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Monday 08:00 - 20:00 Tuesday 08:00 - 20:00 Wednesday 08:00 - 20:00 Thursday 08:00 - 20:00 Friday 08:00 - 20:00 Saturday 08:00 - 20:15

ABIMS Fertility & Andrology, Ikeja (2025)

29/08/2025

FAILED IVF PROCEDURE OR REPEATED MISCARRIAGES

Couples experiencing repeated IVF failure or recurrent pregnancy loss should understand that both male and female factors may contribute. While conventional semen analysis evaluates s***m count, motility, and morphology, it does not assess the genetic integrity of s***m. A man may have normal semen parameters, yet impaired s***m DNA can hinder fertilization, embryo development, or lead to miscarriage. One key test is the S***m DNA Fragmentation Index (DFI), which identifies genetic breaks or abnormalities within s***m cells. High DNA fragmentation significantly reduces the likelihood of successful conception, whether naturally or through IVF.

On the female side, hormonal imbalance and poor endometrial receptivity can also affect implantation and pregnancy sustainability. If the uterine environment cannot adequately nourish the embryo from conception, miscarriage often occurs between 6–8 weeks.

Unfortunately, advanced s***m DNA testing is not widely available in many laboratories, making male factor infertility harder to diagnose. Therefore, men preparing for IVF should request DNA fragmentation testing in addition to routine semen analysis. This deeper evaluation helps identify hidden causes of IVF failure or miscarriage, guiding more targeted fertility treatments and improving the chances of a healthy pregnancy.

WOJUADE KEHINDE SAMUEL IS THE CEO/ FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

27/08/2025

CAN HORMONALTESTS BE DONE AT ANY TIME DURING THE MENSTRUAL CYCLE?

Traditionally, hormonal tests such as Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH) are performed on day 2 or day 3 of the menstrual cycle. The reason is that, at this stage, these hormones are usually at a stable baseline, making it possible to assess ovarian reserve more accurately.

However, with the advancement of reproductive medicine, Anti-Müllerian Hormone (AMH) testing has become the gold standard for evaluating ovarian reserve. Unlike FSH and LH, AMH can be measured at any point in the menstrual cycle, as its levels remain relatively stable throughout. AMH provides a more sensitive and reliable indication of the remaining egg supply and overall ovarian function.

It is important to understand that the menstrual cycle is divided into three phases:

Follicular Phase (menstrual bleeding to ovulation)

Ovulatory Phase (release of the egg)

Luteal Phase (post-ovulation until the next cycle begins)

A professional who understands these phases and the dynamics of reproductive hormones will be able to determine which tests are cycle-dependent (like FSH and LH) and which are cycle-independent (like AMH).

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

27/08/2025

DON’T HAVE IN*******SE FROM A WEEK AFTER YOUR OVULATION.

For couples trying to conceive, timing of in*******se plays a significant role. Ovulation usually occurs around the mid-cycle, typically between day 10 and day 14 of a regular menstrual cycle. This is the most fertile window, and couples are generally advised to have in*******se during this period to maximize the chances of conception.

After ovulation, the luteal phase begins. During this phase, the fertilized egg, if conception has occurred it travels to the uterus for implantation. At this point, excessive or poorly timed in*******se does not enhance conception and, in some cases, may interfere with implantation. Healthcare professionals often advise moderation after ovulation, allowing the body to support early implantation and stable hormone balance.

Always consult your fertility specialist for personalized guidance, as recommendations may vary based on individual medical history and fertility treatment plans.

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

26/08/2025

ICSI and Severe Oligos***mia in IVF

In cases where a man has a very low s***m count (severe oligos***mia), Intracytoplasmic S***m Injection (ICSI) is often recommended. ICSI is an advanced assisted reproductive technique in which a single morphologically normal s***m cell is carefully selected and directly injected into the cytoplasm of a mature egg to achieve fertilization.

In conventional IVF, multiple s***m are placed in a dish with an egg, allowing natural selection and pe*******on of the egg by a healthy s***m cell. However, when s***m count is extremely low, this process may not be successful, hence the use of ICSI.

It is important to note that while ICSI significantly improves the chances of fertilization in cases of severe male factor infertility, it does not guarantee pregnancy or live birth. Optimizing s***m quality through medical evaluation, lifestyle modifications, and appropriate treatment remains essential to improve overall outcomes.

