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2 The report aims to answer these questions on the
Nigerian Infertility Market
• What is the market opportunity and is it expanding?
• What is the competitive positioning i.e. who are the
major competitors?
• What internal and external factors are critical for
success?
1
3 Overview: Types of Infertility services offered in Nigeria
Initial Evaluation
• Consultation :
o Includes medical history and physical
examination
o Some centers include investigation as
part of the consultation fees
• Labs include and not limited to:
o Follicle Stimulating Hormone (FSH)
o Luteinizing hormone (LH),
o Prolactin,
o Testosterone (T),
o Estradiol (E2),
o Progesterone (P4), 17hydroxyprogesterone (17-OHP),
o Thyroxine (T4),
o Thyroid stimulating hormone (TSH)
o Semen analysis
• Imaging will include
o Ultrasound
o Hysterosalpingogram
• In some cases, laparoscopic surgery may be
indicated to evaluate for endometriosis or pelvic
scarring
Source: Interviews, Site brochures
Procedures
• Ovulation induction and cycle monitoring with
provision of Clomid
• Controlled ovarian stimulation followed by timed
intercourse
• Intrauterine insemination (with husband’s
sperm)
• Donor insemination
• In-vitro fertilization (IVF)
• Intra-cytosplamic sperm injection
• Intra-cytoplasmic morphologically selected
sperm injection (IMSI)
• Surgical sperm collection
• Ovum donation,
• Embryo freezing
• Semen freezing
• IVF surrogacy
• Surgical Intervention including myomectomy
and laparoscopy
• Sex selection
• Cyst aspiration
• Preimplantation genetic diagnosis
• Polymerase chase reaction
2
3
Overview: History and trends (1 of 2)
1986
• First baby to
be delivered
in Nigeria
from gamete
intra- fallopian
transfer
• IVF performed
by Profs.
Giwa-Osagie
and Ashiru of
the Lagos
University
Teaching
Hospital
1989
• Three years
later ,they
successful
delivered a
baby girl
conceived via
in-vitro
fertilization
(IVF)
1998
1999-present
• A pioneering
breakthrough
in IVF was
achieved at
Nisa Premier
Hospital, Abuja
(established in
1996 which
later achieved
Nigeria 1st IVF
multiples and
delivery from
frozen
embryos)
• Authenticated
by the Federal
Government in
1998
3
Source: http://www.nigeriavillagesquare.com/forum/archive/index.php/t-31746.html
• In the private
sector, over the
next several
years, 10-12
infertility
units/clinics were
established in
urban metropolis
such as Lagos,
Abuja, Port
Harcourt ,Kaduna
• Several of these
clinics have
satellite locations