Fertility Preservation for Cancer Patients

For  young persons, a cancer diagnosis can be very traumatizing. Treatments that can be lifesaving can also be  life threatening to fertility. At the Elrapha Hospital and Fertility Center, we are available to counsel patients with a new cancer diagnosis regarding the risk their cancer treatments may pose to their fertility processes.

Below, our experts answer commonly asked questions about the impact specific treatments have on fertility and the fertility preservation options we offer, which include embryo, oocyte, ovarian tissue and embryo cryopreservation.

Embryo Cryopreservation

In-vitro fertilization followed by cryopreservation (freezing) of the fertilized eggs can provide an opportunity to have a pregnancy after treatment for cancer is completed. This procedure involves treatment with injectable fertility medications to stimulate development of multiple eggs. The eggs are retrieved in a procedure performed under anesthesia, called an oocyte retrieval, and fertilized with the partner’s (or donor) sperm and then frozen. The whole process generally requires two to four weeks.

IVF with cryopreservation of embryos has been used extensively for infertility treatment since the early 1980s and is considered a safe and routine procedure. The embryos can be stored for a number of years until cancer treatment is completed. Even if the cancer treatment results in ovarian failure, the woman can be given hormones to mimic a normal ovulation cycle and have the embryos transferred back to the uterus by a simple outpatient procedure.

The chance of pregnancy is about 30 to 50 percent each time one to two embryos are returned to the hormonally prepared uterus (pregnancy rate is dependent on maternal age at the time the embryos were created). If several high grade embryos can be produced and stored, that should give the couple a reasonably good chance of achieving a pregnancy at a later date. Sometimes this is not possible because of the need to start cancer treatment quickly. An IVF cycle takes about two weeks to complete, and we can often start controlled ovarian hyperstimulation to harvest eggs on a random day during a woman’s cycle.

HOW TO PROPERLY WASH YOUR HANDS

For centuries, hand washing has been one of the cheapest means to achieve a clean bill of health and prevent contamination of bacterial from publicly used facilities and equipment. The reason for this is that we are surrounded by bacteria (in fact some live within us and help us survive, they are called good bacteria.) and harmful ones can be transmitted from person to person or from animal to person by physical contact with contaminated surfaces.

As human beings, we are in constant connection with our physical environment. This inevitability makes us prone to come in contact with disease causing bacteria and viruses. Thankfully, our immune systems are sometimes able to kill these disease causing agents but not all the time.

Washing of hands regularly is now seen as an effective means of reducing ones risk of developing illnesses caused by certain microorganisms.

One of the most likely places for bacteria to spread the bathroom. A single gram (that is roughly a teaspoon) of fecal matter contains about one trillion germs, with this you can imagine why the bathroom can be considered one of the epicenters of bacteria. A recent study shows that in a given state or country, over 90% of currency notes such as the naira in circulation can contain traces of fecal matter. Other common spots are Phones and accessories, doorknobs, handles of garbage cans etc.

It is clear that not only do we need to wash our hands regularly, but we also need to wash our hands THE RIGHT WAY!

These are some tips to follow in other to wash your hands properly.

  • Turn on the tap and wet your hands for some seconds
  • Apply hand wash or soap to both sides of your palm, make sure to form a nice thick leather
  • Rub your palms together, focus on one side at a time
  • Focus on both sides of your palms, in between your fingers and under your nails.
  • You should do this for about 20 seconds or more.
  • Rinse your hands thoroughly, make sure your hands are not slippery.
  • Dry your hands with a towel or tissue paper. Air dry if available.
  • Use a towel to turn of the tap.

We have a responsibility to ourselves, loved ones and our environment to maintain a high level of hygiene. The recent outbreak of the Novel Coronavirus 2019 has made that so clear.

It is one thing to know how to wash your hands, it’s another thing to know when it is ideal to do so. However, you can wash your hands anytime you want but it is ideal to watch out for this scenarios;

  • After using the toilet
  • Before and after eating.
  • Before, during and after preparing meals.
  • After engaging in sanitary activities.
  • After changing the diaper of a child.
  • Before breast feeeding
  • After taken care of a sick person.
  • After handling dusty equipment’s.
  • After work.

