Features
Azoospermia; the ‘sperm-less’ journey to fatherhood

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.
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
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
“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.
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.
“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.
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
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.
While we wait for that time, we have a duty to support and not stigmatise childless couples.
Source: Ghanaian Times
Features
Disqualified-Part 1
The discussion lasted only ten minutes. Mr Philip Sampson, Eunice’s father, had asked to see him, and he was led to the sitting room for the first time, and he indicated that he should sit down.
‘Yes, Kakraba. I know that you have been, er, friends with Eunice for some months now, and naturally, as her father, I thought it would be important to meet you, and to reach an understanding with you on, er, some basic issues. So, I hear you are a graduate in building technology. Now, tell me about what you do’. ‘Okay. I worked with the Electricity Company for two years after National Service. During that time I interacted with some lawyers and land surveyors on our project sites, so I suggested to some of them that we take some dilapidated buildings in some parts of Accra, rehabilitate them and find new owners. Soon after starting that I got a job as Project Manager with a group of development agencies who are executing projects in the Northern Region, so I have been balancing the two positions’.
‘I see. That sounds like a bold step. So is it going well, financially?’ ‘Well, sir, I absolutely enjoy what I’m doing now. Financially, I would only say that I am a work in progress. A lot of what I’m doing now involves some risk taking, as it involves trust issues with land and property owners.
I am partnering with prominent lawyers and land surveyors, so I am not taking any serious risks. So currently I doing okay financially, but it will take me some time before I reach the level where I can say I am comfortable financially.
‘Okay. Now tell me about your parents’. ‘My father was an Agricultural Extension Officer, so we spent some time at several locations with him. He is now enjoying his retirement. And my mother is a retired nurse. I have three elder sisters, all married’.
‘So you live with your parents?’ ‘Yes and no. My dad built his home on one acre at Pokuase, so he gave me one plot, and I have done a three bedroom house, where I live’. ‘
Okay, fine. Thanks for the answers. You see, in addition to my position socially, I spent many years in the diplomatic service, so I’m sure you will understand that I need to ensure that my kids, especially my daughters, maintain suitable relationships. For now I think it is fine that you and Eunice are friends. I’m sure you understand what I mean’.
‘Yes sir. I understand perfectly well’. ‘Great, okay, that would be all’. Kakraba stood up, bowed and said thank you to Mr Sampson, and walked to the garden where his girlfriend Eunice, her mother Mrs. Elaine Sampson and her two elder sisters, Yvonne and Emma, were seated, busily discussing some dresses being offered for sale online.
‘So, Mrs Elaine asked him, you and Daddy had a good discussion?’
‘Yes, Ma. We certainly did. I really appreciate Dad for the discussion. It was really good’. ‘Great. Although he has met you here on quite a number of occasions, I think it is good that you have met for a chat’.
‘Yes indeed, Ma, and I really appreciate it. So Eunice, I will be on my way. I will call’. Eunice led him to his car, and after driving off he exhaled and shook his head. Although he had long concluded that Eunice’s family were so snobbish that a future relationship with her would be problematic, this discussion, or was it interrogation, had virtually cancelled any likelihood.
Mr. Sampson just told him, in no uncertain terms, that the Sampson family was so prominent and socially connected that a union between his daughter and him was undesirable. He had a good relationship with Eunice. They shared some beautiful moments together, and often went out to entertainment joints, often with her three friends Marian, Patricia and Amanda. But Kakraba was often uncomfortable with their preferences. Eunice regularly spoke about her family’s experiences during her father’s postings in Europe and Asia, and her three friends were always discussing the latest fashion trends, always noting the importance of placing themselves among the best dressed ladies in town. Eunice, her mother and siblings had indicated in several ways that he did not quite fit into their social standing. They had only said a mild ‘thank you’ when he brought them a goat or sheep and a generous amount of foodstuffs from the north, every month. But Kakraba did not really take it to heart, because they were quite inexpensive up north. And moreover, he always went to the food market and arranged with the truck drivers for a big package which was picked up by his buddy Paa John and delivered to his family and a few others including the Sampsons.
Features
Flood begins with rain but disasters start with us

When the floodwaters swept through parts of Ghana on Monday, June 29, they carried away more than furniture and household belongings. They washed away years of hard work, children’s school books, market goods, and family savings and, tragically, claimed lives.
For the families that lost loved ones, no amount of assistance can replace the pain of the silence left behind by someone who got lost during the torrential rains.
For many other survivors, the ordeal did not end when the rains stopped, but rather will have the Herculean task of rebuilding their lives from almost nothing.
