0:00 So when a couple are trying to get pregnant, everybody just assumes that it's a woman's fault and that the man has no part to play. >> Today on this show, we have a gynecologist whom we're going to be asking a lot of very interesting questions concerning everything that is related to women's health. Who determines the gender of a child? Is it the man or the woman? >> So females the chromosome we have excess while for male for you to be a man you are XY. The Y makes the whole difference. So SSX XY let's do the mathematics. So at every point in time as a woman I can release either of my S. Now for the man you can release either the X or the Y. If you release the X and I release my X which is always what I have. I don't have a Y. The S and the S meet and what do we form? A girl. Now if I release my X which is always what I will release. You now release the Y. We
0:46 have an X Y and that's the boy. So where does the Y come from? It comes from the man. Oh, you're just having girls. You're just giving me the S to have the girls. So as an African man, we have this belief that if we sleep with a virgin, we should see blood. >> That's also another misconception. Let me put it that way. >> I had a friend who wanted to marry this lady and the lady has always insisted that she's a virgin. So they had their first sexual intercourse and >> he wanted to see blood. >> She didn't bleed. When he asked the lady, the lady told him that she was riding a bicycle and she had an accident and she had some bleeding. That probably that was how she lost her virginity. I'm sorry to say that we joke about it for a very long time. >> Please go and apologize to her. >> Some women use concussions. They're called vagina tighteners and sweeteners.
1:33 Do this product really work and are they safe? >> So when they say they tightening the vagina, for instance, some use alum. So you find that when they put it in there, it causes some form of >> speaking. Why do some women struggle to have okazu? >> So I will explain it. >> [music] >> Women's health, a topic that is very interesting, something that a lot of women has shied away from. But today on this show, we have a gynecologist, a professional whom
2:18 we're going to be asking a lot of very interesting questions concerning everything that is related to women's health in her own field as a gynecologist. And of course, my name is Kamstrong Armor in case this is your first time of watching us. And the person I have with me, her name is Dr. Lilian Ajakay, a gynecologist. You're welcome, man. >> Thank you for having me. Thank you. >> Thank you for honoring our invitation. It's not every day that we have a professional like you on this show and I believe it's going to be educative. But before we move on to other deeper questions, I would love you to kindly
3:05 tell us what gynecologist do. >> Okay. Um yeah, thank you. Um gynecologist um a gynecologist is um a doctor who takes care of women uh when it comes to their reproductive organs. So you're talking women's issues like fibroid endometriosis uh malignances, cancers, cancers of the uterus. Uh even though there's a subsp specialization is called uncle gyne that is gyne that has to do with cancers in women. So you find us managing those kind of patients. And then actually gyne
3:54 is an aspect of uh the total because it's actually an obstetrician gyne. So you see some people say obgine or obstetrician gynecologist. So obstetric is more of pregnancy anything related to delivery while gyne is more related to the reproductive health of the woman. So you're talking sexual health, you're talking management of different uh um medical conditions in women like menopausal symptoms, uh menstrual disorders. So it's a whole lot but mainly related to women. And then when it comes to fertility, a bit of uh relationship with men where you want to hear from them when they come with their wives to talk about uh
4:41 fertility issues. M >> so it's quite wide. >> Thank you. Thank you for that. Now I'm curious to understand what made you to choose gynecology especially in a society where many women still struggle to discuss their repro reproductive and sexual health openly. >> Okay. So for me I felt um being a woman and going through some of the things because for instance now when you talk of menes I straight so I should know that >> what people go through. So I felt I would be of more help if I go into a field where I am to manage women like me. I felt um there are women out there who are shy to talk to men when it comes
5:28 to their health condition and they tend to hide a lot of conditions that could even lead to their debt. So I felt okay being there for women as I am a woman uh would be my contribution even if it's stressful but at the end of the day I feel I'm able to reach out more to my fellow women. So, I'm going to I'm going to ask you a lot of questions, but I would want you to tell me one of the most dangerous health meats Nigerian women believe that you would want to use this opportunity to demystify. Just one before we move on to the rest of the question. >> Okay. Some people have this uh majority of women have this myth that if you've had fibroid, let me go to fibroid because fibroid is really very common in
6:14 women that you would not be able to have babies or if you do the fibroid surgery, you're not going to have babies ever. That's really a major issue. When you find that sometimes depending on where fibroids are, you could even have babies with them and either get them removed when you're having your babies if you're going to have a cesarian section, what we call cesarian mimectomy or you even just have your baby and everything goes well. However, sometimes the fibroid is in a place where you're not able to get pregnant and then we have to take it out before you get pregnant. So the meat of once you have fibroid, you can't have babies. It's totally wrong. So >> these days a lot of a lot of a lot of women use
