THEME
- RHYTHM OF HOPE
SUB-
THEME: - MANAGING INFERTILITY
“Be Fruitful and Multiply
BY
DR. MICHAEL
GBENGA OGUNKOYA
(MB, BS, D.A, M.D, F.H.C.O.G, F.W.A.C.S, F.I.C.S)
MD. THE HOPE
VALLEY FERTILITY CLINIC LTD
FREEDOM WAY – BY V.F.S
LEKKI PHASE I,
LAGOS.
INTRODUCTION
The problem of
infertility is so prevalent in our society today that almost everyone knows of
someone who is so affected. i.e. 1 in 6 to 7 couples are so affected.
OBJECTIVE AND AIMS OF TALK – The DERA
formula
§
To provide
practical principles based on the word of God on how to approach the issues.
§
To provide
information on the scientific basis of infertility i.e. causes, effects,
associations etc.
§
To provide facts
and information on clinical approaches to investigations and treatments.
§
To provide facts
on key points that needs emphasis.
§
Some titbits on
medical alternatives.
§
All the above
under the guidance of the HOLY SPIRIT.
Definitions
Infertility -: Inability of a couple to achieve
pregnancy after timeline months of unprotected sexual intercourse.
ü Primary infertility
ü Secondary infertility
ü Voluntary infertility
It appears that there
is a higher prevalence rate of infertility in Nigeria. Ours, is a society where
undue importance is attached to child bearing and sex selection with the
consequent emotional and social stigma associated with infertility.
Modification of Definition: i.e. Start investigation before 12 months as in
ü Due to female age > 35years.
ü Presence of obvious personal circumstances i.e.
irregular periods / presence of Fibroids.
What is God’s promise on reproduction
·
Those couple
experiencing delay in this area are in God’s waiting room
·
You are expected
to survive the waiting room with certain weapons ALREADY provided by God.
·
After all, the
Bible says the kingdom of God suffereth violence and
What are these weapons:
·
Faith
·
The word
·
Prayer/fasting
·
Praise
·
Sowing
·
Fellowship
·
Patience
·
Fight fear
·
Adoption
·
Doctors
·
Mercy and plead
for compassion
·
Spiritual
Confession
FAITH:
Definition:
· Substance of things hoped for, the evidence of things
not seen.
Hence
TRUST in God; have CONFIDENCE in GOD to do things for you. Heb. 11
· It is God’s will as married women to bear children.
· Heb.11-6, without faith it is impossible to please
God.
· Because he has promised, he will do it even without
evidence.
· Without faith, you cannot please G=od. Without
pleasing God, you cannot receive His blessing.
· So, go to God’s waiting room and exercise your faith.
· Faith must be constant
· Faith must be ACTED i.e. Buying baby things.
· Faith must be SPOKEN i.e. Do not say “If I get
Pregnant”
· Roman 10-7, faith comes by hearing; hearing by the
words of God.
· Hebrew 11-11, it was by faith that Sarah conceived.
THE WORD:
· “He sent his word and healed them and delivered them
from their destructions”.
· The word is life, powerful, sharpen than two- edged
sword, piercing, discerning of the thoughts.
· The word is right, gives light.
It is lamp
to our feet and light to our path.
· It has healing power.
· The word is pure and it is a shield.
· God’s word is like fire, like hammer that breaks the
rock into pieces.
· It endures forever.
· THE WORD BECAME FLESH & SO CAN and WILL BRING LIFE
TO YOUR WOMB IJN.
ü by destroying whatever name by which your delay is
presumed due to.
ü The Kingdom of God suffereth VIOLENCE and VIOLENCE
taketh it by the FORCE of the WORD.
· Other verses- to counter NEGATIVE REPORTS
ü Luke 1:37, for with God, nothing shall be impossible.
ü Isaiah 61:7, for your shame, you will receive double
honour.
ü Psalm 113:9, you are a joyful mother of children
especially if looking for more children.
ü Psalm 128:3, your children will surround your table
like olive plant (for those looking for more children).
ü Deuter. 7(13-14), None shall be barrier in the land.
ü Gen 30:23, Like Rachel, you too will declare that the
lord has taken away your reproach if being mocked by people
ü For MISCARRIAGE, stand on Exodus 23:26 i.e. “no one
will suffer miscarriage or be barren in the land”.
ü 1 Corr. 2:5, Declare that your wisdom is not in the
wisdom of men but the power of God.
Summary Rom 10:10, It
is by believing in your heart that you are made right with God, and it is by confessing
with our mouth that we are saved.
i.e. BELIEVE and
CONFESS LOUD over your situation. Hebrew 10:23, reiterates “let us hold fast”.
The confession of our hope WITHOUT wavering DERA for he (God) who promised us
is faithful.
RECEIVE IT, BELIEVE
IT; CDONFESS IT & AQUIRE IT.
Mark 4(13-14), illustrates
the parable of the solver as explained by our lord, Jesus.
· Psalm 119(8-9), “His word is settled forever”. He
honours them more than his name. He is faithful.
