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Is Hysteroscopy before Invitro fertilization (IVF) Necessary?

Welcome to the Assisted Reproductive Technology series with Dr. Ken. Here, we discuss Assisted Reproductive Technology (ART) as a means to tackling the problem of infertility.In the last session, we answered the century long question of:

AS and AS, can they marry? We went through historic lane and saw that for a very long time, couples of the same gender were vehemently discouraged from getting married on the grounds that it poses the risk of sickle cell disease on their offspring.

We however reflected on the possibility presented by Preimplantation Genetics Diagnosis / Screening. This is an advanced technique in which embryos are screened for genetic abnormalities before transfer ensuring that only healthy embryos are transferred. We ended by saying that with this possibility, AS and AS couple can freely get married.

Today we are considering the IVF procedure and as the topic implies, we are looking at the need for Hysteroscopy before IVF treatment. Hysteroscopy plays a significant role during the preparation for Invitro fertilization (IVF). This is a procedure in which a telescope (Hysteroscope) is used to visualize the uterine cavity.

Hysteroscopy is the gold standard for the investigation of the uterine cavity especially when an abnormality is suspected. It permits direct visualization of the cavity of the uterus by searching the nature, location, size, shape of any uterine abnormality. Hysteroscopy allows a direct operative intervention in case of any abnormal finding.

Reasons for Hysteroscopy before IVF •

Women with previous endometrial curettage (uterine evacuation following an abortion / miscarriage) •

Women with previous uterine surgeries like myomectomy for fibroid, caesarian section etc. •

Where other investigative modalities like ultrasound or hysterosalpingography created an intrauterine anomaly like polyps or a congenitally abnormal uterus. •

A previously failed IVF treatment Done routinely for all clients before IVF by some practitioners.Even before a hysteroscopy, a clinical evaluation is done to determine what the likely abnormality is.

A drug may be administered transvaginally to soften the cervix to allow easy passage of the hysteroscope. Various modalities for pain relief (anesthesia) may be employed- local block, sedation, regional anesthesia or general anesthesia.A video recording of the procedure is saved for further discussion with the patient and future reference.Hysteroscopy typically last 10-45 or more minutes depending on the indication and nature of the procedure.Evaluation with hysteroscopy offers an opportunity to diagnose and treat intrauterine pathologies missed by other modalities of investigation.

It is important to note that evidence abound that IVF success rate is increased in women who had pre-IVF hysteroscopy.In conclusion, hysteroscopy represents the second eye of the Reproductive Biologist, and a liberal utilization of this investigative modality to evaluate IVF clients.While it is now established that hysteroscopy before IVF might just be a necessary move, it is also important to note that very few fertility centers in the country have attained the capacity to deliver on this.

Worthy of mention is Alps Hospitals and Diagnostics, located in Jos, Plateau state Nigeria. This is the first fertility center in West Africa to adopt the use of laser energy in office hysteroscopy. This offers the benefits of increased operation time, less bloodlessness, and low fluid overload.Indeed, a lot of possibilities in Reproductive Health and Medicine abound here in Nigeria which you can take advantage of.Until next time, stay fine, and always remember that conception and child bearing is a possibility for everyone that so desires.

Dr. Kenneth Egwuda is a consultant Obstetrician and Gynecologist with specialty in Assisted Reproductive Technology (ART). He has over 16 years of practice and experience. He trained in the UK, India, Bulgaria, Italy, and Germany. His Facility, ALPS Hospitals and Diagnostics, Jos, Nigeria, stands at the center stage of Assisted Reproductive Technology (ART) in Nigeria. It holds the record of the oldest first-time delivery mum in Africa through IVF at the age of 63.

Comfort Pius Akudiang, Jos

Former Governorship Aspirant in Plateau state and Ex banker chief Dr Jerry Danjuma Gushop has been Conferred with honorary doctorate degree of common wealth university in collaboration with London school of Graduate common wealth university and institute of management consultancy ( lMC ) Nigeria.

In a statement issued to Newsmen in Jos on Friday by Dr Gushop media team leader Dangkat Shingman Yakubu, saId this honorary doctorate degree award should spur Dr Gushop to higher realms of purposeful leadership and service to humanity.

He urged Dr Gushop, to keep up with his acts of good heart which is his Gushop true life signature.

Gushop in an interview with newsmen in Jos on Friday, said he is highly honoured with the doctorate degree award by the university

According to him, this award also confirms to him that his services to humanity has been noticed by not only the university but well meaning Nigerians .

He promised to do more in any given opportunity to serve the people in different spheres of life.

It would be recalled that Dr Gushop had participated and completed top executive leadership Summit at common Wealth University before he was Conferred with the honorary doctorate degree of the University.

Gushop before now had to his credit master degree in banking and finance.

