. In many cases, the burden of answering them falls almost entirely on the woman.

She bears the silence.

She notices the stares.

She hears the whispers from neighbours, extended family members, and sometimes even those closest to her. She finds herself repeatedly explaining something she may not fully understand herself.


Why is it often the woman who is expected to provide answers?

Why is it the woman who carries the blame?

Whether a couple has been trying for six months, one year, three years, or even longer, the pressure can become overwhelming. The emotional toll affects not only the woman but also the marriage itself. Questions that begin outside the home can eventually find their way inside it.

In many African cultures, motherhood is often seen as a defining milestone for women. As a result, when pregnancy does not happen quickly, assumptions are made. Too often, those assumptions point directly to the woman.

Yet infertility is not exclusively a woman’s issue.

It is a couple’s journey.

Unfortunately, this reality is not always reflected in how our communities respond.

Let us consider the story of Mary and John.

To be continued

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Understanding Infertility in Women: Causes and Treatment Options

Infertility affects many women worldwide, making it difficult to conceive naturally. While it can be an emotionally challenging experience, understanding the possible causes and available treatments can help women navigate their fertility journey. Here, we explore three common causes of infertility in women and the treatment options available.

1. Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder that affects ovulation. Women with PCOS often have irregular periods or may not ovulate at all due to hormonal imbalances. Other symptoms include excessive hair growth, weight gain, and acne.

Treatment Options:

• Lifestyle Changes: Maintaining a healthy weight through diet and exercise can help regulate ovulation.

• Medications: Doctors may prescribe medications such as Clomiphene or Letrozole to stimulate ovulation.

• Fertility Treatments: If medication does not work, assisted reproductive techniques like in-vitro fertilization (IVF) may be recommended.

2. Endometriosis

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, often causing pain, inflammation, and scarring. This condition can block the fallopian tubes or interfere with egg implantation, leading to infertility.

Treatment Options:

• Pain Management: Over-the-counter pain relievers or hormonal treatments like birth control pills can help manage symptoms.

• Surgery: Laparoscopic surgery can remove excess tissue and improve the chances of conception.

• Assisted Reproductive Technologies (ART): IVF is often recommended for women with severe endometriosis.

3. Blocked Fallopian Tubes

Fallopian tube blockages prevent the egg from meeting the sperm, leading to infertility. This can result from infections, pelvic inflammatory disease (PID), or previous surgeries.

Treatment Options:

• Surgery: In some cases, surgery can remove blockages and restore tubal function.

• IVF: If surgery is not an option, IVF allows fertilization to occur outside the body, bypassing the fallopian tubes.

My Final Thoughts

Infertility can be a challenging journey, but with the right diagnosis and treatment, many women can still achieve their dream of motherhood. If you are struggling with fertility issues, consult a healthcare professional to explore the best options for you.

Signs Of Infertility

Easter and Infertility.

Causes Of Infertility In Women 

Infertility: A lonely Journey

Keep looking ahead.

There is a saying I like “look forward, because you are headed that way”.

If you are a driver, you know that your main focus should in front ahead of you. .

Yes, we occasionally glance at the rear view mirror before making a turn, but mostly we focus on the road ahead.

Infertility is a constant journey of endless glances backwards.

Recounting that one time you sipped a glass of wine or made a horrible mistake which you are too ashamed to speak of, that old relationship where, perhaps if you had been nicer maybe things would have worked out with another partner.

Endless glances backwards.

we take our eyes off the future, and our hopes and instead regrets sets in, trapping us in guilt and misery of the past.

This is what infertility does, it robs you of enjoying simple everyday stuff, as your whole life is engrossed with endless questions of when will I become a mother? When will it be my turn?

It can be so isolating that it seems no one can comprehend the depts of your pain.

My encouragement for you today is to keep looking forward, look unto Jesus, your maker and creator who made you and knows your inner most desires.

