Among the va (original) (raw)
Related papers
International Journal of Clinical Urology, 2020
Background: Male infertility is defined as a lack of pregnancy for a couple after 12 months of regular and normal sexual intercourse without contraception with the cause being clearly from the male origin. Contrary to popular belief, the prevalence of male infertility is similar to that of female infertility and sometimes even higher. However, data on the subject in Cameron are scarce and nonexistent in the city of Douala. This motivated the realization of this study in two centers in the city of Douala. The objective was to describe the epidemiological profile of male infertility. Methods: We conducted a crosssectional study among patients who consulted for infertility in two hospital centers in Douala from January 2014 to October 2019. A consecutive sample of all eligible cases was considered for this study. Data were analyzed using Statistical Package for Social Sciences (SPSS Inc, Chicago, Illinois, USA) V. 20.0 and EPI-INFO V. 3.5 software. Analyzed variables included sociodemographic data (age, marital status, educational level, profession, region, alcohol, smoking habit and mean infertility duration) and other causes of infertility (obesity, history of testes infection, STI, testes traumatism, varicocele or varicocele surgery, herniorrhaphy, genetic or malformative disease). Results: We included 137 patients' records. The frequency of male infertility for patients consulting in urology was 5.6%. Their average age was 35.4±7.4 years. The average number of sexual intercourses per week was 2.7±0.97. Those patients were mainly from an intellectual profession (40.2%), married (71.5%) with a higher education level (67.2%). Almost 60% of the studied population had alcohol consumption. Primary infertility accounted for 65.7% of the study population and the average duration of infertility was 5.9±5.3 years. The main factors for infertility were respectively history of sexually transmitted infections (STI) in 59 (43.1%) and childhood mumps in 42 (32.7%) cases. Furthermore, herniorrhaphy (16.1%) and varicocelectomy (10.9%) were the most representative surgical background. Conclusion: Male infertility is not uncommon in urological consultation with primary infertility been more frequent. Risk factors of infertility in our setting included a history of STI, mumps, and surgery.
Male Infertility in Nigeria and South Africa: A Ten-Year Observational Study
Background: Male infertility is a disease of public health relevance contributing to 50% of infertility cases globally. However, there is dearth of information on the prevalence of male-factor infertility in Sub-Saharan countries. Therefore, in this study we aimed at identifying the prevalence, and trends of male factor infertility in Nigeria and South Africa over a period of ten years between 2010 and 2019. Methods:A retrospective study of semen analyses of 17,292 men attending fertility hospitals in Nigeria and South Africa in 2010, 2015 and 2019. Patients who had undergone vasectomy and those who had a pH less than 5 or greater than 10 were excluded from this study. The following variables were assessed: ejaculate volume, sperm concentration, progressive motility, total progressively motile sperm count (TPMSC), total sperm count, and normal sperm morphology Results: Between 2010 and 2019, significant trends of decreasing values were observed in normal sperm morphology (-50%), pro...
A case-control study of risk factors for male infertility in Nigeria
Asian Journal of Andrology, 2005
To evaluate the association between selected potential socio-demographic and behavioral risk factors and infertility in Nigerian men. Methods: There were two groups in this study. One group consisted of 150 men with proven male infertility, and the other consisted of 150 fertile men with normal semen parameters. Both were matched for age, place of residence and key socio-demographic variables. They were compared for sexual history, past medical and surgical history, past exposures to sexually transmitted infections and treatment, past and current use of drugs as well as smoking and alcohol intake history. Results: Infertile men were significantly more likely than fertile men to report having experienced penile discharge, painful micturition and genital ulcers, less likely to seek treatment for these symptoms and more likely to seek treatment with informal sector providers. Multivariate analysis showed that male infertility was significantly associated with bacteria in semen cultures, self-reporting of previous use of traditional medications and moderate to heavy alcohol intake, but not with smoking and occupational types. Conclusion: Infertility is associated with various proxies of sexually transmitted infections (STIs) and poor healthcare-seeking behavior for STIs in Nigerian men. (Asian J Androl 2005 Dec; 7: 351-361)
2012
BACKGROUND: Infertility is a major cause of marital disharmony in Nigeria because of the high premium placed on child bearing. Unfortunately, the blame is on the woman most times. OBJECTIVES: To determine the prevalence, clinical pattern and major causes of infertility based on the clinical and laboratory findings of both partners. METHODOLOGY: This is a descriptive retrospective study of 268 infertility cases that presented at Nnamdi Azikiwe University Teaching Hospital, Nnewi over a five-year period, between January 1, 2005 and December 31, 2009. RESULTS: Of the 1449 patients that presented at the gynaecology clinic, 268 came because of infertility giving a prevalence of 18.5%. The mean age was 39.1±6.0 years .The majority ( 68% )stopped formal education at the secondary level. Seventy-two percent were employed as unskilled workers. 13% admitted the history of alcohol intake while none took tobacco. The mean duration of infertility was 5 years. The more frequent type of infertilit...