Mothers searched through debris for anything they could salvage. Children stood quietly beside damaged homes, unsure of when life would return to normal. Traders who lost their wares stared helplessly at soaked goods that represented their only source of income.
This is the situation whenever it rains continuously for hours, yet, once the waters recede, many of the behaviours that contribute to these disasters return.
Drains once cleared become clogged with plastic waste. Waterways are treated as dumping sites, while buildings continue to spring up on wetlands and natural drainage channels.
Effects on women, children
For many women, particularly market traders, farmers and owners of small businesses, the floods had erased years of hard work in a matter of hours.
Merchandise have been destroyed, equipment damaged, and incomes disappear overnight.
With many women working in the informal sector and having limited financial protection, recovery is often slow and difficult.
Beyond the economic losses, women frequently carry the added burden of caring for their families during and after disasters. They clean flood-damaged homes, care for children, older relatives and the sick, secure food and water under difficult circumstances, and help restore a sense of normalcy while coping with their own trauma.
Children are equally vulnerable. Floods disrupt their education by damaging schools and making roads impassable. Many children are displaced from their homes, exposing them to health risks, emotional distress and unsafe living conditions.
For children from already vulnerable households, a flood has deepened poverty and interrupted their development in ways that last long after the waters have receded.
Human activities
The scale of destruction witnessed during floods is often magnified by human behaviour.
Drains designed to carry storm water are clogged with plastic waste, discarded household items and other refuse.
Wetlands and natural waterways are encroached upon through unplanned development, leaving floodwaters with nowhere to go.
Although floods affect everyone in their path, women and children often suffer the greatest consequences.
Climate Change
Climate change has made rainfall more intense and unpredictable, but it is the actions of humans that often turn heavy rains into humanitarian disasters.
As the nation reflects on the devastation caused by the recent floods, one question demands urgent attention: How much of this destruction could have been prevented?
Climate change and increasingly intense rainfall are undeniable factors, the uncomfortable truth is that many of these disasters are worsened by human actions.
Choked drains, indiscriminate waste disposal and the encroachment on waterways continue to turn heavy rains into avoidable tragedies.
Climate change has undoubtedly increased the frequency and intensity of extreme weather events, but it is only one part of the story.
UNICEF report
These concerns are reflected in UNICEF’s Children’s Climate Risk Report 2026, which warns that hundreds of millions of children worldwide face multiple climate hazards, including flooding.
According to the report, climate-related disasters threaten children’s health, education, nutrition and protection, with children in vulnerable communities facing the greatest risks.
The report also highlights how existing inequalities often compound the impact of climate emergencies on women and children.
Floodwaters contaminated by waste also increase the risk of outbreaks of cholera, typhoid, diarrhoea and malaria. Pregnant women, nursing mothers, young children, older persons and people living with disabilities are particularly susceptible to these health threats.
United Nations (UN) Women notes that women and children are often disproportionately affected by climate-related disasters because they are more likely to experience poverty, carry greater caregiving responsibilities and have fewer resources to recover from disasters.
When floods destroy livelihoods, existing inequalities become even more pronounced. The painful truth is that many of these losses are avoidable.
Way forward
No drainage system, regardless of how well designed, can function effectively if it is filled with refuse. No flood prevention programme can succeed if wetlands continue to be reclaimed for construction or if sanitation regulations are ignored.
Preventing floods is therefore not the responsibility of government alone. It requires a collective commitment from every citizen.
Proper waste disposal, regular community clean-up exercises, respect for planning regulations and the protection of waterways are simple but powerful actions that can save lives.
Government must equally strengthen waste management systems, enforce environmental and building regulations without compromise, invest in climate-resilient infrastructure and ensure that disaster preparedness and response strategies address the specific needs of women, children and other vulnerable groups.
The United Nations Office for Disaster Risk Reduction has repeatedly emphasised that reducing disaster risk is far less costly than responding to disasters after they occur.
Investing in prevention, strengthening institutions and promoting responsible environmental practices remain among the most effective ways of protecting lives and livelihoods.
The recent floods should serve as more than another headline. They should be a national wake-up call.
Climate change may be beyond the control of any one individual, but how we treat our environment is not. Every plastic bottle thrown into a drain, every illegal structure erected on a waterway and every act of indiscriminate dumping contributes to a cycle of destruction that claims lives and undermines national development.
If Ghana is to break that cycle, environmental responsibility must become a shared national value.
By Esinam Jemima Kuatsinu




