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Pathway · Fertility

The same people, from the first test to the delivery room.

Most fertility treatment in Abuja happens at one place and ends there. You get a positive result, you are congratulated, and then you go and find a hospital. Here the pregnancy you have worked for is looked after by the institution that helped you start it, on the record that already has your whole history in it.

2Partners tested, alwaysRoughly half of cases involve the man
12Months of trying before it is investigatedSix months if you are over 35
IVFAnd intrauterine inseminationOn site
1Record, from test to deliveryInto Safe Motherhood

Both of you, from the start

A male factor is involved in roughly half of couples who cannot conceive, and a semen analysis is quicker, cheaper and less invasive than anything his partner will go through. Starting with only one of you investigated wastes months and money, and it is still the most common mistake we see.

It is also worth saying plainly, because the assumption does real damage in Nigerian families: infertility is a medical condition with causes that can be identified. It is not a verdict on the woman.

When to come

After twelve months of regular unprotected sex without a pregnancy. If you are over 35, come after six. Come sooner than either if there are irregular or absent periods, known fibroids or endometriosis, a previous pelvic infection, an undescended testis or previous groin surgery, or if either of you has had cancer treatment.

What the assessment involves

  • For him: a semen analysis, repeated after a few weeks if the first is abnormal, plus hormone tests where it is indicated.
  • For her: hormone profile timed to the cycle, an ultrasound of the uterus and ovaries, and a check that the tubes are open.
  • For both: genotype, blood group, and screening for infections that affect fertility or pregnancy.
  • A conversation about the rest of it: weight, thyroid, diabetes, alcohol, smoking and the medicines you already take.

What treatment can look like

Not every couple needs IVF, and being told so is a legitimate outcome. Some need timing advice and treatment of a thyroid or ovulation problem. Some need surgery for fibroids or a blocked tube. Some need intrauterine insemination, which is simpler and considerably cheaper than IVF. Some do need IVF, and the honest version of that conversation includes the chance of it not working the first time.

Costs are given in writing before anything starts, broken down so you can see what the drugs cost separately from the procedure, because the drugs are where the variation usually sits.Ask us on WhatsApp

If it works

You move into the Safe Motherhood pathway without changing hospital, and a pregnancy conceived with assistance is followed a little more closely at the start. If your baby arrives early or needs specialist newborn care, the escalation to Limi Children's Hospital is already arranged.

Questions people ask quietly

Will anyone know we are coming here?

No. Fertility appointments are handled like any other confidential clinic, and results go to you. Nobody is told anything without your written consent.

My husband will not come.

Common, and worth persisting with, because half the answers are on his side. A semen analysis takes one appointment and no procedure. Come yourself in the meantime rather than waiting.

We already have a child and cannot have another.

That is secondary infertility, it is common, and it is investigated exactly the same way. Having conceived before does not mean nothing has changed.

How many cycles of IVF do people usually need?

It varies with age and cause, and anyone quoting you a guaranteed figure is selling something. You will be given a realistic estimate for your own situation before you commit any money.

Does my HMO cover fertility treatment?

Most Nigerian plans exclude IVF, though investigations and some surgery may be covered. Confirm your specific plan with us before treatment.

General information, not a treatment plan. What applies to you depends on your own results and history, and is discussed in clinic.
Start with a conversation Call Book

How it runs

Tests first, decisions second, treatment last.

01

Both of you are seen

History from each partner, examination, and the first round of tests booked for the two of you together.

One visitSemen analysis included
02

Results, read together

Hormones, ultrasound, tubal assessment and semen analysis reviewed in one appointment so you see the whole picture at once.

Two to four weeksSome tests are cycle-timed
03

A plan with a price on it

What is treatable, what the options are in order of cost and invasiveness, and a written estimate before anything begins.

In writingDrugs costed separately
04

Treatment

Timing and ovulation support, surgery, insemination or IVF, depending on what the results actually showed.

VariesReviewed as it goes
05

Straight into antenatal care

A positive result moves you into the Safe Motherhood pathway on the same record, with early scans and closer follow-up.

Same hospitalNo handover
24-hour line
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