He put those desires there, keep bringing them to him and look up to him. He will respond to your cries for help with Grace and mercy.

He is the author of your story and the finisher of it .

Stay in Peace as you wait.

Your Partner in Hope

D’Ebi

Faith Vs Fear, Advent, A Glimpse of Hope

Christ In The Waiting Room

Waiting is part of life, everyone has had to wait or currently waiting or will wait for something significant to come into their lives.

The wait can be about anything, it maybe long or short and often leads to impatience the longer it takes.

Sometimes we wait with friends or a family member comes along to hold our hands or provide that physical, emotional or morals support.

A&E waiting rooms are pictures of pain and misery. People all waiting to be seen for their issues to be addressed.

Who is in the waiting room with you during your waiting period/season?

in His day Jesus was found in unusual places places, he hung out with prostitutes,

with tax collectors, those regarded as extortionist, with women (the woman at the well), and in street coner preaching.

if Jesus was living in our world today he certainly would have been found in fertility waiting rooms.

Jesus is no stranger to hunting people, the centurion whose child was ill, the woman with the issue of blood. He was drawn to the sick and down trodden, the ostracised and outcast.

The waiting room of any infertility clinic is an extremely high anxiety, fear, and pain depository . I used to just scan the faces of those waiting with me. Its amazing the mask we put on.

Our dear Lord and Saviour is a hugger, he would have been in the waiting room with waiting couples, hugging, holding and whispering hope and peace . I imagine he is there right now with you. Lean on him, trust in him and hope in him for your miracle.

He knows what you need and will bring it to pass in His own time.

Your partner in Hope

D’Ebi

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In Silence

In quietness lies strength

I sit still, with my hearts eyes upward looking,

I see seas of love and promises of peace

I am strengthen

In this quiet state

My gaze firmly fixed at something which seem within reach, yet so far away.

In silence, I ponder the future not with fear, or uncertainty

But a firm believe in what is promised and coming.

@D’Ebi

Strengthened, not Faulty. Behind The Scenes, Celebratory seasons, Not Inadequate Advent: Walking in Our shoes, Advent: Season of Hope, The Christmas Miracle, Unplanned Pregnancy,What is Going On?, Good News of Great Joy

Benefit of Egg freezing

Frozen eggs beats fertility treatment for women. according to post in Futility today.

The number of US women having children at older ages has been increasing for three decades, with evidence that the trend will continue. Birth rates have declined for women in their 20s and jumped for women in their late 30s and early 40s, according to the US Census Bureau. The average age at first birth has risen from 19 years old in 1984 to 30 years old in 2021 and is higher in many metropolitan areas.

See stores for more

To freeze or not.

This is still the question asked by many women. weather or not to freeze their eggs.

As the awareness around infertility increases I believe there should be deliberate effort to make women aware of how fertility works. From an early age, women should be informed of the decline in their fertility so that they can start to plan for pregnancy, if they so chooses.

Knowing this, the best time to conceive is in the 20s and 30s. However, if this is not possible due to education, career opportunities, ill health, financial constraints, etc., egg freezing should be considered.

Egg reserved are finite, with this information women should should start to plan pregnancy before they turn 35, because according to scientific research, news eggs stop growing at that age. Fertility drops around age 37 and shaply at age 40. At 40 years of age, the chances of natural conception remain only five to 10 percent.

Women can decide they will freeze their eggs, get married early or delay pregnancy but still freeze their eggs. Having this knowledge empowers a woman in their choices

Since women’s fertility is finite, they don’t have the cells which will produce new eggs in the ovaries and the number of existing eggs is reserved. But, there are options to overcome this biological clock barrier.

Egg freezing is an option for women of childbearing age . Given the times we are living in now when more women are achieving their academic and financial potential, I think women should also achieve their dreams Of being a mum and one way to achieve this, is to freeze their eggs while young.

Women can conceive after menopause if they have chosen to freeze their eggs/embryos in their younger years.

