A doctor-written guide for Nigerian couples

She’s had three scans.
He hasn’t given one sample.

In a clinic study of 314 couples in southeastern Nigeria, male factor alone was found more often than female factor alone. She still gets tested first.

Your Fertility Journey is a 13-chapter guide and a 7-worksheet kit built to do one thing: get you into your next appointment with a complete file in hand while having a laid out plan and understanding of your fertility journey, not a guess and a promise to come back next cycle. Whether that is your first appointment or your ninth.

₦18,000₦10,000Founding price

Get the kit — ₦10,000

For the first 100 buyers. Shown in your local currency at checkout. Instant download.

Cover of Your Fertility Journey, showing a hand holding a pregnancy test with a compass on its display
Written by a Nigerian medical doctor Naira prices throughout 66 pages and 7 printable worksheets Every statistic sourced

You already know how this part goes.

A colleague announces her second pregnancy in the break room. A gender reveal lands in the family group chat. Someone at church offers to pray it away, as though your faith and your fallopian tubes were the same organ. Your mother-in-law asks the same question at every gathering, in the same tone, as though you have simply not been trying hard enough to hear her.

You have gotten good at the smile. Nobody taught you that. You built it yourself, one disappointment at a time.

None of it is medical evidence. All of it has been making your decisions for you.

The finding nobody quotes at family gatherings

The numbers do not support the blame.

42.4%male factor alone
25.8%female factor alone
20.7%both partners
11.1%unexplained

Ikechebelu, Adinma, Orie & Ikegwuonu (2003). 314 couples evaluated at clinics in Nnewi and Awka, southeastern Nigeria. J Obstet Gynaecol 23(6):657–659. One clinic study, not a national figure.

Other Nigerian clinics report different splits. Not one of them puts the male-factor share low enough to justify testing her three times before anyone tests him.

Here is the part that should make you angry. A semen analysis costs between ₦5,000 and ₦15,000. It needs a sample cup and a lab. No dye, no theatre, no anaesthesia, no recovery. An HSG costs between ₦40,000 and ₦120,000, involves cramping and a procedure room, and tells you nothing about his half of the picture.

There is no clinical reason the cheap one should be the last test anybody orders.

The problem is rarely the diagnosis. It’s the guessing.

₦40,000 – ₦120,000

The test ordered out of sequence

A tubal patency test booked before a ₦5,000 semen analysis that might have redirected the entire investigation.

₦10,000 – ₦25,000

The repeat confirmatory scan

Requested at each visit, with no new symptom and no change to your plan since the last one.

₦900,000 – ₦3.5m

The package nobody will itemise

“Everything is included, madam.” Ask what happens, financially, if the cycle is cancelled halfway. Watch what happens next.

None of this is automatically fraud. Some clinics genuinely believe in what they offer. But widely offered is not the same as evidence that it changes your outcome, and you are the one paying either way.

The Fact File Method

What this kit actually does

Four steps. In this order, for a reason.

  1. 01

    Build the file

    Your age, his age, an actual number of months, your shortest and longest cycle, every pregnancy, every infection, every surgery, every herbal mixture including the one from the aunty you trust. Both of you. Chapter 3 and the Fertility Fact File worksheet.

    You get: the three-page Fact File, the medicine-cabinet section almost everyone forgets, a pregnancy test log, your partner’s history section, and the gather-this-first checklist.

  2. 02

    Make it a couple evaluation

    His semen analysis in the first round of tests, not after eight months of scans on you. Chapter 4 gives you the exact sentence to open that conversation without it becoming a fight.

    You get: the opening line for your husband, the reply for a relative who blames you first, the four questions that stop lopsided testing, and his half of the preconception checklist.

  3. 03

    Cheapest reasonable step first

    Tests get sequenced by what they change, not by what the counter happens to offer. Chapter 8 teaches you the one question that stops you paying for a result that changes nothing: what decision will this change?

