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Azoospermia; the ‘sperm-less’ journey to fatherhood

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In the rural setting, a man’s manhood is figuratively likened to a hunting gun.

Like a hunter, it is believed that a man’s greatest asset in the bedroom is the gun with which he is expected to shoot a game; in this case, satisfy a woman sexually and most importantly get her pregnant.

Therefore, when a man is unable to do either of these especially the latter, it is said that “Abanagye ne tuo” an Akan expression which literary translates as “the state has confiscated his gun.”  At this point, the man is deemed inept in the bedroom.

Peddlers of sex enhancement drugs have gained notoriety for using this expression in their commercials which are blared on moving vans in town and until recently, on radio and TV.

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In the quest of some men to reclaim their supposed figurative guns from the state, and avoid the stigma that comes with their condition, they have gone out of their way.

Kofi Darko (not real name) is one of such men.  He is a 35 year old driver. In his case his wife, a teacher, whom I would refer to as Ama can vouch for his stellar sexual performance since they married four years ago.

However, instead of her womb being filled with a growing foetus, her heart has rather been filled with hope that her husband would be healed from a medical condition called Azoospermia.

The condition

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According to Stanford Health Care, one of the leading health facilities in the United States, which specialises in Azoospermia treatment, the condition is the absence of measurable sperm in  a man’s semen.

In its profile of infertility conditions online, it states that the lack of sperm in the semen could be due to blockage of the male genital system although there is completely normal sperm production.  This is called obstructive Azoospermia.

The condition is termed non-obstructive Azoospermia when it is as the result of poor sperm production.

Per the hospital’s website, Azoospermia is one of the major causes of male infertility and is found in five to 10 per cent of men evaluated for infertility. The condition may be present at birth or may develop later in life.

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The discovery

Kofi and Ama learnt of the condition when they both visited a health facility after four months of not getting pregnant. The visit to the hospital became necessary after she did not get the desired results from herbal medicine.

“I was very shocked when I found out about my husband’s condition. I was shattered when I googled and I realised there was no cure”, she said while trying hard to fight back her tears.

It was a bitter memory to flash back. But that was just one scene of their predicaments for their search for a solution led them into more problems.

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Spiritual solution to biological problem

Due to lack of financial strength to pursue the various options for child birth, they resorted to spiritual solution to a biological problem by visiting different pastors.

Kofi was made to consume all sort of concoctions, adhere to all manner of spiritual directions and part with varying sums of money. One pastor even wanted to impregnate his wife on his behalf.

“I get infuriated when I hear about pastors who claim they can help couples to deliver. One took my money for oil and later told me the oil bottle fell and broke so I have to pay again. Another wanted to sleep with my wife”, he said.

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The stigma and teasing

According to Kofi, he had gone through all these trouble because he could no longer bear the stigmatisation and the teasing from close associates.

“I try to avoid the company of my colleague drivers because they tease and ask me if my manhood works. They feel that they are only playing with me but sometimes I feel so hurt and close and go home.

“It has been a painful experience and try as I have to brush it off, I find myself thinking about it over and over again. If I had just one child, I know all these will end”, he lamented.

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According to Ama, the stigma is affecting their sexual life since Kofi is of the view that once he cannot make her pregnant, there is no point in having sex.

“He does not seem to enjoy the experience any longer and he does it just to please me. It is not the same as a few months ago. ”, she said.

Treatment  

Back to the Stanford website, treatment for Azoospermia depends on the type. For obstructive Azoospermia, surgery could often fix blocked tubes in a man’s reproductive tract or make connections that never developed because of congenital defects.

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For non-obstructive Azoospermia, advanced treatments could help men with that condition to experience the return of sperm to their semen and aid unassisted conception.

All not lost

But if both ways do not work, Dr Maryann Zuolo, a medical doctor at Korle Bu Teaching Hospital, says, there are several ways they could have children.

“There are options like invitro fertilisation (IVF) which helps with fertilisation, embryo development, and implantation, so you can get pregnant. There is surrogacy too. A couple having problems should not think all is lost”, she said.