I have seen too many friends who were not aware of this option now childless. Some have partners and would have gladly used A frozen egg. Others have no partners but would have settled for a child of their own using their own frozen eggs.

Another options is to use donor eggs, if you have not previously frozen your eggs

This will be done via IVF. The success of IVF also depends on the age and egg reserve of women. Doctors recommend the use of eggs when women are at their optimum age of reproduction and have plenty of egg reserve.

Platelets rich plasmas is injected into the ovaries

This is why egg freezing is important as it ensures that the best quality eggs are frozen and use when needed. Similarly a donor eggs are collected from younger healthy women and used by menopausal women.

If you are a young woman speak with your doctor regarding your options and what is involved in egg freezing process.

To be continued.

Your Partner in Hope

D’Ebi

The Egg Freezing process

It Only Takes One Egg

fertility Awareness

IVF:Stages to egg implantation

Tips to help treatment

1. keeping a healthy weight. increases ones chances of pregnancy by any method.

According to the NHS, a weight under BMI of over 25 is ideal, they recommend that couples trying to get pregnant work toward achieve a healthy weight. It is thought that an obese woman may have hormonal issues which may impede pregnancy. Follow a healthy exercise and diet plan with your doctor will help you achieve the right weight for your height.

2. it is recommend that adults embark on 150 mins moderate to light mins exercise a week. Exercise activity which increases the heart rate helps to lower blood pressure, fight diabetes and increases a couples chances during IVF.

3. consume coffee in moderation. Some scientific research suggest that women undergoing IVF should consume no more than 3 cups of coffee daily. Too much caffeine can make it difficult to fall pregnant.

4. Start trying early: age plays a huge part in both natural conception and IVF pregnancy. the chances of a woman falling pregnant over 35 declines significantly. It is advise to seek treatment as soon as you start to try without success… The miracle of medicine means that more couples are become parents with the help of donor eggs and adopting. So don’t despair, you can still become a parent.

5. do not smoke, it is though that the quality of egg and sperm is affected by smoking. Before undergoing treatment speak with your doctor on how to quit.

6. Take measures to reduce your stress level. IVF is stressing enough, Being stressful will interfere with both the quality of egg and sperm. incorporate some mediation, yoga, pilates and acupuncture into your daily life to help reduce stress.

sources: NHS ENGLAND

Debbie

Your partner in Hope

Related post.

How to Cope With the Stress of Infertility

IVF PROCESS: Step by Step

The Over 50 Debate

Tips on Staying Healthy.

Treatment and COVID-19

How to Cope With the Stress of Infertility

To add or not to add

According to a recent report by an Australia IVF specialist, standard IVF works therefore there is no need for expensive adds on.

for instance 

ICSI which stands for Intracycloplastic was developed in 1992 as a way of treating male infertility. However, a growing number of clinics are now using it for men with normal sperm count. 

A recent article in the medical journal the lancet based on data from Vietnam, reports that ICSI although much expensive, does not improve the chances of success. 

Their hunch is that “doctors may recommend it for fear of patients’ reactions if the eggs don’t fertilise, even if ICSI doesn’t improve the ultimate chance of a baby for those with a normal sperm count.”

Couples with infertility belong to a very vulnerable group who will do almost anything to achieve a pregnancy. They deserve our dedicated care and evidence-based treatment.” The report concluded. 

So before accepting all that’s recommended by your clinic, 

  • review your results.
  • Ask specific and detailed questions.
  • Undertake your own research into your own Diagnosis, 
  • Review the data  available and read the latest in medical intervention and their successes. 
  • Make your own mind up and resist pressure from your clinic. 

I know it’s difficult to argue with the doctors and the presumption is that they know what they are doing. But when it’s your body and issue, you can certainly ask questions and be satisfied that what you are paying for is absolutely necessary. And lastly, be positive and know that whatever is in store for you will be nice. 

Your Partner in Hope

Debi