7:00 contra um contraceptives. >> Contraceptives. >> Are they dangers associated to using contra contraceptives? >> So when you say contraceptives there are different types. So you have oral contraceptives like pills, you have um implants, the ones you put into the body, >> you have um contraceptive devices, the ones that go into the vagina, into the uterus. And then you have condoms. Everybody knows condoms. So contraceptive is not just one word. But the thing is everything has its pros and cons. So when we're talking about each, we start talking about what are the side effects of each of them. So everyone has its own side effect. For instance, now for the pills, you find that when some people are taking it over time, they
7:46 develop some form of headache, the bleed and spots. However, you find that most of this contraceptives, the benefits outweigh the uh disadvantages. So, you find that the good thing also about them is whenever your body reacts or you're not tolerating any of them, you can actually switch to another one. So for instance, the contraceptive device is non hormonal. It doesn't have any hormones. It just stay in the uterus and prevent sperm from getting to the eggs. That is a good one to use. So we usually would try different ones and say, oh, whichever you tolerate. So it's not ideal to tell women, oh, contraceptives are dangerous. Yes, they have their own side effects. Funny
8:31 enough, some of them even protect against some cancers. So there are lot of things about it but whichever works for you when you come to see us and we discuss with you is what we would give. So yes they have their pros and cons but not something so bizarre for you to say oh don't use contraceptives. >> Oh great. >> So as an African man we have this belief that if we sleep with a vig we should see blood. >> Okay. So my question regarding that is must the virgin bleed during their first sex? >> So that's that's also another myth or misconception. Let me put it that way. So the thing about um virginity is that um there's something called the high men. Now high men are of different
9:18 shapes and sizes. So you find some people who have high men's that are creifiform meaning that the highman is not totally covered. It has holes. So you find just it's supposed to be people see high men like total ceiling >> like it's totally sealed up. Now if it's totally sealed up such women would not see their messes. I've had some patients like that come to me 16 14 they've never menrated. We examine and we find that they have the imperate highman that is a high men that does not have any holes. So such a person will not bleed. So imagine that such a person did not come to the hospital and probably had their first sexual intercourse. They will bleed torrentially. >> Why? It's not just the bleeding from the
10:05 intercourse. Some blood may have also been stored >> in there. There have been cases where they rush them to the hospital. Oh, we don't know what's happening. So some of them may have that imperate high and it's very rare because most of our ladies menrate once they get to the age when they should. But for those that don't, we find that they have that totally sealed hyen. So yes, for those people, you may find them bleed. However, for those that have the creoform and all the other types where there's actually holes there and then it's not as dense as we think it should be because over time wearing of trousers, riding bikes, some of this high menal tissue would have given way. So you find that during sex they don't bleed. Well, it doesn't mean that they are not virgins. So you examine them and
10:51 you find that oh the high men's high menal remnants is still there you understand but somehow even tampons I forgot to mention you know use of tampons for menal some people even go as far as using menstrual cups >> virgin so you see so somehow all that process may have caused the high men to break before they have their first sexual exposure so it's not a thing it's not even something we like people talking about because we even Ask the men, are you a virgin? How do we get to know that you're a virgin? You understand? So, this is not about feminism. This is about you saying, "Okay, let's use the same on both sides." >> I I had a friend, >> yeah, >> who wanted to marry this lady. And um
11:36 the lady had has always insisted that she's a virgin. >> Okay. >> So, they had their first sexually intercourse >> and >> she wanted to see blood. She didn't bleed. >> So when he asked the lady, the lady told him is certain strange story. It was strange to us at then that she was riding a bicycle. >> You heard when I mentioned it. >> Yes. Riding a bicycle and she had an accident and she had some bleeding that probably that was how she lost her virginity. I'm sorry to say that we joked about it for a very long time. >> She's going to apologize to her. So you're saying she was still >> that could have happened. That could have happened. So pressure from even riding the bike, wearing of shorts,
12:23 trousers and then you know how children play these days. The girls now are behaving like boys, jumping, falling into a gile that can cause use of tampons, use of menstrual cups. You understand? So there's no true way. And mind you, there's something called himoplastic. So you can actually create a highman >> and mimic a virgin. So let's stop all this nonsense. It doesn't it doesn't make any difference. >> So so so a woman who have had intercourse before can decide to become a virgin again. >> Yeah. The surgeries that we do. But let's not go there. [laughter] Let's not go there. that we're talking about this, I would need you to tell me the one thing men do not understand about female sexual anatomy.
