Fertility drugs for twins in Kenya and over the counter fertility drugs in Kenya
This is for Kenyan women trying to conceive (TTC) and have twins…. or multiple gestation.
These are the available fertility drugs for twins in Kenya
1. CLOMID/CLOMIPHENE CITRATE
Clomiphene citrate is the most popular fertility drug globally. Clomid works by increasing the number of eggs released during ovulation increasing their chances of being fertilized by the spermatozoa. According to Wikipedia, “Clomifene, also known as clomiphene, is a medication used to treat infertility in women who do not ovulate, including those with polycystic ovary syndrome. Use results in a greater chance of twins. It is taken by mouth once a day with a course of treatment generally lasting five days.”
2. Human Chorionic Gonadotropin (HCG) and Human Menopausal Gonadotropin (HMG)
Ovulation may also be induced by a combination of Human Chorionic Gonadotropin (HCG) and Human Menopausal Gonadotropin (HMG) by your gynaecologist. It is necessary to use oestradiol assay or cervical mucus scoring or ultrasound to monitor induction of ovulation with HMG to prevent ovarian hyperstimulation syndrome (a serious side effect of fertility drugs).
3. METFORMIN
Originally an anti-diabetic drug but was found to be beneficial for ovulation induction, multiple pregnancy and twinning. Metformin apart from stimulating insulin release, helps to reduce the secretion of testosterone. Testosterone interferes negatively with ovulation in women and reducing its level, ensures ovulation takes place unhindered. This can lead to multiple ovulation and twinning.
Metformin may be used to induce ovulation by itself or in combination with clomiphene (CC) or letrozole or injectable gonadotropins at doses of 500-2500 mg daily. Unlike clomiphene, it is taken every day of the month and may be continued in the early stage of pregnancy. To reduce side effects, the dose of metformin should be gradually increased.
4. Femara (letrozole)
This medication blocks the production of estrogen, thereby stimulating the pituitary to increase production of LH and FSH, which in turn induce ovulation. Though only approved in the U.S. for women previously treated for breast cancer, letrozole has been used extensively in the USA, and Canada and Nigeria for ovulation induction. It is taken as an oral tablet at doses of 2.5-10 mg daily for 5 days each cycle. Ovulation and conception and multiple birth rates (7%) are similar to Clomiphene Citrate.
Other possible fertility drugs for twins in Kenya include: folic acid, ovacare, and others.
PS: The Yorubas, a major tribe in Nigeria (West African) has the highest number of twins in the world. This mainly because their diet.
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