Washing your hands can go a long way in protecting you and preventing you from contracting harmful bacteria and viruses such as the Novel Coronavirus 2019 (CONVID – 19).

FIBROIDS

WHAT ARE FIBROIDS?

Fibroids are noncancerous growths or tumors that mostly develop in the muscle of the uterus. They can also grow on the outer walls of the uterus. The size of a fibroid can vary from the size of a pea to the size of a watermelon. The number and size also varies from individual to individual. It is also called myomas.

TYPES OF FIBROIDS?

There are four types of fibroids. They are listed below.

  • Intramural Fibroid: This type of fibroid develops in the muscular wall of the uterus. It is the most common form of fibroid.
  • Subserosal Fibroid: These can extend beyond the wall of the womb and can grow to a large size.
  • Submucosal Fibroid: These develop in the muscle layer of the uterus. They are less common that the previous two.
  • Cervical Fibroid: They develop in the cervical region of the womb.

HOW CAN FIBROID BE DIAGNOSED?

Fibroids are usually diagnosed during a routine abdominal or pelvic exam. The doctor may feel an unusual abdominal or pelvic mass. However there are more ways to diagnose and even determine the size and number of this benign tumor(s).

They include the following;

  • Ultrasound (sonogram)
  • Hysteroscopy
  • Laparoscopy
  • Magnetic Resonance Imaging (MRI)
  • Saline Sonohysterogram (Hysterosalpingogram)

WHAT CAUSES FIBROIDS?

It is not certain what causes fibroids to develop but there are some factors that influence their formation.

WHO IS AT RISK OF FIBROIDS?

As women mature they are increasingly at risk of developing fibroid. The increase in the production of estrogen and progesterone (hormones produced by the ovaries) may influence the growth of the tumor.

Women with a family medical history of recurrent fibroids in relatives have a high risk of developing fibroids.

Women with high body weight are also at risk.

SYMPTOMS OF FIBROIDS?

Symptoms will depend on location, size and number of tumors. Smaller tumors may not show any symptoms and may shrink during menopause while large tumors may cause excessive bleeding and difficulty conceiving.

Symptoms may include;

  • Abdominal mass
  • Excessive/prolonged menstrual bleeding
  • Pain in abdomen
  • Lower back pain
  • Increased urination
  • Constipation
  • Pain during sexual intercourse
  • Difficulty getting pregnant.

TREATMENT FOR FIBROIDS

For fibroids without any outward display of symptoms, ‘watchful waiting’ with frequent ultrasounds in between may be prescribed as fibroids tend to shrink as she reaches menopause. However, with symptomatic fibroids the following treatment options are available;

Medical treatment.

  • Gonadotropin-Releasing Hormone agonists (GnRHa): This drug shrinks fibroids by inducing menopause like symptoms. It stops the menstrual cycle without affecting treatment.
  • Gonadotropin-Releasing Hormone antagonists (GnRH): This stops the ovaries from producing estrogen and progesterone.

Other medications are available but ineffective against larger fibroids. They include;

  • Birth-Control Pills: This help regulate the ovulation cycle and may help with bleeding during periods
  • Nonsteroidal Anti-inflammatory Drugs: such as Ibuprofen will help with the pain associated with fibroids. It does not stop the bleeding.

Very large or severe fibroids may be nonresponsive to medication. In such instances, surgeries are the next treatment option. The speed of recovery and fertility is also considered when choosing the type of surgery. The following procedures are available;

  • Myomectomy: This is one of the most common form of surgical treatment option for fibroids. It is the removal of fibroids(s) from the muscular walls of the womb. Open surgery and laparoscopy are options here.
  • Hysterectomy: This is the partial or total removal of the womb. This is only considered in extreme cases.
  • Endometrial Ablation: This is the removal of the inner lining of the womb. Only available for fibroids in specific locations as another option to hysterectomy.

