Sociocultural impediments to male factor infertility evaluation in rural South-east Nigeria

Umeora, Ouj; Ejikeme, B N; Sunday-Adeoye, Ileogben; Umeora, M. C.

doi:10.1080/01443610802044908

Cited by 19 publications

(22 citation statements)

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“…The prevalence rate of male infertility in Nigeria is high, ranging from 20% to 25% (Anate & Akeredolu, ; Borokini, Clement, Dickson, & Edagbo, ; Nwabuisi & Onile, ). Institution‐based incidence of male infertility recently reported from some parts of Nigeria is 4.0%, 11.2% and 48.1% from llorin (north central), Abakaliki (south‐east) and Oshogbo (south‐west) respectively (Abiodun, Balogun, & Fawole, ; Adeyemi, Adekunle, & Afolabi, ; Umeora, Ejikeme, Sunday‐Adeoye, & Umeora, ). Owolabi, Fasubaa, and Ogunbiyi () noted a high rate of abnormal semen quality of male partners of infertile couples in Ile‐Ife, Osun State.…”

Section: Introductionmentioning

confidence: 99%

Ethanol-induced male infertility: Effects of aqueous leaf extract ofTetracarpidium conophorum

et al. 2017

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This study investigated the effects of Tetracarpidium conophorum leaf extract on infertility induced by ethanol in male rats. Thirty rats were randomly divided into six groups of five animals each: Group 1 (positive control) received 0.9% saline only; Group 2 (ethanol alone) were given only 30% ethanol orally at 7 ml/kg body weight per day, thrice in a week; groups 3, 4 and 5 were given ethanol and co-treated with 50, 500 and 1,000 mg/kg body weight of leaf extract, respectively, while Group 6 was given ethanol and co-treated with a fertility drug, clomiphene citrate. Ethanol treatment resulted in significant (p < .05) decrease in LDH activity, G-6PDH activity, glycogen content, 3β and 17β HSD activities and testicular and epididymal Zn and Se contents and furthermore decrease in testicular sperm count, viability and marked increment in total sperm abnormalities, rate of sperm analysis parameters and consequently decreased reproductive hormone levels. Interestingly, co-administration of ethanol with either T. conophorum extract or drug almost ameliorated the toxic assault imposed by ethanol on reproductive organs and improved seminal qualities of the rats.

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Section: Introductionmentioning

confidence: 99%

Ethanol-induced male infertility: Effects of aqueous leaf extract ofTetracarpidium conophorum

et al. 2017

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“…The limited understanding of the mechanisms of human reproduction among people in these countries means that women are frequently held responsible for infertility and bear the social costs when conception does not occur and children are not born. 52 Umeora et al 53 found that, of 138 female consultations for infertility, only 63% of patients' husbands were ultimately prepared to attend the clinic. Of these, 17.5% were 'very reluctant and required much persuasion to undergo seminal fluid evaluation' and 12.6% refused.…”

Section: Psychological Reactions To Infertility Diagnosesmentioning

confidence: 99%

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Fisher¹,

Hammarberg²

2011

Asian J Androl

182

162

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Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology (ART) treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.

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“…In some parts of this belt, infertility is said to constitute up to 65% of gynecological consultations [10]. Institution based incidence of infertility recently reported from some parts of Nigeria are: 4.0% [11], 11.2% [12] and 48.1% [13] respectively from llorin (North central), Abakaliki (south-east) and Oshogbo (South west).…”

Section: Introductionmentioning

confidence: 99%

“…While primary infertility is higher in other regions of the world, secondary infertility is more common in Africa [3]. In sub-Saharan Africa, pelvic infections largely constitute the cause of infertility in several places [9][10][11][12][13]. These stem from sexually transmitted diseases, post abortion and post-delivery complications.…”

Section: Introductionmentioning

confidence: 99%

Patterns and Management Challenges of Infertility in a LowResource Setting: A Prospective Cohort Study

2019

ARC Journal of Gynecology and Obstetrics

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However, the incidence varies from one region of the world to the other, being highest in the socalled infertility belt Abstract Objectives: To determine patterns and treatment outcomes of infertility among couples presenting with infertility in low-resource setting.Methods: A prospective cohort study of infertile women managed at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria over a one-year period. Couples were followed up for a minimum of one year. Primary outcome measures were type/cause of infertility and conception rate. Univariate logistic regression was used to analyze data. Statistical significance was accepted when P-value is <0.05.Results: During the study, 126 of 419 new patients managed were cases of infertility, giving an incidence of 30.1%. Mean duration of infertility was 4.1±3.9years. The ratio of primary to secondary infertility was 1:3, and maternal age, socio-economic status and infertility duration did not significantly influence the type of infertility (p>0.05). Up to 55.6% (70/126) women had prior usage of herbal concoctions for infertility and was significantly influenced by infertility duration (p<0.001). Conception rate was significantly more following ovulation factor infertility (p< 0.001). Up to 29.3% of couples achieved pregnancy within one-year follow-up. Conclusion:The ratio of primary to secondary infertility was 1:3. Women with secondary infertility had significantly more conception rate. Overall, conception rate of 29.3% were achieved within one year of follow-up.

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Sociocultural impediments to male factor infertility evaluation in rural South-east Nigeria

Cited by 19 publications

References 1 publication

Ethanol-induced male infertility: Effects of aqueous leaf extract ofTetracarpidium conophorum

Ethanol-induced male infertility: Effects of aqueous leaf extract ofTetracarpidium conophorum

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Patterns and Management Challenges of Infertility in a LowResource Setting: A Prospective Cohort Study

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