WOJUADE KEHINDE IS THE CEO/ FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

21/08/2025

Celebrating a Living Trailblazer – MLS Wojuade Kehinde Samuel* 🌟

Today, we gather in joy and gratitude to honour a man whose name has become a cornerstone in advancing Medical Laboratory Science in Nigeria. MLS Wojuade Kehinde Samuel, our current Publicity Secretary of AMLSN Lagos, is not only a seasoned professional of over two decades but also a pioneer whose vision has reshaped the landscape of andrology and reproductive science in this country.

For more than 26 years, he has committed himself to excellence, carving a path where none existed before. As the first Medical Laboratory Scientist to introduce andrology as a specialised practice in Nigeria, he has redefined standards and given hope to countless families through his unmatched contributions in fertility diagnostics, advanced andrology, and IVF solutions. At the helm of ABIMS Fertility & Andrology, his leadership continues to deliver cutting-edge reproductive health solutions that touch lives daily.

Kehinde’s expertise is global in scope refined through prestigious certifications from the Embryology Academy for Research and Training (EART), the International Institute for Research in Reproductive Health (IIRRH), and Mira Lab in Cairo. His recent feat of leading a team to India for rigorous Advanced Andrology training is yet another testament to his lifelong commitment to growth, excellence, and impact.

But beyond his unmatched professional accomplishments, Wojuade Kehinde Samuel is a philanthropist, a visionary leader, and a man of deep compassion. As Founder and National President of Andro Scientific, he has united over 200 fertility scientists across Nigeria to push forward the frontiers of reproductive health research and innovation. His dream remains clear and unwavering: to make high-quality and affordable fertility care accessible to all, ensuring that the joy of parenthood is never out of reach.

On this special day, we do not just celebrate your birthday, dear Kehinde we celebrate your life’s journey, your sacrifices, your impact, and your unwavering dedication to service. May this new chapter bring you even greater strength, endless joy, and the fulfilment of every noble dream you carry.

20/08/2025

TO ALL WAITING MOTHER BELOW AGE 30

If you are under 36 years of age and still experiencing delays in achieving pregnancy, it is important to evaluate your reproductive health. One key test is Anti-Müllerian Hormone (AMH), which provides insight into your ovarian reserve. A low AMH level indicates reduced egg quantity, and the presence of follicles on ultrasound does not always guarantee viable eggs for fertilization.

You should also undergo a comprehensive hormonal profile, including LH, FSH, progesterone, prolactin, estradiol, and AMH, alongside an assessment of your fallopian tubes to ensure they are open and functional.

Be open and honest with your fertility specialist about your medical history, including any past pregnancy terminations, use of contraceptives, or prior gynecological treatments. Likewise, if you married as a virgin but are experiencing delayed conception, a full fertility evaluation is still essential to identify any underlying causes.

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

15/08/2025

BASICS OF FERTILITY PRESERVATION – PART 2

In this section, we will discuss how to determine whether your gametes (s***m or eggs) are suitable for preservation.

For Men
Before s***m banking, a semen analysis is required to evaluate s***m count, motility, and morphology. In addition, infectious disease screening such as HIV, hepatitis, and other sexually transmitted infections must be performed to ensure the samples do not contaminate the storage facility.
Only semen samples with acceptable parameters (good motility, morphology, and count) are suitable for cryopreservation. The s***m are typically stored in liquid nitrogen.

For Women
Egg preservation (oocyte cryopreservation) requires the retrieval of mature eggs through a medically supervised procedure. Prior to this, certain tests are recommended to assess fertility potential, including:

Hormonal profile: Luteinizing Hormone (LH), Follicle-Stimulating Hormone (FSH), Prolactin, progesterone and AMH.

An AMH value between 1.0–3.5 ng/mL in women under 35 years old generally indicates a favorable ovarian reserve for egg collection and preservation. Women over 35, however, may have reduced egg quality even when AMH levels are within the normal range, due to the natural age-related decline in reproductive potential.The egg retrieval process involves ovarian stimulation with fertility medications to produce multiple mature follicles for collection.

Age Considerations
Egg quality typically declines after the age of 35, and this decline accelerates after 40. In some cases, even women with good AMH levels above 1.0 ng/mL may have eggs with compromised quality due to age-related changes.

