- Olajide Lukeman Oyetunji, Abdulfattah Mohamed Lawal, Anas Funtua Rabiu, Ojonigwu Dadi Atabo-Peter, Matazu Abubakar Kabir
- DOI: 10.5281/zenodo.19006577
- GAS Journal of Clinical Medicine and Medical Research (GASJCMMR)
Background:
Infertility is a global public health problem with a growing burden in
sub-Saharan Africa. The distribution of infertility varies across regions, with
tubal factor infertility reported from previous studies as the leading cause in
Nigeria. With the advent of newer reproductive technologies, significant
progress has been made in the management of infertility over the past few
decades. Despite these advances, there remains a paucity of data on infertility
care in developing countries.
Objective:
To determine the distribution and management of infertility at the Federal
Teaching Hospital, Katsina.
Methods: This was a
retrospective descriptive cross-sectional study of infertility cases managed at
the Federal Teaching Hospital (FTH), Katsina, between 1 January 2020 and 31
December 2024. Data on socio-demographic characteristics, types and causes of
infertility, duration, care received, and treatment outcomes were extracted
from the hospital’s Electronic Health Records, entered into a personal computer
and analysed using the Statistical Package for Social Sciences (SPSS) version
26 for Windows. Results were depicted using descriptive statistics.
Results: The prevalence of
infertility in this study was 8.9%, with primary infertility accounting for
4.7% of this prevalence and secondary infertility 4.2%. The mean age of the
patients was 31.7 ± 6.4 years. The majority of the patients (74.6%) were not
gainfully employed, and most (57.1%) were nulliparous. A larger proportion of
the cases (59.3%) had prolonged infertility of ≥ 5 years. Anovulation was the
leading cause of infertility, accounting for 35.0% of cases. Most patients
(65.5%) received treatment within the facility, and 29.3% of the treated
patients achieved pregnancy.
Conclusion: There was relatively low prevalence of infertility in our setting. There appears to be a shift toward primary infertility and anovulatory causes. Approximately one-third of the patients who received treatment achieved pregnancy