Otubi Audu Jos

The Director of Press and Public Affairs (DOPPA) to Governor Caleb Mutfwang of Plateau state Gyang Bere has informed the leadership and members of the Nigeria Union of Journalists (NUJ) Plateau Chapter that Governor Mutfwang with the support of the security agencies in his state has mapped out plans that would promote peace in the 17 Local Goverment areas of Plateau state.

According to him, Governor Mutfwang is determined to unite the people of the state and that the time of doing so is now . Bere stressed.

Mutfwang media Aide gave this hint at the thanksgiving service oragnised by the leadership of the Plateau Chapter of the Nigeria Union of Journalists (NUJ), held at COCIN Church Nasarawa Gwom in Jos North LGA of Plateau state.

According to Bere, “the governor, with the support of the various security agencies had adopted various strategies that would promote peace at all levels of the state.”

”Our governor is a man of peace and he is on board to unite all citizens of the state devoid of ethnic or religious affiliations.”

Mutfwang media aide added that his principal has demonstrated his unwavering commitment toward building a peaceful and prosperous Plateau.

”There are beautiful efforts by this government towards ensuring that the state is moving forward and becomes the envy of other states,”he said.

He called on citizens of the state to support the government of Mutfwang in its bid towards providing good governance to all.

Bere also urged the people of his state to be law abiding and support the security agencies toward ensuring lasting peace returns to Plateau.

Earlier, the newly elected Chairman of Plateau Nigeria Union of Journalists (NUJ) Mrs Ayuku Pwaspo, said the thanksgiving was to thank God for emerging victorious at the recently concluded election of the union on the Plateau.
She solicited for prayers and cooperation of members of her union to enable her succeed in providing quality leadership to the union on the Plateau.

Okwuta Audu, Jos

The Chairman of Langtang North, local government area Hon Nanmwa Kumzhi in conjunction with Eden Compassion and Health Mission International (ECHM) facilitated free medical surgeries and treated several other aliments.

The one week medical outreach which took placed at Langtang General hospital terminated on Saturday, with about 18,000 persons already attended to.

The Langtang North transition committee chairman Hon Kumzhi in an address said the gusture was to tackle numerous health challenges of Citizens, saying he is fulfilled; though capital intensive.

The council boss noted that the interventions is meant to assist the less privileged at the grassroots should access qualitative health care.

It was gathered that Dr Longbap Dinfa’s non governmental organization ECHM provided medical personnel for the free medical outreach, Facilitated by the council Chairman.

The medical expert worries that 99 percent of the deaths due to illnesses is lack of proper medical care at the needed time; which he said was caused by economic challenges.

Beneficiaries include 38 Uterine fibroid (Myomectomy) and cystectomy patients; 31 Thyroidectomy (Goitre) Surgeries carried out.

37 persons transfused blood; 117 Lipoma (Lumpetomy); 13 Appendix. 6 successful deliveries, four are been awaited to deliver.

150 eye surgery was done; 2594 eye consultations and treatment, 997 given glasses. 6642 patients had laboratory investigations. 7115 professional consultations and treatment among other aliments treated.

Chief Medical supretendant of Langtang General hospital who led the medical team Mathew Adeyinka in an interview said they were able to handle all the cases without any referrals. However, it was learnt that a patient who had surgery on Wednesday died 3 hours after successful operation.

Speaking at the climax of the event Dr Nicholas Kemi-Nshe, the transition committee chairman, of Shendam local government area applauded the initiative of his Langtang North counterpart

Okwuta Audu, Jos

The Governor of Plateau state Barr Caleb Manasser Mutfwang has ordered 17 Local Government Chairmen in his state to take inventory of all abandoned projects in their Council areas that would be beneficial to the communities to be completed by his administration.

Mutfwang gave this directive during his commissioning of a health care clinic at Maraba Jamm’a round about community of Kuru district of Jos South LGA of his state.

Mutfwang promised to provide good governance for the good people of his state, saying ” we in this Goverment,will not make noise,you will see the results of what we are doing for the benefit of our people on the Plateau”

According to him,under his administration,there would be prudence, we would ensure people of Plateau get value for their money.

Mutfwang promised that all abandoned projects in the local governments of his state that are beneficial to the people of his state would be completed except the ones that are not useful to the people of his state.

He said his goverment is not interested in starting new projects for the sake of new projects,but would ensure that abandoned projects that are beneficial to the people are completed.

Earlier, Jos Monarch, Da Jacob Gyang Buba appreciated the gesture and appealed that the project should not just stop at commissioning but kept functioning for the betterment and wellbeing of his subjects.

The Executioner of the project and Transition Implementation committee chairman of Jos South LGA, Peter Vwang Dung recognizes the significance of the clinic, saying he was inspired by the vision of Governor Mutfwang’s ” time is now” to complete the project of his predecessor late Moses Dalyop which was initiated in 2010.

