ABIMS Fertility & Andrology

10/07/2025

Causes of IVF Failure: Difficult Embryo Transfer

One critical but often overlooked cause of IVF failure is difficult embryo transfer, typically resulting from issues with the cervix or uterine cavity. To improve the chances of success, a thorough pre-IVF evaluation is essential.

Women preparing for IVF should undergo a sono-hysterogram (saline infusion sonography) performed by a skilled specialist. This imaging procedure helps identify potential abnormalities within the uterine cavity and assess the patency and accessibility of the cervix.

When the cervix is narrowed or distorted—a condition known as cervical stenosis—it can be difficult to insert the embryo transfer catheter smoothly. A traumatic or forceful transfer can cause cervical or endometrial bleeding. If the catheter is contaminated with blood during the transfer, it may negatively affect embryo viability, leading to implantation failure. Unfortunately, the patient is often unaware of these complications, as the procedure is usually performed under sedation. However, the attending fertility specialist would recognize when the transfer conditions were suboptimal.

To avoid this, any detected cervical abnormalities should be addressed in advance. This may involve cervical dilation, medical softening agents, or a diagnostic hysteroscopy to ensure the cervical canal is clear and accessible for a smooth embryo transfer.

Early detection and intervention can significantly improve the success rate of IVF procedures.

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

10/07/2025

CERVICAL STENOSIS.

Cervical stenosis refers to the narrowing or obstruction of the cervical canal the passageway that connects the va**na to the uterus. Normally, the cervix should be flexible and open enough to allow the passage of s***m into the uterine cavity for natural conception. However, in some women, this passage becomes narrowed or completely closed due to underlying conditions such as Pelvic Inflammatory Disease (PID), previous cervical surgeries, radiation therapy, or congenital abnormalities.

Cervical stenosis can impair fertility by preventing s***m from entering the uterus or by making embryo transfer difficult during assisted reproductive procedures like In Vitro Fertilization (IVF). In IVF, it's crucial that the cervix is adequately open to allow smooth passage of the embryo transfer catheter without contamination from cervical or uterine bleeding.

If cervical stenosis is suspected, diagnostic procedures like a sono-hysterogram (saline infusion sonography) or hysteroscopy can help assess the extent of the blockage and guide appropriate treatment. Women facing infertility linked to cervical stenosis are advised to consult a fertility specialist for timely evaluation and management.

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

09/07/2025

Understanding Precum and Conception

Pre-ej*****te, commonly known as precum, is a clear fluid released from the p***s during sexual arousal, usually before ej*******on. It is produced by the male accessory glands (notably the Cowper's glands) and may contain small amounts of s***m, especially if a previous ej*******on has occurred recently. Contrary to popular belief, precum can potentially lead to pregnancy, particularly if viable s***m are present in the fluid.

There are two common scenarios regarding precum:

1. Prolonged Abstinence – Men who have abstained from ej*******on for an extended period may release precum containing residual s***m during arousal.

2. Rapid Ej*******on – In men who ej*****te quickly, precum and semen may be confused, increasing the risk of s***m entering the va**na before full ej*******on.

This is why the withdrawal method is unreliable as a form of contraception. Many unplanned pregnancies have occurred even when the male partner claimed not to have ej*****ted often due to the presence of s***m in the precum.

If the fluid released during foreplay is thick, whitish, or creamy, it is likely semen, not precum, and can readily result in conception if it comes into contact with the va**na.

Wet Dreams, or nocturnal emissions, are natural and not spiritual or “devilish.” They typically occur in men during sexual abstinence when the testicles are full of s***m. The body may either reabsorb the s***m or release it involuntarily during sleep, often triggered by erotic thoughts or dreams.

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

08/07/2025

The Mystery Behind Failed IVF Procedures

While IVF (In Vitro Fertilization) offers hope to many couples, it is not a guaranteed success. Even when medical professionals follow all protocols egg retrieval, fertilization, embryo culture, hormonal support, and endometrial preparation the outcome largely depends on the woman’s uterus, which is the final site for embryo implantation.

Unlike natural conception, where the body prepares and witnesses the embryo’s journey from fertilization in the fallopian tube to implantation, IVF bypasses this natural process. The embryo is developed outside the body and transferred directly into the uterus. If the uterine environment is not receptive despite normal scans, hormone levels, or medication the embryo may be rejected as a foreign body.

The luteal phase, which spans approximately seven days post-ovulation or embryo transfer, is critical for implantation. A shortened luteal phase or inadequate endometrial receptivity can result in implantation failure, even if all other conditions seem optimal.

Therefore, failure of IVF is not necessarily due to medical error or poor embryo quality. It may simply be the womb’s inability to support implantation. Patients should not lose hope, as further evaluation and personalized treatment may improve future outcomes.

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

08/07/2025

OVULATION AND PROGESTERONE.

Understanding the relationship between ovulation and progesterone is essential for accurate fertility assessment. Some patients undergo a day-14 progesterone test, often labeled "ovulatory cycle," but a normal progesterone level on day 14 does not necessarily confirm ovulation during that cycle.

In conditions like Polycystic O***y Syndrome (PCOS), the presence of numerous antral follicles can disrupt normal hormone regulation. In such cases, elevated progesterone levels on day 14 may not be due to true ovulation but rather hormonal imbalance associated with PCOS.