Other procedures include;

  • Uterine Artery Embolization (UAE)
  • MRI-guided focused ultrasound surgery
  • MRI-guided percutaneous laser ablation.

Keeping weight down and eating healthy may help but it is not a proven treatment option.

STATISTICS (SITUATION REPORT)

  • 65% – 80% of women will develop fibroid at the age of 50.
  • 30% – 40% will be symptomatic.
  • Less than 0.5% of fibroids turn to cancer.
  • Mortality rate due to fibroid is almost insignificant in recent years.

 

 

WHAT IS LASSA FEVER?

LASSA FEVER

WHAT IS LASSA FEVER?
Lassa Fever is an acute viral haemorrhagic fever that was first discovered in the village of Lassa, Nigeria in 1969. It is an animal-borne or zoonotic illness. The animal reservoir for the Lassa Virus is the multimammate rat (Mastomys natalensis) which is very rampant in Sub Saharan Africa. Affected countries include Liberia, Sierra Lone, Guinea and most parts of Northern Nigeria.

HOW IS LASSA FEVER TRANSMITTED?
Lassa fever is zoonotic in characteristics. This means that it is transmitted from infected animals to humans. The animal vector in this case is the multimammate rat and this species of rat is very common in West Africa. Lassa Fever virus is shed through the faeces or urine of an infected rat and is transmitted through contaminated foods, soiled surfaces, ingestion, inhalation or exposure to cuts and sores. Person to person transmission is also common amongst health workers where proper protective personal equipment is not used or available. Transmission through sexual intercourse has also been documented.

SYMPTOMS OF LASSA FEVER
Symptoms usually appear between 3 – 21 days of infection. An estimated 75% of infections don’t produce significant symptoms although slight fever, weakness and malaise may occur. Symptoms can include;
 Fever
 Weakness
 Malaise
 Cough
 High temperature
 Vomiting (with blood)
 Abnormal heart rhythms
 Deafness (may be permanent)
 Pain in chest, back and abdomen
 Respiratory distress
 Hemorrhaging in gums, eyes, nose or other body orifices.
 Shock

DIAGNOSIS OF LASSA FEVER
The symptoms of Lassa Fever are varied and non-specific and as such clinical diagnosis is very difficult especially in the early stages of the disease. Laboratory based test are usually definitive. However, the specimens collected are usually hazardous and therefore tests are carried out in high containment laboratories with good laboratory practices. According to the WHO, Lassa Fever can be diagnosed definitively with the following tests;

 Reverse transcriptase polymerase chain reaction (RT-PCR) assay
 Antibody enzyme-linked immunosorbent assay (ELISA)
 Antigen detection tests
 Virus isolation by cell culture

PREVENTION OF LASSA FEVER
Primary transmission of the Lassa Fever virus is through infected rats. This can be prevented by keeping a clean home, office and environment. Store food and related items in rodent –proof containers, set rat traps and apply other safe extermination techniques and methods, keep a cat if you can. Person – Person transmission can be prevented by taking extreme care while handling sick people. Use of protective person equipment like masks, gloves, googles and surgical gowns while administering care will go a long way to preventing the spread of the Lassa Fever
virus. Avoid direct contact and watch out for splashes of bodily fluid when interacting with an infected person.
Proper enlightenment in how to reduce rodent population in “high risk areas” is also key in the prevention of Lassa Fever.

TREATMENT OF LASSA FEVER
The antiviral drug Ribavirin has proven successful in Lassa Fever Patients if administered at the early stages of the disease. However, Ribavirin is not useful in the prevention of Lassa Fever. Symptomatic treatments may increase the rate of survival also administering of supportive treatments like rehydration, balancing of electrolytes, oxygenation, and treatment of any other complicating infections may also help. There is no vaccine that protects against Lassa Fever for now.