The Jos South LGA Boss said the clinic would make impact in the lives of the people of the community.

He promised to provide high-quality health care facilities for the people of his Local Government at all times among other services .

The commissioned health care facility is expected to serve 7 villages within Kuru district of Jos South LGA of Plateau state.

Okwuta Audu, Jos

Plateau State, governor, Caleb Mutfwang, has disbursed the sum of N1000 each to 800 Secondary students from 40 Schools in his state for participating in the celebration of Nigeria Independence day held at Jos Township Stadium.

Governor Mutfwang fulfilled his pledge on Thursday by giving each of students, N1000 for activily participating in a match pass to mark 63rd Nigeria Independence under heavy downpour on Monday this week.

The state Commissioner for Information Musa Ibrahim Ashoms while disbursing the funds to the benefitting students on Thursday in Jos, the state information commissioner charged the Students to appreciate the governor’s gesture as one of his ways to encourage the students to be serious With their education ..

Ashoms urged the students to study hard and aspire to be responsible people in the society.

While at the Industrial Training Fund (ITF) Staff school Jos, the Principal of the school Mr Richard Baba, appreciated the governor on be half of the students.

He noted that the gusture was the first of it’s kind to the School and the students.

management of other benefitting Schools appreciated the governor, and pleaded that other welfare scheme in the educational sector of the state be looked into.

At Al-Iman school Dogon Dutse, one of beneficiary Abdularaf Abubakar Abdullahi, an SS-3 student appreciated governor Caleb Mutfwang on behalf of his Colleagues.

Similarly, Recheal Rwang, also a final year student, who spoke on behalf of Government Secondary School  Hei-Rsyfiled thanked the Plateau government for the gesture.

The youngest among the students who benefited from the governor’s N1000 pledge to students, Timcit Bulus, a Jenior Secondary School JSS-2 student, from GSS Rikos in an appreciation, prayed for a successful tenure of governor Caleb Mutfwang.

It would be recalled that the benefiting 800 students stood on their feet under heavy downpour on Monday this week at Jos Township Stadium and participated fully in the match pass with paramilitary personnels organized by the Plateau state government to mark this year’s Independence day celebration.

Governor Mutfwang had also offered 1,500 Naira to all Personnel who also participated in the event despite the rains.

Issuance of the cash prizes for the remaining schools cutting across public and private schools is continuing.

Okwuta Audu, Jos

Governor Caleb Mutfwang of Plateau state on Sunday in Jos the Plateau state capital, granted amnesty to four (4) inmates of the Nigerian Correctional Services (NCS) in his state.

Mutfwang made this declaration in an address to the people of his state while marking Nigeria’s 63rd independence anniversary.

Mutfwang said the pardon to 4 Inmates of Jos Prison by him was in line with provisions of the prerogative of mercy as enshrined in the constitution.

“Having reviewed the recommendations of the Council on the Prerogative of Mercy, I hereby approve as follows,”.

“Danladi Musa who was sentenced to life imprisonment for culpable homicide and having served 17 years is granted absolute pardon.

“Tali Zingtim who was sentenced to death by hanging for criminal conspiracy and armed robbery will serve 21 years.

“Ponzing Nanshep who was sentenced to life imprisonment for criminal conspiracy and culpable homicide will serve 21 years imprisonment.

“Dauda Joshua who was sentenced to death by hanging for culpable homicide will serve life imprisonment.”


The Plateau Governor urged Nigerians to support leaders in their discharge of duties and have faith in the nation despite its challenges.

“This is a duty we must uphold. Together, we can build an inclusive society where every Nigerian, regardless of background, gender, ethnicity or religion, gain access to equal opportunities for growth and development,” he said

“Equity, justice and fairness will continue to be our watchwords.”

Mutfwang assured the people of his state that he is committed to facilitating “peace, and security, and practising good governance for the good of Plateau state.

Mutfwang also promised the people of his state that the state owned security out fit Operation Rainbow is receiving the serious attention it deserves with recruitment of personnel s that would be trained to give a turnaround to security needs of the state.

Dear Barkin-Ladi/Riyom Federal Constituency,

As we celebrate Nigeria’s Independence Day, I want to take a moment to extend my warmest wishes to each and every one of you. Your unwavering support and commitment to building a better and stronger constituency are truly commendable.

On this special occasion, let us reflect on the significance of our collective efforts. Together, we have worked tirelessly to promote positive change, advocate for transparency, and create a more inclusive society. Your genuine support and dedication have been instrumental in our mission to shape a brighter future for our beloved constituency.

I want to express my heartfelt appreciation for your unwavering belief in the “New Discovery Movement”. Your enthusiasm, resilience, and willingness to take action inspire us all. It is through your commitment that we can continue to make a difference and contribute to the progress of our great constituency.