To accurately assess ovulation, a follow-up progesterone test is recommended seven days after the expected ovulation typically around day 21 in a standard 28-day cycle. This is during the luteal phase, the period when the body prepares for possible implantation.

If progesterone levels are elevated on day 14 but fail to rise or remain adequate by day 21, this may indicate a luteal phase defect. In such scenarios, the endometrial lining may not be properly prepared for implantation, affecting fertility.

Therefore, interpreting day-14 progesterone results should always be correlated with day-21 levels for a complete picture of ovulatory function and hormonal balance.

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

08/07/2025

VAGINAL DRYNESS: CAUSES AND CLINICAL IMPLICATIONS

Vaginal dryness is not a normal physiological state and may significantly impact a woman’s comfort during sexual in*******se. It can result in a burning or hot sensation during pe*******on and reduce overall sexual satisfaction.

Two common underlying causes are:

1. Inadequate Sexual Arousal: Insufficient foreplay or stimulation prior to in*******se can lead to poor va**nal lubrication. This not only affects sexual pleasure but may also create a hostile cervical environment, increasing acidity that can negatively impact s***m viability and reduce the chances of conception.

2. Hormonal Imbalance: Even when foreplay is adequate, persistent dryness may be a sign of hormonal deficiencies, particularly reduced estrogen levels. This is common in certain physiological conditions such as perimenopause, menopause, postpartum period, or as a side effect of some medications.

Women experiencing these symptoms are advised to consult a healthcare professional for proper evaluation. Hormonal assays and other relevant investigations may be necessary to determine the underlying cause and initiate appropriate treatment.

If the issue is due to lack of adequate arousal, partners are encouraged to improve emotional and physical intimacy to enhance natural lubrication before pe*******on.

WOJUADE KEHINDE SAMUEL IS THE FERTILITY SCIENTISTS AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS STATE.

04/07/2025

ABIMS FERTILITY & ANDROLOGY MARKS A DECADE OF IMPACTFUL SCIENTIFIC ENGAGEMENT

On the 3rd of July 2025, ABIMS Fertility & Andrology, in collaboration with the Ethicals/ Fertilgain, marked a significant milestone with the successful hosting of the 10th Anniversary of the Andrology Symposium. The event, which held under the powerful theme “Bridging the Gap in Fertility Care: Innovations, Challenges, and the Role of Healthcare Professionals in Nigeria,” brought together key stakeholders in reproductive health across the country.

The symposium was hosted by Wojuade Kehinde Samuel, a seasoned fertility scientist and visionary founder of the Andro scientific . His leadership and passion for advancing male and female reproductive health created an inspiring atmosphere throughout the program.

The event featured high level scientific presentations, panel discussions, and practical sessions focused on addressing the widening gap in fertility care delivery in Nigeria. Eminent professionals including fertility specialists, gynecologists, medical laboratory scientists, and public health experts contributed to rich dialogues on the future of reproductive science, diagnostic innovation, and multidisciplinary collaboration.

Participants were particularly enlightened on topics such as advanced semen analysis, hormone profiling, male and female infertility challenges, and emerging technologies in fertility treatment. The symposium also provided a platform to reflect on a decade of achievements and challenges faced in the practice of Andrology in Nigeria.

With robust attendance and active engagement from professionals across various sectors of healthcare, the 10th anniversary symposium was a resounding success. It reaffirmed the commitment of ABIMS Fertility & Andrology to shaping the future of fertility care through education, collaboration, and innovation.

02/07/2025

A NEWLY MARRIED COUPLES SHOULD NOT WAIT FOR A YEAR

World Health Organization (WHO) defines infertility as the inability to conceive after 12 months of regular, unprotected sexual in*******se, newly married couples are advised not to wait a full year before seeking guidance. If there is no sign of pregnancy within the first few months of consistent, unprotected in*******se, it is prudent to consult a fertility specialist early. Early evaluation can help identify potential reproductive issues in either partner and enable timely interventions, increasing the chances of successful conception.

WOJUADE KEHINDE SAMUEL IS THE FERTILITY SCIENTISTS AT ABIMS FERTILITY AND ANDROLOGY IKEJA, LAGOS STATE.

01/07/2025

Happy new month.
Welcome to the month of perfection.

27/06/2025

S***M LEAKAGE AND INFERTILITY:

S***m leakage after in*******se is common and does not directly cause infertility. Several factors can influence this occurrence:

1. Ge***al Size Compatibility: Differences in pe**le size and va**nal width may affect how well semen is retained. In some cases, if the p***s does not fit snugly within the va**nal canal, some semen may leak out after ej*******on. However, this does not prevent conception, as only a small number of healthy s***m are needed to reach the cervix.

2. Vaginal Position and Sexual Angle: The anatomical angle of the va**na (e.g., tilted forward or backward) may affect how semen is deposited. Certain positions, like rear-entry (doggy style), may enhance semen retention in women with upward or straight va**nal angles.

3. Infections: Vaginal or pe**le infections can alter the environment and cause discomfort or irritation that may lead to premature semen expulsion.

4. Vaginal Cleansing: The use of harsh soaps, herbal mixtures, or douching can disrupt the va**nal pH, damage the mucosa, and increase long-term risks including infections or cervical abnormalidelaye

In conclusion, s***m leakage alone is not a cause of infertility. Couples should seek proper medical evaluation if conception is delayed.

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

27/06/2025