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The cost of IVF ranges between GH¢15,000 –GH¢ 40,000. Sadly,Kofi cannot afford it.The only currency he can afford now is the hope that his sperm-less journey to fatherhood will end.

As Member of Parliament for North Tongu, Samuel Okudzeto Ablakwa recently advocated, parliament should consider a legislation which would make Assisted Reproductive Technologies affordable and convenient for Ghanaians.

While we wait for that time, we have a duty to support and not stigmatise childless couples.

Fatherhood/samba/Ayoo/21/06/2020

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Azoospermia; the ‘sperm-less’ journey to fatherhood

BY JONATHAN DONKOR

In the rural setting, a man’s manhood is figuratively likened to a hunting gun.

Like a hunter, it is believed that a man’s greatest asset in the bedroom is the gun with which he is expected to shoot a game; in this case, satisfy a woman sexually and most importantly get her pregnant.

Advertisement

Therefore, when a man is unable to do either of these especially the latter, it is said that “Abanagye ne tuo” an Akan expression which literary translates as “the state has confiscated his gun.”  At this point, the man is deemed inept in the bedroom.

Peddlers of sex enhancement drugs have gained notoriety for using this expression in their commercials which are blared on moving vans in town and until recently, on radio and TV.

In the quest of some men to reclaim their supposed figurative guns from the state, and avoid the stigma that comes with their condition, they have gone out of their way.

Kofi Darko (not real name) is one of such men.  He is a 35 year old driver. In his case his wife, a teacher, whom I would refer to as Ama can vouch for his stellar sexual performance since they married four years ago.

Advertisement

However, instead of her womb being filled with a growing foetus, her heart has rather been filled with hope that her husband would be healed from a medical condition called Azoospermia.

The condition

According to Stanford Health Care, one of the leading health facilities in the United States, which specialises in Azoospermia treatment, the condition is the absence of measurable sperm in  a man’s semen.

In its profile of infertility conditions online, it states that the lack of sperm in the semen could be due to blockage of the male genital system although there is completely normal sperm production.  This is called obstructive Azoospermia.

Advertisement

The condition is termed non-obstructive Azoospermia when it is as the result of poor sperm production.

Per the hospital’s website, Azoospermia is one of the major causes of male infertility and is found in five to 10 per cent of men evaluated for infertility. The condition may be present at birth or may develop later in life.

The discovery

Kofi and Ama learnt of the condition when they both visited a health facility after four months of not getting pregnant. The visit to the hospital became necessary after she did not get the desired results from herbal medicine.

Advertisement

“I was very shocked when I found out about my husband’s condition. I was shattered when I googled and I realised there was no cure”, she said while trying hard to fight back her tears.

It was a bitter memory to flash back. But that was just one scene of their predicaments for their search for a solution led them into more problems.

Spiritual solution to biological problem

Due to lack of financial strength to pursue the various options for child birth, they resorted to spiritual solution to a biological problem by visiting different pastors.

Advertisement

Kofi was made to consume all sort of concoctions, adhere to all manner of spiritual directions and part with varying sums of money. One pastor even wanted to impregnate his wife on his behalf.

“I get infuriated when I hear about pastors who claim they can help couples to deliver. One took my money for oil and later told me the oil bottle fell and broke so I have to pay again. Another wanted to sleep with my wife”, he said.

The stigma and teasing

According to Kofi, he had gone through all these trouble because he could no longer bear the stigmatisation and the teasing from close associates.

Advertisement

“I try to avoid the company of my colleague drivers because they tease and ask me if my manhood works. They feel that they are only playing with me but sometimes I feel so hurt and close and go home.

“It has been a painful experience and try as I have to brush it off, I find myself thinking about it over and over again. If I had just one child, I know all these will end”, he lamented.

According to Ama, the stigma is affecting their sexual life since Kofi is of the view that once he cannot make her pregnant, there is no point in having sex.

“He does not seem to enjoy the experience any longer and he does it just to please me. It is not the same as a few months ago. ”, she said.