    You get: every test priced in naira, what each result actually changes, the order they belong in, a counter script for asking before you pay, and the add-on patterns to refuse.

  4. 04

    Reassess on a date you set

    Not on hope. Not on someone else’s timeline. Chapter 12 turns all of it into a 30-day plan, ending in a written date.

    You get: the week-by-week 30-day plan, a one-page action dashboard, your family communication boundary, and the clinic vetting checklist to run before any deposit.

66pages
13chapters
11printable worksheet pages
78glossary terms explained
33naira price points
14do-and-don’t tables
6chapters with word-for-word scripts
2Nigerian studies cited in full

Read a page before you decide anything.

You have looked at that single line more times than you can count. Maybe you tested early, hoping. Maybe you waited until you were sure, and it still came back negative.

A negative home pregnancy test means one thing: a pregnancy hormone was not detected in your urine at the moment you tested. That’s it. It is not a scan of your ovaries, your tubes, or your future.

It doesn’t know your age. It doesn’t know your husband’s sperm count. It doesn’t know whether you tested too early, whether your cycle shifted that month, or whether you ovulated later than usual. It is one data point, not a diagnosis, and definitely not a verdict on your womanhood.

From Chapter 1. The full chapter is in the free preview.

A page from Chapter 2 showing a decision tree matching age, cycle pattern and history to a next move
Chapter 2. Your age, your months trying, your history, matched to your next move.
A page from Chapter 11 showing a table of Nigerian fertility service costs in naira with a column explaining what raises each price
Chapter 11. Real naira ranges, with what pushes each one higher.
A page from Chapter 11 showing a scripted dialogue for asking a clinic to itemise a quote
Chapter 11. Word for word, what to say when a clinic won’t break down a price.
A page from Chapter 8 showing which fertility tests belong first, which are conditional, and which apply only when planning IVF
Chapter 8. Which tests belong on day one, and which ones do not.

All thirteen chapters

Find the one that’s actually your situation.

What that single line can and cannot tell you, and why one data point is not a diagnosis.

Your age, your cycle pattern, your months trying, and the red-flag histories that mean you stop waiting today.

Everything a clinician needs and most patients arrive without, including the medicine cabinet nobody mentions.

The statistics, and the exact opening line for a husband who does not want to be tested.

The real six-day window, two workable strategies, and what to do when kits mislead you because of PCOS.

Silent infections, tubal damage, genital TB, and the symptoms in both of you that should not wait for a calendar.

What folic acid does and does not do, what is actually in that WhatsApp broadcast, and his preconception list.

What each test costs, what it changes, what order they belong in, and why AMH is not a fertility score.

Why there is no single ladder, and the three questions to ask before agreeing to any add-on.

Monthly loss, secondary infertility, a failed cycle, and how his grief shows up differently.

Clinic vetting, scam patterns, payment structuring, real Nigerian grant programs, and what to say when a quote doesn't add up.

A week-by-week plan small enough to start on Monday.

Every term a clinic will use, explained without a medical degree.

Seven worksheets. This is the part you carry in.

Printable, fillable, designed to be handed across a desk.

First page of the Fertility Fact File worksheet

Your Fertility Fact File

Three pages. The intake document most people show up without.

The Clinic Comparison worksheet, a checklist for vetting up to three clinics

Clinic Comparison Worksheet

The same ten questions, run against every clinic you consider, before any deposit.

The Basal Body Temperature chart worksheet with a plotting grid

Basal Body Temperature Chart

A full plotting grid plus a daily log. One confirmed rise beats ten days of guessing.

The Preconception Checklist worksheet, with a column for her and a column for him

Preconception Checklist

His column and hers, side by side, so it stops being her assignment.

The Cycle and Period Tracker worksheet, one row per cycle

Cycle & Period Tracker

Turns “my cycles are all over the place” into an actual pattern, or proves there isn’t one yet.

The Ovulation Predictor Kit Log worksheet

Ovulation Predictor Kit Log

With the honest note about what a positive result does and does not confirm.

