Male infertility in Nigeria: A neglected reproductive health issue requiring attention

Abstract

Even though infertility is not lethal, it has been described as a radical life changing problem that carries with it significant psychological trauma. Male factor infertility is responsible for about 40-50% of all infertility cases. Despite its high prevalence in Nigeria, not much effort has been made at tackling the problem. The impact of male factor infertility is likely to increase if adequate measures are not taken. This paper reviews the main factors that are responsible for the problem and also highlights the need to focus on prevention and management; how those affected could be assisted by government, agencies and the private sector. Internet search of studies on male infertility was done, and those relevant for this study were reviewed. The major causes of infertility in Nigeria are sexually transmitted infections and hormonal abnormalities. Effort should be made in arriving at a proper diagnosis, and adequate treatment given where causes are treatable. Otherwise the patients should be adequately counseled. In irreversible cases, assisted reproductive techniques may be suggested. This procedure as at now is beyond the reach of the average Nigerian citizen. Centers, where such facilities are available, may be subsidized by the government to reduce the cost.

Evidence-based assessment of male-only infertility: prevalence and associated risk factors in Port Harcourt metropolis, Rivers State, Nigeria

“…Our findings are in accordance with the report of Uadia et al Uadia et al, reported a prevalence of 42.6% as cases of male factor infertility in Southern Nigeria. 19,22 In addition, our findings regarding oligospermic status are similar to the reports of Anaezichukwuolu and Odunvbun et al, who reported a prevalence of the 22.8% and 25% as infertile males with oligozoospermic status in Edo as well as the Delta State respectively. 21,23 However, the reports of the Anaezichukwuolu concerning the prevalence of the oligozoospermic subjects of 11% contradicts our findings of 27.4% as observed in our study.…”

Heavy Metals in Soils and Road Dusts in Akure City, Southwest Nigeria: Ecological and Health Risks

“…It can also affect men's fertility by causing sperm destruction (Uadia and Empkpae, 2015). According to Uadia and Emokpae (2015), between 40 percent to 50 percent of Nigerian men are infertile. Children's learning ability may be harmed and their behavior may be disrupted as a result of high Pb levels in the environment (Lennetech, 2021c).…”

Association Between Urinary Parabens and Sperm Quality in Nigerian Men: A Case–Control Study

“…Nigeria has a high rate of male infertility, 16 , 17 and exposure to parabens in the African continent. 14 , 18 Parabens are mostly obtained and contaminate humans through makeup, moisturizers, hair care products, and shaving creams.…”