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Age Determines Fertility Rate Of Woman — Expert

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Members of Public Health Nursing, University College Hospital at public screening marking the World Hepatitis Day in Ibadan, yesterday

Members of Public Health Nursing, University College Hospital at public screening marking the World Hepatitis Day in Ibadan, yesterday

The Chairman NISA Pre
mier Hospital Jabi, Dr Ibrahim Wada in Abuja, has attributed age to a major determinant of the fertility rate of a woman.
Wada said this at a workshop in Abuja with the theme: “Fertility Preservation In 21st Century.“
He said that the objective of the workshop was to enlighten couples with fertility challenges on how to preserve their eggs and sperm upon late marriage to avoid childlessness.
Wada explained that the brunt of fertility challenges was more on the female folk, adding that a woman had a specified number of eggs in her which could not be replenished when any got lost.
“The testis of a man produces approximately 200 to 500 million sperm on a daily basis, especially when the man is at his prime of about 28 years.
“But the woman has about 400,000 eggs which she is born with and that is all she could ever have and no new ones are going to be made.
“The quality of the egg from a woman depreciates as she ages which could lead to abnormal and irregular reproductive system,” he said.
Wada revealed that when a woman spent her eggs, at a time she would run out of eggs from her ovary resulting in seizure of her menstruation and eventual menopause, stating, however,  that abnormal ovulation; blockage of fallopian tubes, infection and social habits such as smoking, drinking alcohol could hamper the fertility rate of a woman.
Wada said that when a woman married at late age, the absence of pregnancy could due to cancerous growth and fibroid.
He also said that infertility in men could be caused by testicular cancer and trauma due to accident among other issues.
He said that couples could avoid infertility by marrying early when possible, live healthy life and as well preserve their eggs/sperm to ensure that their reproductive life was not infected.
Wada stated that the hospital was collaborating with London Women’s Clinic to develop a new initiative called: “Fertility Preservation“ to help reduce infertility in couples.
According to him, the initiative involves collecting and freezing eggs/sperm which will be done at NISA Premier Hospital, Abuja with sophisticated equipment and subsidised rate.
Also speaking Consultant Gynecologist, London Women’s Clinic, Dr Julian Mamiso, said  that couples, after trying for one year without conception, should seek help from medical experts.
Mamiso added that preservation of eggs and sperm, to be carried out in the initiative, was for individuals who were advanced in age.
He warned that having children normally and hitch-free could be very challenging for women of 40 and above.
“Production of egg and sperm in humans is like a pyramid, as you grow older, the egg production is lower and low in quality as well.
“The success rate of getting frozen eggs is about 90 per cent, out of 10 eggs frozen; you can get nine that survived.
“If you put the eggs back to the uterus, the percentage of getting an embryo from those eggs to produce a baby is high,” he said.
Mamiso added that the process of collecting eggs/sperm from individuals was a simple process, which would not cause further challenge on the individual, adding that it did not damage the embryo.
He, however, said that before eggs/sperm were collected for freezing, there was need for a legal backing for record references.
On his part, a laboratory technician, Mr Chris Danga, said that eggs and sperm samples collected from individuals would be preserved either by freezing slowly or rapidly.
Danga said that freezing eggs/sperm rapidly produced high rate results and higher number of eggs to be preserved.
He added that the eggs and sperm were to be collected from individuals and preserved in straws and vials with adequate labeling and identification with two or more officials having observed the specimen.
The officer also said that the life span of the eggs/sperm collected could live for over 30 years, depending on the agreement in the legal document.

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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