The Medication and Appointment Tracker worksheet, a daily grid plus an appointment log

Medication & Appointment Tracker

A month of daily ticks and a running appointment log.

Read this before you buy.

This is for you if

  • You are trying to conceive in Nigeria and want a plan instead of another opinion
  • You are already deep in tests, quotes or treatment and still have no clear next step
  • You are tired of being the only one tested
  • You are under 35 and want to track properly rather than panic early
  • You are 35 or older, or have a red-flag history, and need to move faster
  • A cycle has already failed and you are deciding whether to try again
  • You have been offered a womb cleanse, a fertility tea, or an injection from somewhere that would not name its contents

This is not for you if

  • You want a guarantee of pregnancy. No guide can give you one. Anything that offers you one is telling you something about itself.
  • You want something that replaces a doctor. This is what you bring to the doctor.
  • You want a fast miracle. That buyer is the target of the sellers this book spends a chapter warning you about.

This guide will not get you pregnant.

No guide can, and I am not going to pretend otherwise to sell you something.

What it does is narrower and more useful. It gets you a complete written file, the right tests in a sensible order, a clinic you have actually vetted, a husband who has been assessed alongside you, and a date to look at the evidence again instead of drifting for another year on hope.

Perfect timing cannot open a blocked tube, raise a low sperm count, restart ovulation that has stopped, or reverse what age has already changed. Neither can a book. What a book can do is stop you spending the next eighteen months and several hundred thousand naira finding that out one wrong test at a time.

Who wrote this

Dr. Hammed Sangodipe
MBBS · MDCN Licensed

I wrote this because of a scene I have watched too many times. A woman arrives having had three scans, two rounds of bloodwork and a hydrotubation. Her husband has not produced a single sample. Nobody in the room decided that on purpose. It happens because tradition points at her first and clinics sometimes follow the same script.

Everything in this guide is the version of the conversation I would want a patient to have already had before she sits down in front of me. It cites its sources, it quotes real naira ranges, and it does not promise you anything I could not defend.

Understand the costs before you commit

Fertility evaluation and treatment carry real costs, and the goal is not to avoid every test. It is to know what you are paying for, what a result actually means, and which decision it is meant to inform.

What an unsequenced work-up costs, before anyone reaches IVF
Consultation and basic work-up ₦30,000 – ₦150,000
Ovulation / progesterone check ₦5,000 – ₦15,000
Pelvic ultrasound ₦10,000 – ₦25,000
Hormone panel ₦15,000 – ₦40,000
AMH ₦20,000 – ₦50,000
Tubal patency test ₦60,000 – ₦180,000
Semen analysis ₦5,000 – ₦15,000
Subtotal ₦145,000 – ₦475,000

Nobody needs every one of these on day one. That is Chapter 8’s entire argument, and two of the rows above, AMH and the repeat confirmatory scan, are the ones it teaches you to question before you pay.

If it goes further
IUI cycle ₦150,000 – ₦450,000
IVF cycle ₦900,000 – ₦3,500,000+
Storage, per year ₦100,000 – ₦350,000
This kit ₦10,000

Every figure above is from the book itself. The kit costs less than the cheapest single line on either table. What it buys you is the order, not a discount.

₦18,000
₦10,000
Founding price, for the first 100 buyers. Shown in your local currency at checkout, and you can switch it there.
No refunds on digital downloads. Read Chapter 1 free first and decide before you pay.
Full terms

The file reaches you within a minute of payment and cannot be returned, which is exactly why the free chapter exists. Three exceptions I will always honour, no argument: delivery failure, duplicate charge, wrong file. Email me and it is fixed the same day.

Get the kit — ₦10,000
See everything you get

The guide, 13 chapters, 63 pages. As a PDF, and as an EPUB that reflows to your phone screen.