CURRENT STATISTICS (NIGERIA)
The below statistics is according to the Nigeria Centre for Disease Control published from 3RD – 6TH February, 2020. Based on the recent outbreak of Lassa Fever in Nigeria
 1,708 suspected cases
 472 confirmed cases
 70 confirmed deaths
 14.8% fatality rate

GENERAL STATISTICS

 100,000 – 300,000 cases recorded annually
 5,000 deaths recorded annually
 Highly affected countries include Liberia, Sierra Leone, Guinea and Nigeria.
 High mortality rate (up to 80%) in pregnancies

WHAT ARE CORONAVIRUSES?

CORONAVIRUS

WHAT ARE CORONAVIRUSES?
Coronaviruses are a rather large family of viruses that can cause diseases. Many strains of the virus affect birds and mammals including humans. The coronavirus can cause illnesses such as common cold to more serious diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). Coronaviruses are usually zoonotic, that means they are transmitted between animals and people.

THE ORIGIN OF 2019 NOVEL CORONAVIRUS (2019-nCoV).
According to the World Health Organization, the 2019 novel Coronavirus (2019-nCoV), a new strain that has not been previously identified in humans was first reported in Wuhan, China, on Dec. 31, 2019. Global health authorities are yet to pin point its exact origin but early hypothesis links this new strain to a sea market in Wuhan China. Recent information suggests that the first person got sick on Dec. 1, 2019.

HOW ARE THEY TRANSMITTED?
Early information suggests that majority of people infected in Wuhan had some form of contact at a sea market. However, recent cases include people who had no prior link with the sea market which suggest that it is transmitted from person to person via contact with infected bodily fluids like droplets from coughing or sneezing, contact with infected surfaces and also infected animals.

SYMPTOMS OF 2019-nCoV
Infected people exhibit cold or flu like symptoms within two to four days of contracting the
virus. The symptoms are usually mild but can be fatal in rare cases. Symptoms also varies
from person to person.
1. Sneezing
2. Coughing
3. Fatigue
4. Fever
5. Acute respiratory problems, organ failure and death (rare cases)

DIAGNOSIS
Physical diagnosis may prove difficult as the symptoms are quite similar to that of the flu or cold. However, proper diagnosis can be achieved with laboratory tests.

PREVENTION
1. Wash your hands thoroughly with soap and water for at least 20 seconds.
2. Use alcohol based sanitizer if water is not available.
3. Avoid contact with infected people, surfaces and animals.
4. Use facemasks and gloves when entering infected areas.
5. Keep all contact surfaces clean.

6.  Maintain strict hygiene at home.

TREATMENT
There is no cure yet for this strain of the coronavirus. However it can be managed by giving symptomatic cure (this means giving remedies to symptoms).

CURRENT STATISTICS (AFFECTED COUNTRIES, CONFIRMED CASES AND DEATHS)
This report is according to World Health Organization’s Situation Report as at Feb. 9, 2020
1. 26 Countries have reported at least one confirmed case of the 2019-nCoV.
2.  37,558 confirmed cases globally with 99.2% of cases in China.
3. 6,188 severe cases in China.
4. 812 deaths recorded globally with 99.9% in China.

CONTAINMENT PROCEDURES
The spread of this new strain of coronavirus is closely monitored by, Nigeria Centre for Disease Control (NCDC), and health organizations like El-Rapha Hospitals and Diagnostics. People arriving from affected countries are being screened at airports and in some cases placed under quarantine if they show symptomatic signs. There has been no reported case on the African continent. We will provide more update as we get them.

