Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia

Rehima Abdisa; Hussen Nemo; Lemlem Kebede; Legese Lemma; Chala Diriba

doi:doi:10.11648/j.ajls.20221001.12

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Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia

Rehima Abdisa, Hussen Nemo, Lemlem Kebede, Legese Lemma, Chala Diriba

Published in American Journal of Life Sciences (Volume 10, Issue 1)

Received: 14 February 2022 Accepted: 10 March 2022 Published: 23 March 2022

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Abstract

Primary infertility is denoted for those women who have not been conceived previously. There are many biological causes of infertility such as ovulatory factors, utero-tubal peritoneal factor, semen migration factor and the male factor respectively. However, comprehensive epidemiological studies on the risk factors for primary infertility are not well documented in Ethiopia in particular current study area so far. Therefore the objective of this study was to assess determinants of primary infertility and outcome among married women attending obstetrics and gynecology specialty centers at Adama Town, Oromia, Ethiopia, 2020. Methods: Institution based unmatched case control study was conducted from November 16 to December 30, 2020. A sample of 178 married women with 1:2 ratio (59: cases and 119; controls) who attended obstetrics and gynecology clinic at Adama Town were included in the study by stratified random sampling technique. Data were collected using structured interview-administered questionnaire. Then data were entered in to Epi-Info version 7 then exported to SPSS version 24 for processing and analysis. To identify determinants of primary infertility, binary logistic regression model was used. In final fitted regression model a p-value of less than 0.05 was considered to declare significance of association. Result: A total of 178 participants (59 cases and 119 controls) were included in the study making a response rate of 100%. A significant determinants of primary infertility in this study were: Rural residence [AOR]: 27.95 (7.0, 111)], Husband Engaged in High Temperature Occupation [AOR]: 18.86 (3.8, 93.4)], eating diet enriched with saturated fat [AOR]: 10.97 (3, 40.1)], not undergoing adequate sex [AOR]: 0.120 (0.03, 0.57)], Menstruation flow greater than 3 days [AOR]: 4.4 (1.17, 16.6)], Ever use contraceptives [AOR]: 0.146 (0.05, 0.405)] and Chronic pelvic pain [AOR]: 18.7 (3.6, 94)]. More than one third of cases (33.9%) reported that perceived causes of infertility were punishment from God/Allah. Conclusion and recommendation: Being Rural residence, husband engaged in high temperature occupation, eating diet enriched with saturated fat, not undergoing adequate sex, Menstruation flow greater than 3 days, Ever used contraceptives and Chronic pelvic pain were identiﬁed as determinants of women’s primary infertility. Therefore we recommend all married women to take treatment of any gynecological diseases like pelvic inflammatory disease.

Published in	American Journal of Life Sciences (Volume 10, Issue 1)
DOI	10.11648/j.ajls.20221001.12
Page(s)	10-20
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Primary Infertility, Married Women, Adama Town, Ethiopia

References

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APA Style

Rehima Abdisa, Hussen Nemo, Lemlem Kebede, Legese Lemma, Chala Diriba. (2022). Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. American Journal of Life Sciences, 10(1), 10-20. https://doi.org/10.11648/j.ajls.20221001.12

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ACS Style

Rehima Abdisa; Hussen Nemo; Lemlem Kebede; Legese Lemma; Chala Diriba. Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. Am. J. Life Sci. 2022, 10(1), 10-20. doi: 10.11648/j.ajls.20221001.12

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AMA Style

Rehima Abdisa, Hussen Nemo, Lemlem Kebede, Legese Lemma, Chala Diriba. Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. Am J Life Sci. 2022;10(1):10-20. doi: 10.11648/j.ajls.20221001.12

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@article{10.11648/j.ajls.20221001.12,
  author = {Rehima Abdisa and Hussen Nemo and Lemlem Kebede and Legese Lemma and Chala Diriba},
  title = {Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia},
  journal = {American Journal of Life Sciences},
  volume = {10},
  number = {1},
  pages = {10-20},
  doi = {10.11648/j.ajls.20221001.12},
  url = {https://doi.org/10.11648/j.ajls.20221001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajls.20221001.12},
  abstract = {Primary infertility is denoted for those women who have not been conceived previously. There are many biological causes of infertility such as ovulatory factors, utero-tubal peritoneal factor, semen migration factor and the male factor respectively. However, comprehensive epidemiological studies on the risk factors for primary infertility are not well documented in Ethiopia in particular current study area so far. Therefore the objective of this study was to assess determinants of primary infertility and outcome among married women attending obstetrics and gynecology specialty centers at Adama Town, Oromia, Ethiopia, 2020. Methods: Institution based unmatched case control study was conducted from November 16 to December 30, 2020. A sample of 178 married women with 1:2 ratio (59: cases and 119; controls) who attended obstetrics and gynecology clinic at Adama Town were included in the study by stratified random sampling technique. Data were collected using structured interview-administered questionnaire. Then data were entered in to Epi-Info version 7 then exported to SPSS version 24 for processing and analysis. To identify determinants of primary infertility, binary logistic regression model was used. In final fitted regression model a p-value of less than 0.05 was considered to declare significance of association. Result: A total of 178 participants (59 cases and 119 controls) were included in the study making a response rate of 100%. A significant determinants of primary infertility in this study were: Rural residence [AOR]: 27.95 (7.0, 111)], Husband Engaged in High Temperature Occupation [AOR]: 18.86 (3.8, 93.4)], eating diet enriched with saturated fat [AOR]: 10.97 (3, 40.1)], not undergoing adequate sex [AOR]: 0.120 (0.03, 0.57)], Menstruation flow greater than 3 days [AOR]: 4.4 (1.17, 16.6)], Ever use contraceptives [AOR]: 0.146 (0.05, 0.405)] and Chronic pelvic pain [AOR]: 18.7 (3.6, 94)]. More than one third of cases (33.9%) reported that perceived causes of infertility were punishment from God/Allah. Conclusion and recommendation: Being Rural residence, husband engaged in high temperature occupation, eating diet enriched with saturated fat, not undergoing adequate sex, Menstruation flow greater than 3 days, Ever used contraceptives and Chronic pelvic pain were identiﬁed as determinants of women’s primary infertility. Therefore we recommend all married women to take treatment of any gynecological diseases like pelvic inflammatory disease.},
 year = {2022}
}