· Isaiah 55(10-11), for as the rain……… it shall not
return to me void.
· Jeremiah 1:12 (KJ) He says he will HASTEN his word to
perform it.
PRAYER/FASTING:
·
God answers
prayer.
·
Am too little to
instruct you how to pray your way through this issues especially as our senior
pastor is available for you.
·
However, some
facts are true irrespective i.e. if three women believe God for the fruit of
the womb, the Lord can bring about their miracles in different ways i.e.
through prayer or covenant vow, prophetic word or even medical intervention.
See Biblical examples:
a)
Rebecca: God had
mercy and remember her.
b)
Hannah: Received
her miracle through prayer and a covenant vow
c)
Leah: Conceived
because God saw how her husband despised her.
d)
Sarah: Conceived
through a prophetic word.
We are enjoined to
pray:
·
Fervently- James 5:16.
·
Steadfastly-
Roman 12:13.
·
With belief-
Matthew 21:22
·
In the name of
Jesus.
·
Without ceasing.
PRAISE:
·
Exodus 15:11…...
Fearful in Praises, doing wonders.
·
Psalm 22:3…… He
inhabits the praises of Israel(we).
·
Hebrew 13:15.
·
Psalm 22:3-5.
SOWING:
·
Psalm 126:5-6…...
Those who sow in tears shall reap in Joy
·
2 Corinthians 9:6….
Those who sow sparingly will reap sparingly vis.a.vis bountifully. ALSO, not
grudgingly or of necessity.
FELLOWSHIP:
·
1 Corinthians
1:9…... God is faithful.
·
Followership with
brethren, pastor and people of like mind is a powerful tool or antidote for
internalizing childlessness. A problem shared is a problem halved.
·
Followership with
other women can help bring some scientific and medical facts to the ignorant.
PATIENCE:
·
Habb 2:3…... But
these things I plan--won’t happen straightaway -- will surely come to pass.
·
Proverbs 13:12….
Hope deferred makes the heart sick but a dream fulfilled is a tree of life.
NOTE:
·
Rejoice in HOPE.
·
BE PATIENT in TRIBULATION.
·
Continue
steadfastly in prayer.
IT SHALL SURELY COME TO PASS.
FIGHT FEAR:
·
Fear is of the
devil.
·
Walk confidently
in the promises of God and not in other people experience.
·
Fear is shutting
God out of your situation.
·
Fear is bondage
(Roman 8:15).
·
Fear is torment (1
John4:18).
·
Fear is snare
(Proverbs 29:25).
·
Psalm 27:1…… The
Lord is my light and my salvation…... of whom shall I be afraid [ OF WHAT SHALL
I BE AFRAID].
·
2 Timothy 1:7….
For God has not given us the spirit of fear but power and of love and of sound
mind.
·
Isaiah 21:10-13……
Fear not, for I am with you. Release your fears unto the Lord and keep your
Peace.
Why you should not entertain FEAR
1)
You are his
creation- Isaiah 44:2.
2)
He fights for
you- Exodus 14:13
3)
You are loved- 1
John 4:9
4)
He is your
helper- Hebrew 13:6
5)
He is with you
always- Genesis 26:24
ADOPTION:
· Is adoption an option for you? YES, a valid one for
that matter.
· This is another method God can decide to use to
complete or compliment your family.
· Galatians 4:7, Roman 8:15-17- After all God adopted us
spiritually.
· Joseph adopted Jesus in a way.
· Matthew 1:1-25- Gene ology of Jesus to Davidic throne
via Joseph established Jesus legal inheritance rights.
· Ephesian 1:3-6
· Adopted children are acceptable to God:
v Esther 2:15- Mordecai adopted Esther.
v Exodus 2:10- Pharaohs daughter adopted Moses.
v God adopted us as HIS children irrevocably.
·
You may still
look forward to having other children.
OUR SOCIETY IS SLOWLY
ACCEPTING THIS OPTION.
DOCTORS:
·
This is an
interesting segment especially because of some belief.
·
Does attending
the Doctors for treatment constitute lack of faith and trust in GOD. NO!!!
Why?
·
Because GOD
cheated the doctors and the plants, herbs that are synthesized to make drug.
·
God gave doctors
wisdom to treat infertility cases.
·
1 Corinthians 2:5
“That your faith should not be in the wisdom of men but the power of God”.
·
Despite all the
wisdom in men with mind- blowing scientific feats, the power to heal and
deliver still ultimately belong to God.
·
God deals with
everyone differently at the level of our faith. Some differed, some immediately
i.e. “He will show mercy to whom He will show mercy”
·
If you decide to
see a doctor for your issues (and there is nothing wrong with that) do so in
faith. If you decide to wait for God to do a miracle without medics, do
so in faith. Roman 14:23…. whatever is not from faith is SIN.
·
Pray to God to
give your doctor wisdom to give a correct diagnosis of your issues and to
direct him in the treatment he will recommend.