Gonadotropins (FSH, LH) and testosterone abnormalities are usually associated with abnormal spermatogenesis. Plasma luteinizing hormone (LH), follicule stimulating hormone (FSH) and testosterone levels were estimated in sixty eight infertile men (age group 20-56 years) of at least 2 years duration of infertility, being a stepping toe into investigating the causes of infertility in the couples and before embarking on more expensive investigating procedures in the female partners. Thirty normal males (age group 27- 46 years) of the same socioeconomic status were selected as control group. Clinical examination was carried out on all the subjects and information about age and history of infertility in the family was obtained. Results showed that 14 (20.6%) of the infertile men were azoospermic, 50 (73.5%) were oligozoospermic and 4 (5.9%) were normospermic. Using the physical factors, 32 physical challenges were observed comprising of 5 (15.6 %) hyhpoplastic testes, 1 (3.1%) testicular ...
Tropical Journal of Obstetrics and Gynaecology, 2018
Infert ility is increasingly beco ming a source of concern among married couples in our environ ment. The contribution of male factor is assuming a tremendous proportion. This study went out to determine the pattern of seminal fluid analysis among male partners who attended infert ility clin ic at a secondary health facility over a-five year period. A-five year retrospective review of infertility register at M ile four hospital between Ju ly 1, 2005 and Ju ly 31, 2010 was undertaken.A total of 776 male partners presented to the infertility clinic during the study period, however, 755 met the inclusion criteria and were recruited for the study. Farmers formed the greatest percentage (34.8%). Lecturers were the least (1.1%). 16.3% had normal sperm parameters. 15.8% had oligospermia. As high as 12.3% had aspermia wh ile azoospermia formed 2.6% of cases. Varicocoele was found in 10.0%. Normospermia was highest in the age b racket 26-30 years (26.8%) and lowest in the age range 51-55 years (4.9%). Abnormal sperm parameters affected all occupation and social class. Male factor is increasingly assuming a significant ro le in the aetiology of infert ility in our environ ment. Male partners should always be evaluated with their female counterparts.
Etiologies of Male Infertility in Dr. Cipto Mangunkusumo Hospital, Jakarta
Indonesian Journal of Obstetrics and Gynecology, 2012
Infertility is defined as the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. 1 It affects about 8-12% of all married couples. 2 Male factor infertility is the primary cause of infertility in approximately 20% of infertile couples, and contributes to 30-40% of both male and female factors. 3 Male factor was the most common cause of infertility (45%) in couples attending primary infertility clinics in Israel. 4 Evaluation of the male partner of an infertile couple should include a thorough medical and reproductive history exploring all aspects that may be related to fertility. Male infertility is generally regarded as a condition that is difficult to treat, especially in the low-economic settings of many developing countries where advanced methods of assisted reproductive technology are not available. In developing countries, patterns of infertility are relatively different from those in developed countries. In general, the incidence of preventable infertility is much higher in developing countries. Since a lot of cases of male infertility are preventable and generally require sophisticated and expensive treatment, prevention of male infertility appears to be one of the priority tasks of infertility programmes in developing countries. 2 Nowadays, there are limited data about etiologies of male infertility in
Seminal fluid analysis of male partners of infertile couples in Abakaliki, Ebonyi State, Nigeria
Tropical Journal of Obstetrics and Gynaecology, 2018
Context: Procreation is one of the greatest desires of every couple, especially in the developing countries like ours. Male infertility is an important but neglected reproductive health issue, and it appears to contribute significantly to infertility in our environment. Aims: The aim of the study is to review the seminal fluid analysis parameters of male partners of infertile couples attending infertility clinic at the Federal Teaching Hospital, Abakaliki (FETHA). Materials and Methods: This was a 5-year retrospective study of male partners of couple attending the infertility clinic in FETHA between January 1, 2012, and December 31, 2016. Case notes of couples managed for infertility were reviewed. Information extracted includes the sociodemographic characteristics, duration of infertility, type of infertility, and seminal fluid analysis results with emphasis on the semen volume, sperm morphology, motility, pH, and the microbacterial isolates. Statistical Analysis: Data were entered into an excel spreadsheet on a personal computer, and statistical analysis was performed using Epi Info 7.2.1 software. Sociodemographic characteristics are presented in frequencies and simple percentages. Means of categorical variables were compared using the