13:11 >> Okay. Um >> it can actually be more than one. >> Okay. Uh maybe the major one is what we've just mentioned the issue of what the highman is. So the thinking that oh it's just one very big barrier that they are the ones to break it and then if it doesn't happen the woman is not a virgin. That's a major major major issue. Another major issue for me that I found is the issue of fertility. So when a couple are trying to get pregnant everybody just assumes that it's the woman's fault >> and that the man has no part to play. Oh, I've impregnated people before and now I'm married to you. I'm not able to have babies. It means there's a problem with you the woman. So you find them
13:57 coming singly without their husbands and when you ask they're like he doesn't have a problem. Even the women are made to believe that they are the problem. We are beginning to find issues with low sperm count. Maybe mainly because of our our environment now. How we live our lives. A lot of smoking, drinking, you understand? And then men even delaying to have a settle down. So you find that over time they are now issues with male fertility. So we call it male factor infertility. So the meat about um issues with fertility having to do with only women is not true. So I think those two we can >> talk about and it's a major issue. >> Now that you've mentioned that was a question I wanted to ask later though.
14:43 But now that you've mentioned that >> we are also used to blaming women for not having either a male or female child. Who's who determines or who determines the gender of a child? Is it the man or the woman? >> It's actually the man. So I will explain it. So um females the chromosome we have excess while for male for you to be a man you are X Y. The Y makes the whole difference. M >> so S SY let's do the mathematics. So at every point in time as a woman I can release either of my S. Now for the man you can release either the X or the Y. If you release the X and I release my X which is always what I have. I don't
15:28 have a Y. The S and the S meets and what do we form? A girl. Now if I release my X which is always what I will release. I keep mentioning that because people need to understand it. You now release the Y. We have an X Y and that's the boy. So where does the Y come from? It comes from the man. So that's why when they come, that's another my issue of, oh, you're just having girls. You're just giving me the S to have the girls. I don't have the opportunity to get a Y without you. So that's where we say the men decides the sex. So it's actually a male thing. So when you say, "Oh, you don't have a boy." it's actually your fault. But men has gone beyond that now. So we tell people if you're having a
16:15 particular sex and you want the other sex, you can come and do IVF with PGT pregenetic treatment, preetic diagnosis where we can pick the male chromosome that is now in the lab. We are not leaving you to do it since you are not giving it voluntarily. Yes. >> So we are now choosing and then making sure that we pick the male chromosomes. You know this question I asked is personal for me because of my younger sister. >> Okay. >> She's married and they've been um having problems >> in their marriage because of male children. The inability to have male children. She has I think four children now >> females and her husband keep blaming her. >> She married to an e man. Sorry. >> She's married to an E man.