El- Rapha Hospitals and Diagnostics is celebrating 3 years of excellence and quality care

——–Hurray!🎀🎊🎉

** El- Rapha Hospitals and Diagnostics is celebrating 3 years of excellence and quality care.👌👌👌👌👌👌

**In honour of this, and as part of our efforts towards health and wellness, we are offering free and discounted services as stated below;

Free Screening for Breast Cancer, HPV, Hepatitis B 😊😊

50% off Registration, Hepatitis C, Torches Panel, Syphilis and HIV Screening 😎😎

10% Discount on ANC Registration 🤰🤰, Annual Wellness Checkup 🦸‍♂🦸‍♂and IVF.🤱🤱🤱🤱

Raffle Draw for Free Fertility Treatment.🎫🎫

Date: FEBRUARY 3RD-29TH

Location: Plot 930, Salihu Iliyasu, LifeCamp, Abuja, Nigeria. (Between Holy Family Catholic Church and Stella Marris College)

PLEASE SHARE WITH YOUR FAMILY AND FRIENDS 🙏🙏🙏🙏

For more information and enquiries, visit our website at www.elraphahospital.com.ng
Instagram: elraphahospitals
09098889015

EL-RAPHA AT THREE YEARS

EL-RAPHA AT THREE YEARS

THE WHY?

Family is an important prerequisite for every human being. Our family is usually our fortress of solitude. When we are very sad or at our happiest, we like sharing those moments with our family. It makes the memories very special. We look to them for advice, support, correction and occasional scolding. We are humans because of family. Family brings out the best in us, they instill in us core values that shapes our perception of life and mold us into the unique beings we are today.

When we fall in love with someone we tend to know they are ‘the one’ when we start thinking of starting a family with them. However, starting a family may prove difficult or in some cases seemingly impossible for some couples and the cause of this may be medically induced which will require professional care. This is what inspired Dr. Moses Fache, Founder and Medical Director of El Rapha Hospitals and Diagnostics and for three years we have helped several couples start a family and build a happy home and also enhancing their quality of life.

THE HOW?

At El-Rapha Hospitals and Diagnostics, we have a world class IVF Clinic that operates in accordance with international best practices. We have top tier advanced facilities that enables us to be a national leader in IVF and fertility procedures.

The past three years has seen a tremendous growth in our patients and the quality of services we render.

We have 2D, 3D, and 4D ultrasound scanners to create the best visual bond between mother and child. We also offer the following services;

  1. Gynecology
  2. Maternity
  3. Endoscopic surgery
  4. Laparoscopy
  5. Hysteroscopy
  6. Pediatrics
  7. Surgical Specialists
  8. Medical Specialists
  9. Laboratory
  10. Pharmacy
  11. Immunization

We offer 24 hour services in other to fully take care of the family and enhancing the quality of their lives. We do this with the utmost professionalism, attention to detail and care.

As we celebrate our three years of excellence and providing quality health care services we will be offering free and discounted servicers across board as our way of saying thank you for trusting us and letting us care for you.

For more information and inquires kindly visit our social media pages.

3 LIFESTYLE CHANGES TO INCREASE CHANCES OF FERTILITY WITHOUT IVF

In vitro fertility (IVF) is a fertilization process where an egg is combined with sperm outside the body. It is an Assisted Reproductive Technology (ART) used for infertility treatment and gestational surrogacy. This process involves monitoring and stimulating a woman’s ovulation process, removing an ovum or ova (eggs) from the woman’s ovaries and letting sperm fertilize them in a laboratory.

In vitro fertility and other fertility treatments are huge improvements to the rates of infertility  in the world today. Although, various causes of infertility has to be ruled out before an individual or couples can be considered infertile. Infertility is when you can not get pregnant after having unprotected, regular sex for six months to one year, depending on your age. However, couples may not be able to conceive and this may not be medically related. At EL-RAPHA we have noticed over time through consultations with patients and research that there are non-health related circumstances that may lead to infertility in couples.

OVERWEIGHT:

   An unhealthy weight can affect fertility in both men and women, a healthy body needs little amount of fat for proper functioning of the reproductive, hormonal and immune systems. Over weight or obesity refers to the body weight that is greater than what is considered healthy for a certain height. Hormonal imbalances and problems with ovulation(the release of egg from the ovaries) may lead to infertility in a woman with an unhealthy weight. Polycystic ovary syndrome (PCOS), a common cause of infertility can also be as a result of obesity.