Chi-squared test whereas continuous variables were analyzed using Student's t-test. A value of P ≤ 0.05 was considered statistically significant. Assessment of semen analysis was done using the 2010 World Health Organization human values for semen parameters. Results: Case records of 922 couples attending the infertility clinic were retrieved; however, 756 folders had semen analysis results. During the study, the contribution of the male partner to infertility was 41.0%. The mean age of the patients was 40.10 ± 10.23; the modal age was 34 years; and most of the patients were traders. Majority had normospermia 380 (50.3%) whereas 376 (49.7%) had abnormal semen parameters. There was a high level of leukocytospermia (≥80%) in this study, and the predominant organism cultured was Staphylococcus aureus 328 (43.4%). Oligospermia was the most frequent (33.0%) derangement in semen analysis results. The age and duration of the infertility were not significantly related to abnormal semen analysis; however, men who are resident in urban areas, or who consume alcohol or tobacco, and those who were managed for primary infertility had a significant relationship with abnormal semen parameters (P < 0.05). Conclusion: Semen analysis remains an indispensable tool in the overall diagnosis of male infertility in our environment. Men who are resident in the urban areas or consume tobacco/alcoholic beverage had a significant risk of abnormal semen parameters.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
BSTRACT Background: Seminal fluid analysis is essential in the evaluation of the male partner of infertile couple. Available data suggest an increase in male-related factors among infertile couples seeking fertility treatment. Seminal fluid analysis performed using standardized methods can identify several causes of male-factor infertility. The latest World Health Organization (2010) guidelines for the laboratory examination and processing of human semen allows for standardization and identification of the possible causes of male-factor infertility. This study aimed to determine the pattern of seminal fluid analysis of male partners of infertile couple presenting to the fertility (gynaecological and urological) clinics of the Lagos University Teaching Hospital (LUTH). Methods: This was a retrospective study of the semen parameters of male partners of infertile couple that were evaluated at LUTH, from January 2018 to December 2019. The medical records of all male partners of infertile couples who had seminal fluid analysis were reviewed and the relevant seminal fluid parameters were collected using a standardized questionnaire. Results: A total of 604 male partners of couples with infertility sought fertility treatment during the study period. Out of the 604, 502 (83.1%) of the participants had complete seminal fluid result and these data were included in final analysis. The mean (SD) age of subjects was 42.1 (7.7) years. About three-quarter (73.1%) of the subjects have abnormal semen parameters. The most frequent semen abnormality was asthenozoospermia (55.8%) followed by oligozoospermia (39.4%). Conclusions: Male factor is still common cause of infertility among infertile couple seeking treatment in our environment. Keywords: Male infertility, Semen analysis, Infertility, Oligozoospermia, Asthenozoospermia, Nigeria
International Journal of Research in Medical Sciences, 2023
Background: Male infertility is the condition in which a male is unable to establish pregnancy in a fertile woman over 12 months of unprotected sexual intercourse. In this study, the prevalence of male-factor infertility and some associated risk factors in Port Harcourt, Rivers State was carried out. Methods: The study design was a case-controlled randomized one, in which semen specimens were collected from case and control groups randomly amongst males visiting urology/fertility clinics by masturbation after 3 days of abstinence. A total of 276 males indicated interest to participate in study of which 193 male subjects were recruited. Results: The result showed that 20.8% were azoospermic, 27.4% were oligospermic, 23.7% were asthenozoospermic, 27.9% oligoasthenozoospermic, 15.1% teratozoospermic, 19.4% asthenoteratozoospermic, and 12.9% oligoasthenoteratospermic. Furthermore, the microbial quality of the semen assessed indicated the prevalence of scanty, moderate, and heavy growth as 12.5%, 9.3%, and 7.3% respectively. Likewise, organisms isolated and identified were Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, and mixed growth of staphylococcus aureus, and Escherichia coli with a prevalence of 18.2%, 5.6%, 2.0%, 1.04%, and 2.6% respectively. Civil servants had the highest prevalence of 20.8% followed by artisans with 11.9%. The prevalence of primary and secondary infertility was observed to be 30.1% and 18.1% respectively. Conclusions: Male-only factor infertility is on the increase and occupations that are accompanied by prolonged sitting, sedentary work style, or working in or close to high-temperature sources as seen in civil servants and welders (artisans) were observed to be more prone to male-only factor infertility.