Determinants of infertility in male partners of infertile couples at a public health facility in Ilorin, Nigeria
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Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
Regional Institute of Medical Sciences, Imphal, India
Abstract
Background: Infertility is the most important reproductive health and social issue confronting married couples in our
environment. The contribution of male factor is assuming a tremendous proportion. Seminal fluid analysis (SFA) remains
an indispensable tool in the evaluation of the fertility potential of these male partners. Aim and Objectives: This study
aimed to determine the pattern of seminal fluid parameters and its impact on infertility among male partners of infertile
couple at a public health facility in Ilorin. Materials and Methods: A cross‑sectional study of the seminal fluid indices
of consecutively consenting male partners of infertile couple seen at the Assisted Reproductive Technology (ART) Unit
of the Department of Obstetrics Gynecology, University of Ilorin Teaching Hospital, Ilorin, between January 1, 2012
and December 31, 2014. Results: All male partners of infertile couple who had infertility consultation at the ART unit
consented to SFA during the study period. The patients were aged 27–67 years. One hundred and seventy‑five (56.1%)
patients had normal parameters. There was a high level of leukocytospermia and bacterial infections in both
normospermic and oligospermic semen. The predominant organism was Staphylococcus aureus. Of the sociodemographic
and reproductive/hormonal variables, only the age was found to have statistically significant association with types of
infertility. Conclusion: Male factor is increasingly assuming a significant role in the etiology of infertility in Ilorin. The
practitioners should, therefore, endeavor to involve them early in the overall management to reduce stigmatization and
ostracizing of women for infertility.
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Keywords
determinants, infertile couples, leukocytospermia, Nigeria