Prevalence of Infertility in Women in a Southwestern Nigerian Community

J.O Sule, P Erigbali, L Eruom
In: African Journal of Biomedical Research · 2010 · vol. 11(2) · doi:10.4314/ajbr.v11i2.50716 · W2137125089
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This study assessed infertility in women aged 15-55 in southwestern Nigeria, finding high rates of secondary infertility and common causes including tubal, uterine, and ovarian factors.

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This study assessed the prevalence and causes of infertility among women aged 15 to 55 in four hospital centers in Osun State, Nigeria, analyzing a consecutive sample of 200 cases. The research identified tubal factors as the most common cause at 39.5%, followed by uterine and ovarian factors, while secondary infertility was significantly more prevalent than primary infertility. Endometriosis was noted as one of the least common causes, accounting for only 2.5% of the subjects evaluated in this specific demographic. Relevance to endometriosis: listed as one of the less frequent etiologies for infertility in this Nigerian cohort, though the paper's main focus is on the broader epidemiology of female infertility.

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Abstract

The prevalence and common causes of infertility in women agedbetween 15 and 55 years was assessed in four hospital centers in OsunState, located in the SouthWestern part of Nigeria. A survey of aconsecutive sample of 200 cases of infertility were carried out in fourhospital centers with a total of 50 cases of infertility evaluated in eachof the centers between 2001 – 2003. The incidence of high infertility inwomen was established in all the centers; (Obafemi AwolowoUniversity Teaching Hospital, Ile-Ife), 59.4%, (Obafemi AwolowoUniversity Teaching Hospital, Ilesa), 47.7%, (Ladoke AkintolaUniversity Teaching Hospital, Oshogbo), 54.8% and (General Hospital,Ikire), 44.2%. 77.5% was recorded for a high rate of secondaryInfertility, while Primary Infertility was 22.5%. The commonest causesof infertility in this environment were, the tubal factor, uterine factor,and ovarian factor representing 39.5%, 30% and 13% respectively. Theleast common cause were cervical factor, Pelvic Infection Disease(PID), and endometriosis which was seen in 3%, 5.5% and 2.5% of thesubjects respectively. There was also prevalence of infertility betweenthe ages: 15 – 25 years at the rate of 17%, while 26 – 35 years at therate of 31.5%. The majority of the cases occurred between the ages of36 – 45 at the rate of 50.5% and between 46 – 55 years at the rate 1%.(Afr. J. Biomed. Res. 11: 225 - 227)Key words: Infertility, Pelvic Infection Disease (PID), endometriosis.
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Main Article Content Prevalence of Infertility in Women in a Southwestern Nigerian Community Abstract The prevalence and common causes of infertility in women aged between 15 and 55 years was assessed in four hospital centers in Osun State, located in the SouthWestern part of Nigeria. A survey of a consecutive sample of 200 cases of infertility were carried out in four hospital centers with a total of 50 cases of infertility evaluated in each of the centers between 2001 – 2003. The incidence of high infertility in women was established in all the centers; (Obafemi Awolowo University Teaching Hospital, Ile-Ife), 59.4%, (Obafemi Awolowo University Teaching Hospital, Ilesa), 47.7%, (Ladoke Akintola University Teaching Hospital, Oshogbo), 54.8% and (General Hospital, Ikire), 44.2%. 77.5% was recorded for a high rate of secondary Infertility, while Primary Infertility was 22.5%. The commonest causes of infertility in this environment were, the tubal factor, uterine factor, and ovarian factor representing 39.5%, 30% and 13% respectively. The least common cause were cervical factor, Pelvic Infection Disease (PID), and endometriosis which was seen in 3%, 5.5% and 2.5% of the subjects respectively. There was also prevalence of infertility between the ages: 15 – 25 years at the rate of 17%, while 26 – 35 years at the rate of 31.5%. The majority of the cases occurred between the ages of 36 – 45 at the rate of 50.5% and between 46 – 55 years at the rate 1%. (Afr. J. Biomed. Res. 11: 225 - 227) Key words: Infertility, Pelvic Infection Disease (PID), endometriosis.

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endometriosisinfertility

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