Fertility Enhancement

Fertility Enhancement – African Centre for Endometriosis

Struggling to conceive can feel lonely, confusing and exhausting. Our Fertility Enhancement service at the African Centre for Endometriosis in Kerugoya, Kirinyaga, Kenya looks for the reasons behind delayed pregnancy and treats them. We offer clear answers, compassionate care and a personalised plan to improve your chances of conceiving.

Fertility Enhancement at a Glance

Appointment length: About 45–60 minutes for a first fertility consultation, with tests planned afterwards.
Who it is for: Women and couples trying to conceive, those with irregular cycles, PCOS, fibroids or endometriosis, and anyone with repeated miscarriage.
Key benefits: Finding the cause, treating what can be treated, and a step-by-step plan instead of guesswork.
When to seek help: After 12 months of trying, or after 6 months if you are 35 or older. See us sooner if your periods are irregular or you have known pelvic conditions.

Who Needs Fertility Enhancement?

According to the World Health Organization, about 1 in 6 people worldwide experience infertility at some point. It is common, treatable in many cases, and nothing to be ashamed of.

You may benefit from fertility improvement treatments if you have:

Irregular, very light, or absent periods
Polycystic ovary syndrome (PCOS)
Endometriosis or painful periods
Fibroids, polyps or scar tissue in the womb
Blocked or damaged fallopian tubes
Previous pelvic infection or pelvic surgery
Recurrent miscarriage
Unexplained delay in getting pregnant
A partner with abnormal semen results

Fertility depends on both partners. We welcome couples and women attending alone.

Our Approach: Fertility Assessment and Your Personal Plan

We begin by listening to your story: how long you have been trying, your cycle, past pregnancies, medical history and what matters most to you.

Fertility assessment steps

Depending on your situation, your assessment may include:

Examination and pelvic ultrasound to check the womb and ovaries
Hormone and blood tests to assess ovulation, ovarian reserve, thyroid function and other factors
Fallopian tube assessment to see whether the tubes are open
Semen analysis for your partner, which is a simple and essential first test
Hysteroscopy or laparoscopy when a problem inside the womb or pelvis is suspected

We recommend only the tests you need, and we explain what each result means in plain language.

Fertility Improvement Treatments We Offer

Your plan depends on the cause, your age and how long you have been trying.

Medical treatment

Ovulation support: Medicines such as letrozole or clomiphene help women who ovulate irregularly. We monitor your response with ultrasound.
PCOS care: Cycle regulation, weight and metabolic support, and ovulation induction where needed.
Treating other contributors: Thyroid problems, raised prolactin, infections and nutritional deficiencies.

Possible side effects include hot flushes, headaches, mood changes and, with some treatments, a higher chance of twins. We explain these risks before you start.

Surgical treatment

Hysteroscopy: Removing polyps, submucosal fibroids, scar tissue or a septum that can interfere with pregnancy.
Laparoscopic (keyhole) surgery: Treating endometriosis, ovarian cysts and pelvic adhesions, and in selected cases improving tubal function. Recovery is usually quicker than with open surgery.

Assisted reproduction

Some couples need intrauterine insemination (IUI) or IVF. If you reach that point, we explain your options honestly and coordinate referral to a trusted assisted reproduction partner, so you do not lose time.

Endometriosis and Fertility

Endometriosis can affect egg quality, the pelvic environment and the fallopian tubes. Yet many women with endometriosis conceive. Early assessment helps us decide whether surgery, ovulation support or assisted reproduction is the best path for you.

Because we specialise in endometriosis, your fertility plan accounts for pain, scan findings and surgical options together. Learn more about our Endometriosis service.

Why Choose African Centre for Endometriosis

Our care is built around endometriosis, not added to a general practice as an afterthought. You are heard, examined with consent, and given explanations in plain language.

Your care is led by Dr Njagi Joseph Nyaga (Dr Joe Njagi). He is also known for his endometriosis education on TikTok, Facebook and Instagram, where millions of followers learn about period pain and endometriosis.

Gynaecologist, Laparoscopic Surgeon and Endometriosis Excision Specialist (MMed OBGYN and MBChB, Mbarara University of Science and Technology)
Over a decade of clinical experience in gynaecology
Member, FIGO Minimally Invasive Surgery Committee (2023–2027)
Vice-Chair, Kenyan Society of Endoscopic Specialties
Co-founder and Secretary, Pan-African Society of Endometriosis(PASE)
Member of the World Endometriosis Society (WES), European Endometriosis League (EEL), ISGE and AAGL
Currently completing a Gynaecology-Oncology Fellowship at the University of Nairobi

Frequently Asked Questions About Hysteroscopy

What is hysteroscopy used for?
Hysteroscopy is used to find and treat problems inside the uterus. Common reasons include abnormal bleeding, polyps, fibroids, scar tissue, a uterine septum, recurrent miscarriage and difficulty conceiving. It can also help locate a misplaced IUD.

Is hysteroscopy painful?
Many women feel cramping similar to period pain, which settles soon after. Discomfort varies between women and depends on the procedure. We agree a comfort plan with you beforehand, which may include pain relief or, for operative procedures, sedation or anaesthesia.

How long does hysteroscopy take, and when can I go home?
A diagnostic hysteroscopy is often under 15 minutes, while operative procedures can take longer. Most women go home the same day. Light bleeding and mild cramps for a few days are common.

What is hysteroscopy polypectomy?
Hysteroscopy polypectomy is the removal of a uterine polyp using instruments passed through the hysteroscope. It treats polyp-related bleeding and may help fertility. The removed tissue is sent to the laboratory to confirm it is benign.

Can hysteroscopy help me get pregnant?
If polyps, fibroids inside the cavity, adhesions or a septum are affecting your fertility, removing them may improve your chances. It is not needed for everyone, so we recommend it only when your history or scans suggest a cavity problem.

Can hysteroscopy diagnose endometriosis?
No. Hysteroscopy examines the inside of the womb, while endometriosis grows outside it. Endometriosis is assessed with specialist ultrasound, MRI or laparoscopy. Sometimes both procedures are combined, depending on your symptoms and goals.

Is hysteroscopy safe?
Yes, hysteroscopy is considered a very safe procedure, and serious complications are uncommon. Risks include infection, bleeding and injury to the uterine wall. We review your health beforehand and explain how to recognise warning signs afterwards.

Book your visit today

You do not have to live with pain. Whether you have a diagnosis or only suspect one, we will help you understand your options and take the next step with confidence.

Medical disclaimer: This page is for general information and is not a substitute for medical advice. Fertility outcomes vary and cannot be guaranteed, so a consultation with a qualified clinician is required for individualised care.