17:01 >> Yeah. He was like yeah >> they like boys. And while I was speaking, >> does he understand why he's >> I tried to explain to him he won't agree. >> In fact, I offered to take care of the medical bills to see a gynecologist that can help them to have a male child. >> But he insisted he said that that has never been heard of his generation. >> That's what [laughter] people do all the time. And the funny thing is that people who do it don't even talk about it. You understand? So I think that's where the problem is. People hide a lot of information. So more like I sort out myself, you go sort out yourself. >> So maybe you have to talk to him more. >> If not, he may keep having girls until he decides to release the Y. >> Yeah. If if he doesn't listen to our
17:46 genital approach, >> the forceful one because he is becoming a problem for us. Now some women use concussions. They're called vaginal tighteners and sweeteners. Do these products really work and are they safe? >> So that's where the problem is. So there are different types but the ones we find that cause problem is the costic ones. So when they say they tightening the vagina for instance some use alum. >> So you find that when they put it in there it causes some form of fibrosis. Fibrosis is like burning off. So you know when something it shrinks when it burns up. So that's what causes the tightening of the vagina. However, when
18:31 that happens, it's like you damaging the tissues that are there and then during intercourse you start having pain and then you start having um abnormal vaginal discharges that can result in serious infections. So most times we usually have advise our women try as much as possible not to put anything you're not sure of medically in there. So, but culturally there's some of fruits um and all sorts that have been prepared into creams that over time some women would say they use and that it's helpful for them. It increases lubrication and they truly say, "Oh, it works." However, you find them always calming down with one infection or the other. So we usually would advise them
19:18 please stop using this test especially when they've have recurrent vaginal infection. So it's like you're getting something and then it's resulting in something else. So it's actually disadvantageous if you ask me. So most of the time a lot of issues even though it gives us work to do. So so why do some women have higher sex drive than others? >> Okay. So when it comes to libido, uh libido has to do with the sex drive. So you find that for some people there have been some how do I put it now? Psychological issues previously. So maybe for instance a lady that was raped previously and you find that because of that she loses that um wanting to have
20:06 sex because she sees it as an [ __ ] So every time there's that approach what she sees is someone trying to rape her. >> So that one is more of psychological. wife of some hormonal issues. So we find that some hormones in the woman for instance prolactin when it's elevated testosterone if it's low if those things are not corrected you find that it would affect their sex drive. You understand? So psychological and then that hormonal factor plays the major role in both of men. Then for some we also find that the men have a part to play in this. So you find that for instance men who just believe that they want to go in and go out. No foreplay, no nothing. This woman doesn't really enjoy the sex because she's always dry. You have not made any
20:51 effort to make her feel like oh this is something she should engage in. >> So these are major issues that when people come and they complain, we have to find out which of them is the problem and how to sort it out. >> So those are Yeah. So you mentioned something now that interest me and that is the understanding of men about women's sexual pleasure. I've heard a lot of women who say they cheated on their husband because he could not satisfy them. So, what is the one thing you think that men do not understand about women's sexual pleasure? And medically speaking, why do some women struggle to have
21:36 orgasm? >> All right. So um this question is is not a one answer fit all kind of question because for every woman >> um there's a difference in terms of what uh what makes them to have pleasurable sex. >> So you find that for some the thing is what I tell couple is talk to yourselves. You have to for the woman she knows what she wants. She knows what uh turns her on. Let me put it that way. So but some men are not patient enough to even listen because they feel that oh they are the ones in charge and you just go in and come out. You understand? So if they sit down to listen each of those women will tell them okay I feel more
22:22 pleasurable when uh I have the nipples sucked or when there's um some um stimulation of the clitoris. You understand? Some men don't even know where those things are. >> You understand? it can be that bad. So you find that some just want to go in and come out and they don't even understand the body of the woman. So I think that talking to each other would help. >> So if they can sit down and talk because no two people are the same. >> You understand? The woman should be able to tell you, oh yes, you're there. This is what works for me. So you cannot find it being the same for two women. >> You understand what I'm saying? So that question will not be a one answer fit all. But I would advise people sit down and talk to each other. M >> you understand so
23:07 >> that makes sense. Now I'm talking about um ministration. >> Yeah. >> When is period when is the pain associated to period normal? And when should a woman become worried? Because I've [clears throat] I've heard a lot of women complain. Oh, we're having pain here. We're having ministration and it's so painful here. So is that normal or is there anything that indicates when a woman should be concerned about their health issues? So um menstrual pain should not be normal. Let me first of all clarify that. So what we usually would advise women is once you have pain that is undue. >> So you find that because the blood most times especially for women who have not
