Clinical Presentation of Infertility in Mkar-Gboko, North-Central Nigeria

Karshima, Jonathan A; Pam, VC; Shambe, IH; Anyaka, Charles U.; Reich, Michael

doi:10.18488/journal.9/2016.3.2/9.2.24.30

Cited by 2 publications

(3 citation statements)

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“…This prevalence is lower than 71.9% and 61.8% reported in Mkar-Gboko and Bauchi respectively. The lower prevalence in this study can be attributable to a high number of cases of untreated and poorly treated pelvic inflammatory disease in the areas with a higher prevalence [23][24][25]36]. The age range of women with secondary infertility in this study is comparable to that seen in other studies globally [28][29][30][31].…”

Section: Discussionsupporting

confidence: 53%

“…A prevalence of secondary infertility of 71.9% in Mkar-Gboko North central Nigeria, which was attributed to high cases of untreated and poorly treated pelvic inflammatory disease is similar to 61.8% in Bauchi [23][24][25]. These prevalence figures are higher than 48.1% from Oshogbo, 26.8% from Lagos and 15.7% from Sokoto northwest Nigeria [26].…”

Section: Introductionmentioning

confidence: 94%

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Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

Oranu

Oyiana

2021

AJMAH

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Background: Secondary Infertility is viewed as a social stigma, especially in Nigeria, due to the high premium placed on procreation. Observation suggests that this condition is on the increase in our environment. Hence, the need to determine the pattern and the relationship between the socio-demographic factors with infective causes of this condition; which will subsequently allow the tailoring of the individual investigation and subsequent treatment. Objective: To determine the prevalence and pattern as well as the relationship between the socio-demographic factors with infective causes of secondary infertility among women who attended the gynaecological clinic of the University of Port Harcourt Teaching Hospital (UPTH) between January 2012 and December 2016 Methods: This is a retrospective descriptive study design, based on findings from the folders, admission and outpatient registers, of infertile couples presenting at the gynaecology clinic of the University of Port Harcourt Teaching Hospital, over a five-year period (January 2012 – December 2016). Data were collected from all documented and laboratory findings. The data extracted from the case records were the socio-demographic characteristics of the patient, the duration of infertility as well as the causes. They were analyzed using SPSS version 20. Results: The mean age of women was 33.14±4.93 years. The prevalence of secondary infertility was 12% of all outpatient gynaecological consultation. The mean duration of secondary infertility was 3 years. The infective causes of secondary infertility [recurrent pelvic inflammatory disease(PID), sexually transmitted infections(STI), post abortal sepsis, puerperal sepsis, HIV/AIDS, mumps orchitis were commoner among the 31-40 years’ category, (45.8%), the infective causes were also commoner among women with primary level of education, (62.5%, p-value=0.001) as well as women who were self-employed (49%, p-value=0.041). Recurrent pelvic inflammatory disease was identified in majority of cases (37.1%). Abnormal semen analysis, hyper-prolactinaemia and uterine fibroid, also contributed significantly to infertility; 18.5%, 19.7% and 24.3% respectively. Conclusion: Infective causes are at the root cause of secondary infertility; the more educated the couple, the higher their socioeconomic status, the lesser the impact of infection on secondary infertility.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 94%

Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

Oranu

Oyiana

2021

AJMAH

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“…5 The literature is awash with women 60 years and older (the oldest 73 years) carrying pregnancies and delivering. 6,7 Women with infertility could experience a myriad of comorbidities that might be gynaecological, medical, and surgical or the sequel of therapeutic interventions. The comorbidity defined as the presence of one or more additional conditions often cooccurring with the primary disease of interest describes the effect of all other conditions an individual patient might have other than the prime condition, and this can be physiological, psychological or economic.…”

Section: Introductionmentioning

confidence: 99%

Comorbidities among infertile women at NKST hospital Mkar-Gboko, North-Central Nigeria

Karshima

Pam

Anyaka

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility, a common, non-fatal ailment, is sometimes associated with substantial comorbidity that can add adverse outcomes during treatment or pregnancy and increase costs of care. This study aims to assess the magnitude and pattern of comorbidities in infertile Nigerian women.Method: This descriptive retrospective study was undertaken at NKST Hospital Mkar-Gboko, Nigeria, from 1st January 2005 to 31st July 2013. Clinic records of patients who attended the gynaecological outreach clinic were retrieved and analyzed using descriptive statistics and test of associations with Microsoft Excel 2013. Jos University Teaching Hospital gave ethical clearance.Results: 1,926 women seen during the study period, 1030 (53.5%) presented for infertility care. 941 (91.4%) women had complete records, among them, 476 (50.5%) met the inclusion criteria, and their records were analyzed. The mean age of the women was 32.6±6.0 years with a range of 20 to 53 years, see Table1. There were 52 comorbid conditions among the 476 women. The comorbidities included uterine myoma, previous appendectomy/pelvic surgeries, genital tract infections/retroviral disease, hypertension, obesity and diabetes, among others, see Table 4. Table 2 and 3 shows there is a significant statistical association between comorbidity type, age, parity, duration of infertility and symptoms complex between infertile women and comorbidities (p<0.05).Conclusion: Comorbidities that can influence treatment and pregnancy outcomes are common among infertile women in central Nigeria. This finding strongly supports the routine assessment of women for comorbidities during infertility care for appropriate multidisciplinary management and counselling.

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Clinical Presentation of Infertility in Mkar-Gboko, North-Central Nigeria

Cited by 2 publications

References 7 publications

Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

Comorbidities among infertile women at NKST hospital Mkar-Gboko, North-Central Nigeria

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