Embryo vs. Egg Freezing
In my professional opinion, embryo freezing (cryopreservation of fertilized eggs) is generally more reliable than egg freezing. This is because unfertilized eggs are more susceptible to damage from ice crystal formation during freezing, while embryos tend to be more stable in liquid nitrogen storage. Couples who have decided on a partner and are ready to create embryos may benefit from freezing embryos rather than storing gametes separately.

12/08/2025

ADVISE TO LADIES

If your menstrual cycle becomes irregular for example, you menstruate one month but skip the next, it is important not to ignore this change. Irregular cycles can be an early sign of hormonal imbalance or underlying reproductive health issues, which may increase the risk of infertility if left unaddressed. Prompt consultation with a healthcare professional can help identify and treat the cause before it affects your future fertility.

Some women may also experience a low interest in sexual activity or feel uncomfortable discussing sexual matters. In certain cases, this could be due to elevated testosterone levels or other hormonal imbalances affecting libido and reproductive health. Early medical evaluation and appropriate treatment can help restore hormonal balance and improve sexual well-being.

Additionally, if you frequently notice breast tenderness before or after your menstrual period, it could be a sign of cyclical hormonal changes that warrant professional assessment. Timely intervention can help prevent potential complications and protect your fertility.

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

11/08/2025

Follicular Tracking, Ovulation, and AMH

During follicular tracking via ultrasound, a sonographer may report the presence of 2, 3, or 4 follicles in the ovaries. It is important to understand that follicles are fluid-filled sacs that may contain an egg (oocyte), but the presence of a follicle does not guarantee the presence of a viable egg. The actual confirmation of an egg within a follicle and its quality can only be determined in assisted reproductive procedures such as in vitro fertilization (IVF), where eggs are retrieved and assessed by an embryologist.

Even when eggs are present, their quality is a critical factor for fertilization and embryo development. One important test used to estimate ovarian reserve and, indirectly, egg quality is the Anti-Müllerian Hormone (AMH) test.

An AMH level between 1.0–3.5 ng/mL generally suggests a good ovarian reserve and a potentially better egg quality.

An AMH level below 1.0 ng/mL often indicates diminished ovarian reserve, which may be associated with lower egg quality and reduced fertility potential.

For women trying to conceive, especially those facing delays in achieving pregnancy, it is advisable to have AMH, Luteinizing Hormone (LH), and Follicle-Stimulating Hormone (FSH) levels tested. These results should be interpreted by a qualified reproductive health professional, who can then recommend the most appropriate fertility management plan.

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS.

11/08/2025

Uterine Cramping After Ovulation

Experiencing uterine cramps after ovulation, either continuously until your next menstrual period or several days after ovulation, may be linked to different underlying causes. Two common possibilities include:

1. Incomplete Follicular Maturation or Follicular Persistence
In some cases, ultrasound reports may show the presence of dominant follicles; however, some follicles may not have matured fully or may fail to rupture. When eggs do not reach maturity or are not released, these persistent follicles can lead to the formation of ovarian cysts. This process may trigger pelvic discomfort or cramping after ovulation.

2. Progesterone Insufficiency or Impaired Endometrial Response
After ovulation, progesterone plays a key role in preparing the uterine lining (endometrium) for implantation. Low progesterone levels can cause uterine contractions or cramping due to inadequate support for implantation. In some cases, a woman may have normal progesterone levels, but the endometrium may not respond effectively to the hormone—a condition sometimes referred to as reduced endometrial receptivity.

Why Evaluation is Important
If you experience persistent cramping after ovulation, it is important to consult a qualified healthcare professional. Hormonal evaluation, pelvic ultrasound, and endometrial receptivity assessment may be required to identify the cause. Addressing hormonal imbalance, improving follicular development, and enhancing endometrial receptivity can increase the chances of successful implantation and pregnancy.

WOJUADE KEHINDE SAMUEL IS THE CEO/FERTILITY SCIENTIST AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS

ABIMS Fertility & Andrology

29/08/2025

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Monday	08:00 - 20:00
Tuesday	08:00 - 20:00
Wednesday	08:00 - 20:00
Thursday	08:00 - 20:00
Friday	08:00 - 20:00
Saturday	08:00 - 20:15