23:54 had babies the blood is trying to pass through a very tiny hole the mouth of the womb the cervix and that can make it difficult to come out. There's some form of contraction happening to try and pass out the blood. So that gives a bit of cramp but not the one that will be out of place to the extent that you cannot do anything. So a condition called endometriosis causes it for most women. So that's why we say don't wait till it's very bad. If you have pain that is undue or you think you cannot bear just go to the hospital on time. See your gynecologist and let them make a diagnosis so that you don't wait till when there's a lot of damage before you start coming in. There's no reason why you should be in pain. You understand? There are things we can do. There are medications you can be placed on and
24:40 then we can actually make diagnosis on time. So >> the medical condition you just mention now, >> what did you call it again? >> Endometriosis. >> What does it mean? >> So endometriosis is when you have the tissues that are supposed to be in the lining of the womb. So there's something called the endometrium. The endometrium is the lining. I would have loved to illustrate but there's nothing. So the womb, just see the womb and then >> let's take the womb like an apple. The middle part of the apple is where the endometrium is. Now, there's a special kind of tissue there that is called the endometrial tissue. Now, if you now find those tissues should bleed and bleed out. Now, imagine finding those tissues outside of the womb. So, what it means is when you're bleeding out, you're also bleeding into
25:26 those places. Let [snorts] me give you an example. There was a time they brought a lady who when she's menrating anytime she's menrating she and she cries. She's actually crying blood. >> Huh? >> It was strange to everybody. She menrate every time she's menrating she will be cries blood. If she should cry there are tears and it comes out like blood. What happens? >> The endometrial tissue is on her tear gland. And so anywhere those tissues are whenever she's menrating it would happen. Other people you find them when they're menstruating they're convulsing they're bleeding into the brain. You understand? So there's a lot that people don't understand and they're like oh maybe it's the devil maybe it's this but
26:12 most times it can be medically explained. So endometriosis is actually really bad. So when those tissues are now in other parts of the tummy so the pain is not just limited to the lining. Imagine having those cramps and pain everywhere in the tummy. So those ones are usually very unbearable. You understand? So that's >> I'm just imagining how many people must have been tagged witches for crying out blood. >> No, a lot has happened even outside the country. There have been cases of people bleeding from the and then they said, "Oh, maybe they nailed them to the cross or they or they are sent." So it turns out that it was just endometriosis. >> Yeah. This interesting. So what what what can a man do
26:57 to support a woman during ministral uh ministration? What is the best thing a man can do to support a woman? >> So most times it all depends on what the person is presenting with. Majority will present with pain. Try to be understanding. So that's not the time to say oh you being lazy or especially for couples and then at that time you're like oh my dinner my lunch you understand try and >> as an African man [laughter] >> you try and be a little more supportive that period um providing her with a bit of comfort that period and then there's this warm water bottles we tell them to put on their tummy just help support her and then it's just a few days and then she goes back to normal. But as I said
27:43 once the pain is unbearable please come to the hospital. >> So a an au chief who is listening to us now will be wondering why should why should my wife not cook me a good meal merely because she's having m ministration but if you're a man and divorce to this point I like you to take her advice very seriously. Support your woman whenever they are going through some of these things. And I would also appeal to you to kindly click the subscribe button. We've realized that most of you forget to subscribe and then watch our videos and disappear. It would give I and my team very great joy to see that you're part of this community. Now moving on,
28:28 doctor, some spars off what they call vagina steaming, doing cleansing and insertion treatment. Are these things safe? All right. So, um I hear a lot of that these days. Um you find spars and doing all sorts. So, majorly I think maybe because it's the knots, I think it's really common >> and the knots. So, you find people putting all sorts of uh materials into the vagina. They'll tell you, "Oh, it makes it smell." But let me say it here. The vagina has a classical smell which is not sweet. If the vaginal smell becomes sweet or perfumed, there's a problem. It
29:14 means that you're putting in chemicals that shouldn't be there and at the end of the day, you're going to come down with infections that will bring you to the hospital. >> So, we keep advising people. So, but medically there are ways we can tighten the vagina. So there's something we call vaginoplastic where if after having babies because the muscles the pelvic muscles are disrupted we can actually um do a surgery to tighten the vure in our back. So it's a surgery that can be done in the hospital you understand so what you want that you is making you insert all those things can actually be medically done. Now there's also the issue of some shots that can be given. Um O shots, G-sh shots, they're like um injections. So we
30:00 take your blood um spin them and then the uh plasma ridge cells will take them and inject it in the sensitive area near the clitoris. So there's an O spot and a G spot where we identify and we give. So this makes the vagina to be more uh so um how will I put it? A bit of discharge discharge more and then also put them in the mood more. So there are things we do medically instead of you putting in things that you're not so sure. So we can help you also within the hospital. >> So I read something quite interesting when I was preparing questions for for you. I read that there are different kinds of cltories. Is that correct?