  1. A negative test is information, not a verdict
  2. Your personal wait-or-act decision tree
  3. Build your fertility fact file before you enter a clinic
  4. Make it a couple evaluation, not a woman’s investigation
  5. Time intercourse without turning marriage into a timetable
  6. The clues that need a clinician
  7. Prepare for pregnancy without buying a miracle
  8. Understand the tests before you pay for them
  9. Choose treatment by cause, time, values and budget
  10. What this grief looks like, and when to ask for help
  11. Protect your money, privacy and medical choices
  12. Your next 30 days
  13. A plain-language glossary

Seven printable worksheets, 11 pages. Separate files, so you print only what you need.

  • Your Fertility Fact File (3 pages)
  • Clinic Comparison Worksheet
  • Preconception Checklist
  • Cycle & Period Tracker
  • Basal Body Temperature Chart (2 pages)
  • Ovulation Predictor Kit Log
  • Medication & Appointment Tracker (2 pages)
Not sure yet? Chapter 1 is the opening. Chapters 8 to 11 are the ones for people already deep in tests and quotes.

Questions people actually ask

No. The naira price ranges, the MDCN and NAFDAC verification steps, the agbo and roadside-seller warnings, the genital TB section, the Nigerian grant programs, and the clinic scam patterns are not in Western fertility content. The Clinic Comparison Worksheet alone has no equivalent anywhere.

No guide can promise that and this one does not. It gets you a complete file, the right tests in the right order, a vetted clinic, and a reassessment date.

No. The Preconception Checklist has a full column for him, Chapter 4 is entirely about making this a couple's evaluation, and Chapter 6 covers the male-side history most guides skip.

So that your appointments stop ending in “come back next cycle.” This is what makes the visits you are already paying for actually count.

No. Chapters 8 through 11 were written for exactly that stage: which tests belong where in the sequence, how to read a quote nobody will itemise, how to vet a clinic before the next deposit, and how to ask for a second opinion without it becoming a fight. If a cycle has already failed, Chapter 10 covers that decision directly.

The method travels: which tests belong in what order, what each result changes, how to read a quote nobody will itemise, and how to bring your partner into the evaluation. That applies wherever you are treated. What is specifically Nigerian is the naira pricing, the MDCN and NAFDAC verification steps, the grant programmes and the market-seller warnings. If you are treating abroad you will use the scripts and the sequencing and skip the price tables. Checkout shows your local currency.

An app tracks data. It does not tell you what a clinician needs, what a fair quote looks like, what order tests belong in, or what to say to your husband about a semen analysis.

Both are covered directly. Chapter 2 puts you on a faster route. Chapter 5 explains why ovulation kits can mislead you specifically.

Instantly by email after checkout, as one download containing nine files. The guide comes as a PDF and as an EPUB for reading apps, and each of the seven worksheets is a separate file so you print only the sheet you need. Step-by-step instructions for opening it on iPhone and Android come with it.

No refunds on digital downloads, because the file is delivered immediately. Read the free chapter first. Delivery failure, duplicate charges and wrong files are always fixed.

Nobody needs to know you bought this.

  • The download arrives by email within a minute of payment. You can use any email address you like, including one you made this morning.
  • Your bank alert shows the payment platform, not the product. Nothing on the transaction record names this book.
  • Your email receipt does carry the product name. That is the one place it appears, and I would rather tell you than let you find out.
  • The guide comes as an EPUB as well as a PDF. Opened in a reading app it sits on a shelf with your other books, rather than as a titled file in your downloads.
  • Buying adds you to nothing. No mailing list, no sequence, nothing you will have to explain later. The free chapter is the only thing on this page that asks for your email address, and that form says exactly what it is used for.

You are not behind.

You have gotten good at the smile. You should not have to be good at it alone, and you should not have to make the next decision the way you made the last one, on a rumour and a guess and whatever the counter offered you that day.

A file. The right tests, in the right order. Both of you assessed. A clinic you checked. A date to look again.

That is not settling. That is how sensible people move toward the thing they want most.

Get the kit — ₦10,000

Founding price, first 100 buyers.