Finally, SEEK GOD’S FACE and be LED BY THE SPIRIT in
whatever decision you take.
MERCY&PLEAD
FOR COMPASSION:
· Roman 9:15-16- For he says to Moses, I will have mercy
on whomever I will have mercy, and I will have compassion. So, then it is…………. Show
mercy.
You PLEAD for MERCY
· Psalm 102:13……. He will arise and have MERCY on Zion
for the time to favour her, yes the set time has come.
SCRIPTURAL CONFESSIONS:
1)
My father, I
thank you because your word is settled in heaven and your faithfulness endures
forever. Psalm 119:89
2)
You have blessed
me and commanded me to be fruitful and multiply. These words assure me that you
bless the fruit of my womb and not barren. Genesis 1:28; Deut. 7:13-14
3)
You said sickness
shall be taken away from me. Deut. 7:15
4)
I thank you
therefore father that I am a joyful mother of children. Psalm 113:9. I rejoice
because my children will surround my table like the olive plants. Psalm 128:3
5)
Creator of Heaven
and Earth, I praise you because my body is fearfully and wonderfully made.
6)
Quote Number
23:19, Matthew 21:22
7)
You said whatever
things I ask in prayers, believing, I will receive.
v Like Hannah, Lord, I prayed and Lord has granted me my
petition which I asked of him. 1 Samuel 1:27
v Like Rachael, I can say with Joy that God has taken
away my reproach. Genesis 30:23.
v Like Sarah, I receive strength to conceive seeds IJN
and considered you faithful to your promise. Hebrew 11:11
8)
Heavenly father,
as Abraham did not waiver at your promise through unbelief, but strengthened in
faith giving you glory… so shall I not waiver Lord and by your grace it will
count for me in righteousness. Roman 4:20-22.
9)
Your word says
that after I have done your will, I will receive the promise.
10)
I thank you, for
all the advances in medicine regarding infertility. Am not perturbed by my
doctors negative report because my faith is not in the wisdom of men but in
your power. 1 Corinthians 12:5.
11)
2 Cor 10:4 The
weapon of my Warfare are ….
Thank you lord.
· I come against Satan, his cohorts IJN.
· I pull down all strongholds of the enemy IJN
· I nullify all curses and covenants IJN
· I PLEAD THE BLOOD OF JESUS OVER MY WOMB.
12) MY BODY/ MY HUSBANDS BODY, I speak to you
IJN. You will come in line and
agreement with the word of God. You will function normally IJN.
13) Isaiah 49:25… Lord, you promised that they shall
not be ashamed who wait for you. I will hold fast to this for I know that He
who promised is faithful. Hebrew 10:23.
WHAT HAS THE DOCTOR GOT TO DO WITH THESE?
Some Psychosomatic consequences of
infertility
·
Anger.
·
Guilt.
·
Anxiety- A
natural contraception (Proverbs 12:25)
-
Anxiety in the
heart causes depression.
·
Depression
·
Grief: If is a
devastating calamity to most couples.
CLINICAL ASSESSMENT OF THE INFERTILE.
History
Female:
·
Past obstetrics
history
·
Surgical
procedures
·
T.O.P &
Complications
·
Galactorrhea
·
Coital activities
·
Age
Male:
·
Genitourinary
infections
·
Surgical
operations i.e. herniorrhaphy, erchidopexy
·
Drug history (of
libido and erectile dysfunction)
Physical Examination
To reveal:
·
Galactorrhoea
·
Phenotype-
physique
·
Weight
·
Laparotomy/Laparoscopy
scars
·
Identify
fibroid/ovarian cysts
·
P.I.D
·
Pelvic masses
Investigations
Basic
·
Seminal fluid
analysis for:
v Oligospermia
v Azoospermia
v Asthenospermia etc.
·
Hysterosalpingography-
submucous fibroid
·
Hysteroscopy-
polyps
·
Hystercontrassonography-
uterine synechiae(Ashermans)
·
Laparoscopy & dye test- Tubal occlusion.
·
Ovulation tests:
v Basal temperature(outdated)
v Self-assessment
v Hormone assays- p4 & LH
v Ultrasound scan
v Endometrial biopsy
Treatment of infertility in Nigeria.
Goal: - To
achieve pregnancy economically and quickly.
Male factor treatment:
·
General advise-
Behavioural modifications i.e. Avoid tight nylon pants, decrease smoking,
alcohol, psychotropic drugs & steroids.
·
Treat infections
of prostate or epididymis.
·
Operate
varicocele
·
Anecdotal
treatment with drugs. FSH for hypogonadotropic hypogonadism.
Female factors treatment:
·
Tubal……… Surgery
- Peritubal adhesiolysis
-cuff salpingostomy
-tubal anastomosis
-tubal reimplantation
-tubal micro surgery
-fibroid surgery
-I.V. F
·
Ovulation
i.e. –Hyperprolactinemia-Bromocriptine
-P.C. O
-Unexplained- Clomiphene
-Gonadotrophin
Contemporary approach to infertility
management.
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