Prevalence of abnormal seminal fluid and associated factors among patients attending fertility clinics in Osogbo: a cross-sectional study
Background: Infertility is a global health issue affecting millions of couples worldwide. In Nigeria, the prevalence of infertility is particularly high, underscoring the need for a better understanding of the factors contributing to male infertility, with Seminal Fluid Analysis (SFA) being a cr...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2025-03-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20250328-510/pdf/JOMH2024080905.pdf |
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| Summary: | Background: Infertility is a global health issue affecting millions of
couples worldwide. In Nigeria, the prevalence of infertility is particularly
high, underscoring the need for a better understanding of the factors
contributing to male infertility, with Seminal Fluid Analysis (SFA) being a
critical diagnostic tool. This study aimed to assess the prevalence of abnormal
seminal fluid and its associated factors among patients attending fertility
clinics in Osogbo, Nigeria. Methods: A descriptive cross-sectional study
design was used among male patients attending fertility centers in Osogbo, Osun
State. Fisher’s formula (n = z2pq/d2) was
used to determine the sample size, and 305 respondents were selected using a
multistage sampling technique. A pre-tested questionnaire was used to collect
data from respondents, and those who consented to participate underwent SFA. Data
were analyzed using IBM Statistical Product for Service Solution (SPSS) version
27. Descriptive statistics were performed for all variables, while bivariate and
multivariate analyses were conducted at a significance level of p <
0.05. Results: The majority of the respondents, 257 (84.3%),
had at least one abnormality in their seminal fluid. Multiple regression analysis
revealed that habitual drunkards were approximately five times more likely to
have at least one abnormality in their seminal fluid (Odd’s ratio (OR): 4.990,
p: 0.004, Confidence Interval (CI): 1.688–14.749), while smokers were
three times more likely to have at least one abnormality in their seminal fluid
(p = 0.005, OR = 3.300 and CI = 1.396–4.273). Additionally, respondents
with a history of sexually transmitted infections were 3.5 times more likely to
have at least one abnormality in their seminal fluid (p = 0.039, OR =
3.595 and CI = 1.072–14.146). Conclusions: This study observed
a high prevalence of abnormal seminal fluid, which was significantly associated
with lifestyle habits such as smoking and alcohol consumption, as well as a
history of sexually transmitted infection. |
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| ISSN: | 1875-6867 1875-6859 |