30:48 >> Yeah, there is. So you know that sometimes for some of us there's been this culture of uh it's not so common anyway now where they do circumcision for the female. >> Yes. >> So you find that for some people the clitoris is more prominent than for others >> just the way some the men so you have some people with let me not say small penises but different sizes. So it's the same thing with the clitoris different sizes. So some people with more prominent clitoris may be more uh easily pleasured because it's more accessible. Why some will have tinier ones? Why some have had it removed during the female genital mutilation. So that's why you have different um sizes so so to say.
31:33 >> So a lot of ladies believe that immediately washing their vaginas immediately after sex prevents pregnancy. If that's correct. [snorts] >> Sorry to laugh. [laughter] That's not correct. That's not correct. So now just see sperm like a fish. So you in this water now I drop the fish inside and it swims. So the sperm is the fish >> and then it's inside. Now when cement is deposited, so the water will now be cement. >> Sperm is within the cement. Now cement is what you see that you think is flowing out. However, the fish has already swarm inside. >> So when you're washing, the fish may have gotten in, the sperm may have
32:18 gotten in and then pregnancy results. So washing doesn't do anything. >> You understand? So it doesn't help. >> If you're a man, >> depends on how fast this >> If you're a man, you just had this. >> It [laughter] depends on how fast the sperm can be. So for very fertile people, they will get pregnant. >> So another thing is, is it possible truly possible? >> Yeah. for a woman to get pregnant after having just one sex. >> Yes, it's very possible >> because I've had men who say, "But we just had sex once." >> Well, we didn't. [laughter] >> What if you had it at the point of ovulation? >> Because at the point of ovulation, there's a waiting egg that's just waiting for the sperm to come and then >> fertilization happens and she will get pregnant. It was only once. There have even been cases where uh people were
33:04 this virgin and they got pregnant in that process. >> So it all depends on what time of the circle the woman is. So it can happen. Yes. >> What happens when a woman has had abortion repeatedly. >> All right. So repeated abortions can cause some damage to the womb. So but it depends on what methods. So for abortions there's the medical there's the surgical method of termination. So for medical some medications are given and then the fetus comes out. However, in the course of that happening sometimes some blood stays in the lining and can make the lining to plaster together. So we call that um uterine adhesion. So when there's adhesion it means that when the sperm is coming it doesn't have where to pass and the woman
33:50 may find it difficult to have babies. Now there's the other method surgically where you go in and put something to try and scrape. In the course of doing that you can introduce infection. Number one. Number two scraping the lining can damage the lining and also make the lining so plaster together. Menesis reduces getting pregnant may also become difficult. But in all this we still say oh come to the hospital let's um examine you and know what method is best. And then using contraceptive is far better than getting pregnant and terminating it. So we advise young ladies. There are different uh types of contraceptive instead of going through the stress of having to keep ter there are women who come that would have terminated like four five there's no need to do that in this generation there's a lot
34:36 >> that can be done >> so can a woman have a sexually transmitted infection for years without knowing it and can such infection cause pregnancy issues >> definitely so you find that some of this um organism for instance now um she gets infected She doesn't know maybe she had some discharge at some point treated but it wasn't properly treated. Now the organism ascends and goes into the tubes where eggs should stay and wait for the sperm to get fertilized and then over time damages the tube and the tube gets blocked. So you find that when it's now time to start having babies, they can't have babies on their own because of that adhesion or long-standing infection that was not properly treated. Others will
35:22 get pregnant but the pregnancy will not move from the tube. They will have what we call ectopic pregnancy. Pregnancy in the wrong place. So it has a lot of telling on them. So the best would be use contraception instead of having to terminate pregnancies all the time. >> Just two more question before I let you go. One is we've heard about ladies who are not nursing mothers having discharge from their breast. Can this be natural or is he a sign of infection? >> So um when does discharge from the breast it depends on what is causing the discharge? Now for um most women it is because of um one of the hormones being elevated. We call it [snorts] prolactin. Now when prolactin is elevated it tells
