Marriage Advice: The options available for childless couples.

Adoption: Sociologist Dr Ocharo believes that Kenyans are yet to understand how adoption works. “If the public had this information they would be open to adoption,” he says. Adopting a baby is a decision that can be taken by any couple, whether able or unable to conceive. Children can be adopted from children’s homes.

Childless Couple.

The law however provides for other modes and therefore a couple who are ready to adopt a child may need the services of a law practitioner.

Treatment: Treatment would depend on a couple’s exact situation. “We will need to diagnose where the problem is first,” says Dr Wanjiru Ndegwa, a fertility expert at Footsteps to fertility center. “Sexually transmitted infections, tube blockages, abnormal or low spermatogenesis, are just a few of the possible problems that may be denying a couple children.”

Each of these conditions is specific and as such requires a unique set of treatment regimens.

Surrogacy: When a couple is able to produce reproductive cells [the problem could be elsewhere with morphology or physiology] doctors can extract them and fertilise them inside the test-tube. “The resulting zygote can then be implanted in a different woman’s womb, who then carries the pregnancy to term and delivers the baby.

The baby biologically belongs to the sources of the sperm and the egg: not the surrogate mother,” says Dr Ndegwa. A surrogate provides her womb for the development of a baby who is not their own.

Egg and sperm donation: According to Dr Ndegwa, if one spouse is not able to produce a gamete, an egg or a sperm, and the other is able to, the couple can then ask for a donation of the missing gamete and have a baby. Eggs and sperms can be donated. The baby won’t biologically belong to one spouse. However, Dr Ocharo says, “being a parent is not biological: it is being available in the life of a child.”

NB/ depending on the extent of the problem, which varies with every couple, a doctor could advise that a couple consider a combination of the above solutions in different forms and variations.

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