Advertisement

Treatment  

Back to the Stanford website, treatment for Azoospermia depends on the type. For obstructive Azoospermia, surgery could often fix blocked tubes in a man’s reproductive tract or make connections that never developed because of congenital defects.

For non-obstructive Azoospermia, advanced treatments could help men with that condition to experience the return of sperm to their semen and aid unassisted conception.

All not lost

Advertisement

But if both ways do not work, Dr Maryann Zuolo, a medical doctor at Korle Bu Teaching Hospital, says, there are several ways they could have children.

“There are options like invitro fertilisation (IVF) which helps with fertilisation, embryo development, and implantation, so you can get pregnant. There is surrogacy too. A couple having problems should not think all is lost”, she said.

The cost of IVF ranges between GH¢15,000 –GH¢ 40,000. Sadly,Kofi cannot afford it.The only currency he can afford now is the hope that his sperm-less journey to fatherhood will end.

As Member of Parliament for North Tongu, Samuel Okudzeto Ablakwa recently advocated, parliament should consider a legislation which would make Assisted Reproductive Technologies affordable and convenient for Ghanaians.

Advertisement

While we wait for that time, we have a duty to support and not stigmatise childless couples.

Source: Ghanaian Times

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The eye is indeed the lamp of the body

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There is a scripture that is found in Matthew 6:22 which says that the lamp of the body is the eye and therefore the eye must see well to enable the body to get to its destination.  

What most people do not know is that behind the scenes, there is a strong interaction between the eyes and the brain before a picture becomes clear.  The state of mind therefore is crucial to the eye seeing clearly to enable the body to process accurately the information the eyes are feeding it for proper identification of what the eyes see. 

This is similar to how a person behaves i.e. what informs the decisions that forms in the mind that results in the actions that a person performs.  The actions of a person does not therefore just happen but is as a result of things that went on in the mind, which in most cases resulted from information passed on to it by the eyes either consciously or unconsciously.

There are so many issues that affect our society which makes one wonder, whether the people who displayed such acts were created by someone or something other than God. 

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How can a person see a beach created by God with beautiful beaches and fresh air blowing all around, decides to defecate at such places, and therefore desecrate the environment?  lt is simply mind boggling? 

When other people in other countries who dwell on the coast are using their beaches for tourist attraction purposes as a means of livelihood and also to promote environmental health, some people living around our beaches, have turned them into rubbish dumping sites and toilets. 

It is a very sad situation and the earlier we did something about it the better.  It is a national emergency that must engage the attention, first of the government and then the citizenry, where religious bodies and NGOs must play a critical role.

The things we focus on in this country, needs to be addressed.  Our minds which processes the info the eyes send to the brain, must be disciplined.  There are certain behaviours that a disciplined mind can ignore even when the eye has provided info to the brain.  One of the things a disciplined mind does, is the avoidance of a second look, which is critical for every person who wants to avoid adultery or fornication. 

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Once a person is not blind, he will see things.  The boobs, the ‘shankus’, the coca cola shapes, the light complexioned, the dark complexioned etc. the eyes will definitely see and report same to the brain.  What the brain or the mind decides to do or instructs the eye to do is the issue. 

It can decide to instruct the eye to take a second look and let the mind drool over it or say ignore it and that will be the end.

If the mind becomes trained to focus on environmental issues like clean environment, the eyes will automatically be reporting on insanitary conditions to the brain as and when it sees them.  The mind will pay attention to such data and begin to process them and to identify solutions to deal with the reported insanitary conditions. 

There is the need to encourage citizens to train the mind to focus on the right thing so that in tandem with the eyes, focus will be maintained.  When the mind is so trained, it communicates with the eye to also focus on hood things that helps in both are spiritual life and our secular lives, for indeed the eyes are the lamp of the body.  God bless.

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 Arming the Sikaman journalists to the teeth

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THE relationship between New Times Corporation (NTC) and African Concrete Productions (ACP) is based entirely on matters of the stomach. Each depends on the other in a dietary symbiosis, reinforced by the close proximity of each other

At lunchtime, you’d see a particular set of Times workers marching regimentally to ACP to face the wall. You’d think they are soldiers. It has long been declared that the company manufactures the best kokonte in the Greater Accra Region. ACP is, therefore, a culinary haven for those NTC kokonte fans, both male and female.

