The prevalence and clinical pattern of infertility in Bauchi, northern Nigeria
Context: Infertility is a common condition and is now viewed as a global reproductive health issue. The causes of infertility vary widely, both among and within countries.
Objectives: To describe the magnitude, pattern, aetiology, outcome of infertility and its associated factors in Bauchi, northern Nigeria.
Methods: This was a prospective study of a cohort of infertile women who were recruited at the gynaecological clinics of ATBUTH and FMC, Azare, all in Bauchi State between July 2013 and June 2014. They were followed up till December 2014. A structured form was used to collect relevant clinical information on each participant's clinical presentation and outcome of management. Data were analysed by descriptive and inferential statistics using SPSS version 20.
Results: There were a total of 1850 new gynaecological cases out of which 443 were infertility cases. This gives a prevalence of infertility of 23.9% in the clinics. Of the 406 enrolled infertile women, 155 (38.2%) had primary infertility while 251 (61.8%) had secondary infertility. Tubal factor was the predominant cause accounting for 167 (46.1%) of infertility cases among the women. Women with a history of vaginal discharge, puerperal sepsis, induced abortion and pelvic surgery were more likely to have tubal factor infertility.
Conclusion: Infertility is a common presentation in the clinics and the secondary type is predominant in this setting. The cause of infertility most commonly identified in the studied population was tubal factor and its best option of treatment is not available in the study area.
Keywords: Infertility, Prevalence, Women, Nigeria
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