   Men who are overweight may not be able to develop healthy sperm. For couples trying to conceive, if the man is overweight, he will have to reach a more healthy weight at least three months before conception.

ALCOHOLISM

 This is an uncontrollable consumption of alcohol which does not only affect fertility but also many other health related issues. Drinking alcohol may increase the time it takes to get pregnant and reduces the chances of having a healthy baby. For men, alcoholism reduces sex drive (libido), sexual performance and the quality of sperm, causing impotency.

SMOKING

There are various risks of smoking, ranging from heart, vascular and lung disease to infertility. Smoking can lead to infertility in both men and women, and this is twice the rate of infertility in nonsmokers. Fertility treatments such as IVF may not be able to fully overcome the effects of smoking on fertility. There is no safe limit for smoking, the only way is to quit. Quitting smoking can improve fertility in both men and women.

 It is important to note that making some lifestyle changes may increase chances of conception but also consulting a fertility clinic like EL-RAPHA, we will create an even better chance. EL-RAPHA offers a highly professional fertility medical team that can pin point the actual cause of infertility in couples and we also offer quality, affordable and specific solutions to help couples conceive.

INFERTILITY AND ASSISTED CONCEPTION

Infertility is a world wide stigma, which is posing a problem to many couples today. The problem of infertility has been a medical concern and has posed a challenge to the efficiency of traditional health care in Africa and the world at large.

However, the constant changing and innovations which has not deprived the medical sector, has to a large extent, manage to curb the problem of infertility, and has reduced its stigma to a large extent.

One of the greatest and most notable of these innovation is the concept of assisted conception. As the name implies, it entails the use of a medical intervention to help in conception.

Assisted conception methods include; Intra Uterine Insemination (IUI), In Vitro Fertilization (IVF), Intra Cytoplasmic Sperm Injection (ICSI), Sperm, egg or embryo donations and surrogacy.

The benefit of assisted conception is the fact that it records a high success rate. Also, it is used to control and prevent genetic disorders from being passed down to off springs.

Assisted conception has a reputation for being expensive and therefore, only available to members of the high classed and elite groups. However, at El-Rapha fertility Centre Abuja, we pride in affordable fertility care and this includes assisted conception.  As one of the top fertility clinics in Nigeria, we record a high success rate of assisted conception, pregnancies and natal care.

We are therefore, dedicated to giving our patients maximum satisfaction at minimum cost. With one of the highest rate of fertility clinic reviews, we pride ourselves as specialist in fertility and conception.  We therefore, boldly guarantee a safe and successful, as well as cost effective procedure, so as to drastically reduce and in future, completely erase the stigma of infertility in the, regardless of class system and wealth distribution.

THE BURDEN OF INFERTILITY IN NIGERIA

Infertility is a world wide problem, affecting about 15% of couples in their reproductive age. However, the infertility rate is higher in Africa than in other  continents with its stigma, more prominent in women.

Medically, it expected that a healthy female in her reproducing age, would conceive within 3 months of exposure to unprotected sex. A couple is therefore, tagged infertile medically, when they cannot conceive within 12-24 months of unprotected and regular intercourse or the inability to carry a pregnancy to term.

However, 80% of infertility cases can be treated. With developing medical technologies, new methods of fertility treatments are invented and innovated. These include fertility medications, fertility counselling and assisted conception.

Nigeria has not been left out of the trend, as almost regularly, there are new fertility hospitals in Nigeria. El-Rapha Hospital and Diagnostic is one of the Top fertility hospitals in Nigeria and evolving to be the best fertility clinic in Nigeria. Our Top notch  Fertility hospital located in Abuja, offers cheap fertility treatment for quality service.

Our walk in center at Life camp Abuja is staffed with a team of high profiled gynaecologists, embryologists, medical laboratory scientists and the best staff of any fertility clinic in Nigeria. Our vision is to completely erase the stigma of infertility in Nigeria, and become the best fertility clinic in Abuja, best fertility clinic in Nigeria and the world at large.

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