As the NTC kokonte warriors cross the border to ACP, you’d see some ACP banku fanatics dancing joyously to NTC. They are lucky folks because they do not have to obtain visa to enter into ‘Times’ to attack the balls of banku with precision and accuracy. They also claim that the lightsoup at ‘Times’ is arguably the best in West Africa.

So the relationship between the two entities was quite cordial and based practically on stomach palaver, until ACP workers staged an industrial revolution, whereupon the managing director, accountant and estate manager were allegedly stripped naked and locked up in a room. An insurgency had began in earnest.

An ACP worker came to ‘Times’, this time not to eat banku and okro. He had come to inform newsmen that juicy stuff awaited them at ACP. It could make a front page lead story.

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A camerawoman and a female reporter were accordingly dispatched to go and bring back news, juicy news as juicy as kokonte and groundnut soup.

Sikaman Palava
Sikaman Palava

I was driving to work when I espied the familiar camerawoman clicking away outside the ACP premises. I didn’t see any ‘Times’ reporter but angry workers who were on the verge of getting violent. I slowed down and the driver behind blew his horn at me like a lunatic. I drove on.

Later, I heard the reporter and camerawoman were harassed and brutalised. The report came,. “The camerawoman, Mrs Salome Adonu-Agbottah and reporter Mrs Doreen Allotey, in an attempt to retrieve the camera which the workers had seized from them were severely beaten. They were manhandled and almost pushed into a big gutter opposite the company’s premises.

BRUISES

“….The camerawoman had bruises on her body, her hand bag was destroyed and the money in it stolen. Mrs Allotey’s watch was also snatched and her feet stamped on.”

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Luckily, it was not her nose that was trampled upon. She has a beautiful nose.

The bad news was received with extreme sorrow. If the victims had been men, it would not have seemed too bad. But to brutalise women is just unacceptable. The New Times Corporation has not stopped mourning the incident which has been condemned in many circles.

Some people keep asking me why Times sent females to cover a potentially violent demonstration. I tell them they might as well ask why CNN’s amazon, Christina Amanpour, is assigned to cover the carnage in Bosnia-Herzegovina and Rwanda. She is always on the frontline in jeans and jacket.

Journalism is a potentially hazardous profession, and once you accept to study and practise the trade, you might as well bone up to face any assignment as long as your superiors feel you are capable of handling it or you have demonstrated the capacity to handle it. Both males and females can be assigned anywhere, anytime just like policemen and women are assigned.

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The only difference between cops and pressmen is that the latter are armed only with a pen and the former with a gun. The question is should newsmen also arm themselves so that in any event of an assault they would not be found wanting in self-defence? They can’t adequately defend themselves with a pen and a jotter. A pen cannot even disfigure an opponent’s upper lip.

Photo-journalists have particularly suffered violence. Spectator ace-cameraman Vincent Dzatse was severely assaulted by AMA men when he attempted to take pictures of their indiscretions.

Sports cameraman, P. K. Arthur has been beaten more than once at the sports stadium when riots errupted and he wanted to capture it on his lenses.

Some sports journalists have been banned from entering the Accra Sports Stadium by supporters because in their comments, they didn’t write “sense”. Some supporters once nearly lynched Christian Abbew, Spectator Sports Editor, near a courtroom. He was stoned like the biblical Stephen. He had gone to defend a contempt charge.

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I think it is time journalists met and discussed how best to defend themselves in any event of an attack by individuals or mobs. In the pursuance of their duty, they must be free from harassment and assault.

Some journalists go to work and return home with a black-eye or a double fore-head. It is just not right. Something has to be done about it. I think journalists should be armed. But first we must be trained in the use of firearms so that our warning shot do not hit below the belt. What about training in Kung Fu?

This article was first published on Saturday, October 17, 1998.

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