Abstract
Background: Semen analysis has remained an objective, inexpensive and readily available means of assessing male factor infertility. Aim and Objective: This study aims to determine the prevalence of male infertility, the types and semen quality among infertile couples attending infertility clinic at UDUTH, Sokoto. Materials and Method: This is a retrospective study carried out between January, 2012 to December, 2016. All case notes of infertile patients managed were retrieved The data obtained was analysed using SPSS version 20 and the results were presented in text, tables and charts. Results: Eight hundred and seventy-six out of 11,938 total gynaecological consultations over the study period were due to infertility, giving a prevalence of 7.3%. Among them, 34.4% (320) accounted for male factor infertility. The age ranged between 22 to 75 years with a mean of 37.44 years ± 7.44. Majority, 50.2% were within the ages of 35 - 44 years and up to 73.8% of them had at least secondary education and were mostly, 39.7% civil servants. Up to 75.4% had sperm abnormalities, among which 65% (196/301) had primary infertility while, 35% (105/301) had secondary infertility. About half of them (47.5% (153/301)) had Azoospermia, 22.3% (67/301) Oligospermia and only 30.3% (91/301) had a normal sperm count. More than half of them, 121/227 (53.3% had multiple abnormalities). Conclusion: Male factor infertility contributes significantly to the burden of infertility in our environment. Therefore, there is the need to create awareness so that males fully participate in the evaluation, as the blames are mainly on the females.
Highlights
Infertility is the inability of a couple to conceive despite adequate, regular, unprotected intercourse of 12 months’ duration [1]
Aim and Objective: This study aims to determine the prevalence of male infertility, the types and semen quality among infertile couples attending infertility clinic at Usmanu Danfodiyo University Teaching Hospital Sokoto (UDUTH), Sokoto
Eight hundred and seventy-six out of 11,938 total gynaecological consultations over the study period were due to infertility, giving a prevalence of 7.3%
Summary
Infertility is the inability of a couple to conceive despite adequate, regular, unprotected intercourse of 12 months’ duration [1]. Male factor is responsible for 20% - 40% [3] and female factors contribute 30% - 40% while, both factors and unexplained causes account for 20% - 40% each [4]. Infertility is both a urological and gynaecological problem worldwide, and it remains a sensitive issue in our environment and a source of social stigma [5] [6]. Semen analysis has remained an objective, inexpensive and readily available means of assessing male factor infertility. There is the need to create awareness so that males fully participate in the evaluation, as the blames are mainly on the females
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