36:10 normally for a woman for instance who is breastfeeding prolactin should be elevated and that helps in milk let down. that means milk will come out. So in a woman whose prolactin is elevated that same process is interpreted in the brain that oh prolactin is elevated milk has to come out from the breast. You understand? So for those kind of women what we do is we bring down the prolactin with some medications >> so that that can stop because it can lead to infertility. They can it can make them not to get pregnant because the body is telling them that you're breastfeeding. >> You understand? So you're not supposed to ovulate. You're not supposed to release eggs. >> Oh. >> So those kind of women find it hard to get pregnant. >> So it's the same process that make a woman who is breastfeeding not to easily
36:56 get pregnant. So why they're breasting? They say anytime I'm breastfeeding, I I'm not using any concept if I don't get pregnant. It's because of that process. >> However, it's not 100% foolproof anyway. Now other things that should be of concern is if any discharge is coming from the breast, breast cancer is an issue. So you find that for some people that's the beginning. So you can find bloody discharge from the breast. So any discharge from the breast should be of concern. Then number three, the breast does not know who is sucking. It doesn't know if it's a baby, if it's an adult. Over fondling of the breast also can lead to excessive prolactin and then discharge from the breast which we call galacto. So some of those men that their job is to stay with breast when it happens to those kind of women
37:42 >> are in trouble >> they should at least reduce give the women drugs. So I'm just trying to say it's not always all scary >> but once it happens we have to know and know which of those processes cuz a breast scan can be done we check their prolactin and then whatever it is we treat >> and if it's over fun we say reduce >> calm down calm down men calm down you're doing it too much. So that's part of it. All right. >> Now, IVF has become a multi-billion dollar industry. How effective is it really? And why does it fail for some people and work for others? >> So um the thing about IVF is not uh that straightforward. So what makes it fail for one may work for the other.
38:28 >> So there are different factors. So when you talk about IVF, you're looking at different factors. one what's the egg quality so you find that many of the people that want to do IVF nowadays are older women um who have not had babies so 35 and above is what we call older women in gyne so once you're 35 and above the quality of the eggs reduces so you find that if I'm doing IVF for a 22 year old and a 35 year old the 22 year old may get pregnant before the 35 why obvious her eggs are younger, her eggs are better quality. You understand? So that's one factor. Another factor is the sperm quality. So it's not, as I said, it's not one person. So you find that
39:15 some men just feel that, oh, once they are releasing, they are good. We check and then we say, oh, motility, morphology. Morphology has to do with the shape of the sperm. So all these things we look at. Apart from that, we also look at the lining. The lining is where we drop the uh embryo that has been formed. Now that lining, remember when we're talking about adhesions. So you find that some people they've done lots of abortions, the uterus is plastered together, you drop something in there, >> you understand? So it's not the answer to this question is not that straightforward. So age is a factor, endometrial tissue, the lining, the egg quality, the sperm quality,
40:00 then um drugs that are used because some people react to some drugs, some drugs will help some eggs to grow better. You understand? So it's more like something that you have to try to some you do it once and they get pregnant. >> Why do you hear of people seven times, 10 times, they do it severally? Some it never happens. You understand? And then we start saying okay maybe you use a surrogate someone younger >> or you use donor eggs you understand so it comes to that sometimes because the egg quality is not good enough >> but it's very hard for our women to accept that and I understand you understand so it's not that straightforward >> just before I let you go is there any question you would have wanted me to ask that I didn't ask
40:46 >> question I think you were quite well read asked >> most of the questions But what I really want to emphasize is the issue of the support from men when it comes to infertility. They should not see it as a woman's problem alone and they should try and come around with them so that we can evaluate both of them at the same time and know where the problem is coming from. >> If [clears throat] anyone that is watching us now want to contact you, how can they do that? >> Yeah. Um I have a private clinic so um doly clinic.com once you click you see it's everything online and you can book your online consultation we can talk
41:32 there so I can also drop my yes >> contact yes please please do that because a lot of time when we interview doctors like you we get comment of asking us how can we contact >> questions can be answered there >> yes thank you so much Dr. Lilian, I appreciate the clarity with which you answered most all of these questions >> and we hope to have you again on this show. >> There are so many other things we can always talk about. >> Thank you so much for your time. >> Thank you for having me. >> Thank you. >> Thank you guys. See you next time. >> I'm happy. [music]
