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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

A Publication Of Nigeria Medical Association Bayelsa State Branch

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Archive | ISSUE: , Volume: Jan-Mar-2024

THE PATTERN OF SEMINAL FLUID ABNORMALITIES AMONG MALE PARTNERS OF INFERTILE COUPLES IN UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL (UPTH) PORT HARCOURT A ONE YEAR REVIEW


Author:Okpani CP, Wonu M

published date:2024-Apr-29

FULL TEXT in - | page 42 - 51

Abstract

Background: Male infertility is an important but neglected reproductive health issue contributing significantly to infertility in Sub Saharan Africa. Semen analysis has remained an objective means of assessing male factor infertility, however there are limited studies assessing this using the latest World Health Organization Values.

Objective: This study was aimed at determining the pattern of seminal fluid abnormality among male partners of infertile couples in University of Port Harcourt Teaching hospital.

Materials and Methods: This was one-year retrospective study of male partners of infertile couple attending the infertility clinic in UPTH between January 1st to December 31st, 2019. Case records of couples managed for infertility were retrieved, and information collected on socio-demographic characteristics, duration and type of infertility and seminal fluid analysis results with emphasis on the semen volume, sperm count, morphology and motility. Data was analyzed with Statistical Package for the Social Sciences (SPSS) version 25.0. Descriptive statistics and post-Hoc test for ANOVA and Chi-square test were used to test for statistical significance, with a probability level of p< 0.05 considered as statistically significant.

Result: A total of 110 semen analysis results were analyzed, 98 (89.09%) had abnormal parameters ranging from abnormal motility 86 (78.18%) to the combination of low sperm count, abnormal motility and morphology (10.00%). Asthenozoospermia was dominant when compared to other seminal fluid abnormalities (p-value <0.05) and teratozoospermia is significant between the age range of 51 to 60 years (P-value<0.05%).

Conclusion: This study has revealed Asthenozoospermia as the most common form of seminal fluid abnormality in UPTH and age has a significant association with abnormal semen parameters. Male factor infertility contributes significantly to infertility cases in our environment. This underscores the need for evaluation of male partners in every infertility workup.

Keywords: Abnormal semen patterns, Infertile couples, Male partners, Seminal fluid analysis, WHO 2021 reference values

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