Fertility Expert: When is the right time to embrace IVF

In May 2025, Kenya will mark 20 years since its first test-tube baby was conceived at Nairobi IVF Centre and born in 2005.

Fast forward two decades later, the country is still grappling with many challenges when it comes to assisted reproductive technology (ART), more specifically IVF and surrogacy—majorly because it lacks a solid legal reproductive health framework.

However, even so, globally, in vitro fertilization (IVF) has become one of the most widely used assisted reproductive technologies (ART) in the world, offering hope to couples struggling with infertility.

IVF is basically the process where the fusing of the female egg and male sperm is done outside the body—in a test tube, hence the name test tube babies. The embryos are produced in the laboratory and then placed in the woman's womb.

A fertility specialist at Nairobi West Hospital Dr. Ayman Mostafa says for many couples, IVF becomes a viable option when natural conception proves challenging.

The medical expert recommends considering IVF if conception has not occurred after at least 12 months of trying (or six months for women over 35).

“Other medical conditions that might necessitate IVF include blocked fallopian tubes, a history of tubal ligation, advanced maternal age, a low egg count, severe endometriosis, multiple failed ovarian stimulation cycles, male infertility issues, or unexplained infertility despite unsuccessful insemination attempts,” says Mostafa.

According to the specialist, the emotional toll of infertility treatments can be significant, making the choice of the right clinic critical.

Prospective patients are encouraged to thoroughly assess the credentials of their chosen fertility specialists and the medical team supporting them.

He notes that for those facing fertility struggles, seeking expert medical advice is essential.

“For instance, at The Nairobi West Hospital’s fertility center, there are evaluations and personalized treatment plans for hopeful parents,” adds Mostafa.

Since the first successful IVF birth in 1978, the procedure has grown in both effectiveness and accessibility. Today, IVF accounts for over 1 per cent of all births in the United States.

Success rates, however, vary based on several factors, including the patient’s age, overall health, and the quality of the eggs, sperm, and embryos.

Younger patients generally experience higher success rates due to better egg quality.

However, a new trend when it comes to fertility is the fact that more and more women are having their eggs harvested and stored for future use.

The specialist says that with years of experience, cutting-edge medical techniques, and a compassionate approach, the hospital’s fertility team stands ready to offer hope and support to individuals and couples on their fertility journey.