As we celebrate this Independence Day, let us renew our pledge to work towards a constituency that upholds the values of justice, equality, and prosperity for all. Together, we can overcome challenges, bridge divides, and build Barkin-Ladi/Riyom Constituency that we can be proud to call home.

I am truly grateful to be a part of this incredible community of individuals who are passionate about creating positive change. Your support, ideas, and contributions are invaluable, and I am confident that, together, we will make a lasting impact on the future of Barkin-Ladi/Riyom Federal Constituency.

On this joyous occasion, I wish you all a Happy Independence Day filled with joy, hope, and inspiration. May our collective efforts continue to shape a brighter and more prosperous constituency for generations to come.

Thank you once again for your unwavering support and commitment.

Happy Independence Day, fellow people of Barkin-Ladi/Riyom Federal Constituency!

Warm regards,

Hon. Engr. Fom Dalyop Chollom (Sanchos)

Okwuta Audu, Jos

Senator Nora Daduut has empowered her constituents of Plateau South Senatorial district with 400 Sewing machines,400 Grinding Machines, 25 Tricycles and as well Irrigation water pump machines to several Women and Youths in her Constituency .


The Senator Daduut represented Plateau South Senatorial District in the 9th National Assembly.

speaking at the empowerment occasion in Plateau South, Senator Daduut said despite the fact that she is no more at the national Assembly ,she would continue to support the People of the Senatorial District with she could afford to better their lives .

Daduut said she understands that the best form of assistance that can be given to people is providing them with permanent means of livelihood.

In her words” I am endeared to the people of Plateau South Senatorial District ,this gesture is borne out of my desire to thank members of my constituency for their endless support while I was in office .

She Urged the beneficiaries to utilize the items as items she donated would help in tackling poverty in the Senatorial districts..

“To the beneficiaries, this is an opportunity to improve on your economic lives and activities. I, therefore, advise you to put the items given into proper use, just as I appreciate your support at all times .

One of the beneficiaries of the empowerment Celestina Mariga , expressed gratitude to the Senator for the donation saying it will help her to cater for her family .

“We are proud of Senator Daduut for always standing by her people , despite the fact that she is no longer in office ,she is still empowering her people “.

“Our Senator Nora Daduut is a true hero in the areas of fighting poverty and hardship in Plateau South .
She prayed to God to continue to bless Senator Daduut ,she added .

Okwuta Audu Jos

The Plateau State National and State House of Assembly election petition tribunal on Thursday affirmed the election of Hon. Joseph Nannim Langyi (PDP) as the dulaa elected member Representing Langtang North- North State constituency at Plateau House of Assembly and dismissed the petition of Hon .Nimchak Abel (APC) for lack of merit.

It would be recalled that Hon.Nimchak Abel (APC) filed a petition challenging the election of Nannim Joseph Langyi of the Peoples Democratic Party (PDP) in the March 18th 2023 general election.

Justice Emmanuel Nwazunke of panel 2 who read the judgement, said the petitioners has failed to discharge the burden of prove of over voting alleged in the petition.

He said the petitioner petition is predicated on issues of non compliance to the electoral act 2022 ,that the 3rd Respondent PDP did not have structure in plateau State to sponsor and nominate the 2nd respondent to contest for election in Plateau State .

The Tribunal confirmed that PDP has solid structure in the State following the Party Congress that was held on the 25th September, 2021 at Langfield resort in Jos South Local Government of Plateau State.

The tribunal further said that the petitioners is neither member of the 3rd Respondent to challenge the nomination and sponsorship of the 2nd Respondent .

The tribunal highlight those qualified to challenge the candidature of a particular party in an election to include an aggrieved aspirant of the same Party who contested and lost for an obvious reasons perceived to have been caused by either the 1st or 3rd respondent as the case may be.

The trial Tribunal then dismissed all the petitioners petition for lacking in merit as the petition is tantamount to waste of the Tribunal’s precious Judicial time.

The Judge also harped on the petitioners lack of locus standi to challenge the nomination and sponsorship of the 2nd Respondent because he is not a member or a card carrying member or doesn’t participated in the primaries of the 3rd Respondent to institute a suit against the respondents .

So many documents tendered as related to the petition were struck out for incompetence and didn’t add value to the Tribunal.

According to the judgment ,” INEC monitored the conduct of the repeated Congresses held by the 3rd Respondent in compliance to series of judgments by Hon.Justice Ishaya Kunda ,Hon. Justice S.P.Gang and Justice Arum Ashoms of State High Court including Federal High Court judgment of Justice Dorcas Agishi and the Appellate court respectively .n an interview with Journalists after the judgement Hon. Joseph Nannim Langyi called on his opponent and his supporters to join hands with him to move Langtang North-north state constituency to greater heights.

In an interview with newsmen after the judgement, Hon. Joseph Nannim Langyi called on his opponent and his supporters to join hands with him to move Langtang North-North state constituency to greater heights.