Seminal fluid parameters of male partners of infertile couples seeking care at the Lagos University Teaching Hospital
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20211109Keywords:
Male infertility, Semen analysis, Infertility, Oligozoospermia, Asthenozoospermia, NigeriaAbstract
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.
References
Adeniji RA, Olayemi O, Okunlola MA, Aimakhu CO. Pattern of semen analysis of male partners of infertile couples at the University College Hospital, Ibadan. West Afr J Med. 2003;22(3):243-5.
Jeje EA, Alabia TO, Ojewola RW, Ogunjimi MA. Osunkoya SA. Male infertility: An Audit of 70 cases in a single centre. African Journal of Urol. 2016:22(3);223-6.
Umar AG, Abubakar AP, Mbakwe M, Ahmed Y, Garba JA, Nnadi DC. The Pattern of Seminal Fluid Analysis among Male Partners Attending an Infertility Clinic in a Nigerian Tertiary Health Institution. Open J Obstetr Gynecol. 2020:10;957-67.
Juneja P, Phukan PK, Changmai D. A study of abnormal semen parameters in infertile couples in Assam, India. Int J Reprod Contracept Obstet Gynecol. 2019;8(3):997-1000.
Ngwu M, Omo-Aghoja LO, Adeyinka AT. Pattern of Seminal Fluid Parameters and their Clinical Correlates Amongst Infertile Men in The Niger-Delta Region of Nigeria. Postgraduate Medic J Ghana. 2017:6(2);89-97.
World Health Organization Department of Reproductive Health and Research. World Health Organization Laboratory Manual for the Examination and Processing of Human Semen, 5th ed, World Health Organization, Geneva, Switzerland 2010.
Ajah LO, Ozumba BC, Onoh RC, Ezeonu PO, Iyoke CA, Ezeome IV, Seminal Fluid Features of Male Partners of Infertility Patients in Southeast Nigeria. African J Medic Health Sci. 2016:5(2);85-91.
Nasir AS, Agbo EB, Sani MY, Ali M. Assessment of microbiological quality of semen of male patients with infertility at Murtala Muhammad specialist hospital Kano, Nigeria. MOJ Bioequiv Availab. 2018;5(3):169-73
Nwofor AM, Ugezu AI. The difficulties encountered in the management of male infertility in Nnewi, Nigeria. Niger Med J. 2003;45(1):56-9.
Emokpae MA, Uadia PO, Sadiq NM. Contribution of bacterial infection to male infertility in Nigerians. Online Journal of Health and Allied Sciences. 2009;8(1).
Keck C, Gerber-Schäfer C, Clad A, Wilhelm C, Breckwoldt M. Seminal tract infections: impact on male fertility and treatment options. Human Reproduction Update. 1998;4(6):891-903.
Weidner W, Garbe C, Weissbach L, Harbrecht J, Kleinschmidt K, Schiefer HG, Friedrich HJ. Initial therapy of acute unilateral epididymitis using ofloxacin. I. Clinical and microbiological findings. Der Urologe. Ausg. A. 1990;29(5):272.
Owolabi AT, Fasubaa OB, Ogunniyi SO. Semen quality of male partners of infertile couples in Ile-Ife, Nigeria. Niger J Clin Pract. 2013;16:37-40.
Akinola OI, Fabamwo AO, Rabiu KA, Akinoso OA. Semen quality in male partners of infertile couples in Lagos Nigeria. Int J Trop Med. 2010;5:37-9.
Ugboma HA, Obuna JA, Ugboma EW. Pattern of seminal fluid analysis among infertile couples in a secondary health facility in South-Eastern Nigeria. Res Obstet Gynecol. 2012;1:15-8.
Xie D, Klopukh B, Nehrenz GM, Gheiler E. Aspermia: A Review of Etiology and Treatment. Int Arch Urol Complic. 2017;3:023;1-8.