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TY  - JOUR
T1  - Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia
AU  - Rehima Abdisa
AU  - Hussen Nemo
AU  - Lemlem Kebede
AU  - Legese Lemma
AU  - Chala Diriba
Y1  - 2022/03/23
PY  - 2022
N1  - https://doi.org/10.11648/j.ajls.20221001.12
DO  - 10.11648/j.ajls.20221001.12
T2  - American Journal of Life Sciences
JF  - American Journal of Life Sciences
JO  - American Journal of Life Sciences
SP  - 10
EP  - 20
PB  - Science Publishing Group
SN  - 2328-5737
UR  - https://doi.org/10.11648/j.ajls.20221001.12
AB  - Primary infertility is denoted for those women who have not been conceived previously. There are many biological causes of infertility such as ovulatory factors, utero-tubal peritoneal factor, semen migration factor and the male factor respectively. However, comprehensive epidemiological studies on the risk factors for primary infertility are not well documented in Ethiopia in particular current study area so far. Therefore the objective of this study was to assess determinants of primary infertility and outcome among married women attending obstetrics and gynecology specialty centers at Adama Town, Oromia, Ethiopia, 2020. Methods: Institution based unmatched case control study was conducted from November 16 to December 30, 2020. A sample of 178 married women with 1:2 ratio (59: cases and 119; controls) who attended obstetrics and gynecology clinic at Adama Town were included in the study by stratified random sampling technique. Data were collected using structured interview-administered questionnaire. Then data were entered in to Epi-Info version 7 then exported to SPSS version 24 for processing and analysis. To identify determinants of primary infertility, binary logistic regression model was used. In final fitted regression model a p-value of less than 0.05 was considered to declare significance of association. Result: A total of 178 participants (59 cases and 119 controls) were included in the study making a response rate of 100%. A significant determinants of primary infertility in this study were: Rural residence [AOR]: 27.95 (7.0, 111)], Husband Engaged in High Temperature Occupation [AOR]: 18.86 (3.8, 93.4)], eating diet enriched with saturated fat [AOR]: 10.97 (3, 40.1)], not undergoing adequate sex [AOR]: 0.120 (0.03, 0.57)], Menstruation flow greater than 3 days [AOR]: 4.4 (1.17, 16.6)], Ever use contraceptives [AOR]: 0.146 (0.05, 0.405)] and Chronic pelvic pain [AOR]: 18.7 (3.6, 94)]. More than one third of cases (33.9%) reported that perceived causes of infertility were punishment from God/Allah. Conclusion and recommendation: Being Rural residence, husband engaged in high temperature occupation, eating diet enriched with saturated fat, not undergoing adequate sex, Menstruation flow greater than 3 days, Ever used contraceptives and Chronic pelvic pain were identiﬁed as determinants of women’s primary infertility. Therefore we recommend all married women to take treatment of any gynecological diseases like pelvic inflammatory disease.
VL  - 10
IS  - 1
ER  -

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Author Information

Rehima Abdisa

Department of Maternal Health, Rift Valley Hospital, Adama, Ethiopia
Hussen Nemo

Department of Reproductive Health, Adama General Hospital and Medical College, Adama, Ethiopia
Lemlem Kebede

Department of HIV/AIDS Prevention and Control Office, Adama Science and Technology University, Adama, Ethiopia
Legese Lemma

Department of Medical Laboratory, Adama Science & Technology University, Adama, Ethiopia
Chala Diriba

Department of Higher Health Center, Adama Science & Technology University, Adama, Ethiopia

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Rehima Abdisa, Hussen Nemo, Lemlem Kebede, Legese Lemma, Chala Diriba. (2022). Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. American Journal of Life Sciences, 10(1), 10-20. https://doi.org/10.11648/j.ajls.20221001.12

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Rehima Abdisa; Hussen Nemo; Lemlem Kebede; Legese Lemma; Chala Diriba. Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. Am. J. Life Sci. 2022, 10(1), 10-20. doi: 10.11648/j.ajls.20221001.12

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AMA Style

Rehima Abdisa, Hussen Nemo, Lemlem Kebede, Legese Lemma, Chala Diriba. Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia. Am J Life Sci. 2022;10(1):10-20. doi: 10.11648/j.ajls.20221001.12

Copy | Download

@article{10.11648/j.ajls.20221001.12,
  author = {Rehima Abdisa and Hussen Nemo and Lemlem Kebede and Legese Lemma and Chala Diriba},
  title = {Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia},
  journal = {American Journal of Life Sciences},
  volume = {10},
  number = {1},
  pages = {10-20},
  doi = {10.11648/j.ajls.20221001.12},
  url = {https://doi.org/10.11648/j.ajls.20221001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajls.20221001.12},
  abstract = {Primary infertility is denoted for those women who have not been conceived previously. There are many biological causes of infertility such as ovulatory factors, utero-tubal peritoneal factor, semen migration factor and the male factor respectively. However, comprehensive epidemiological studies on the risk factors for primary infertility are not well documented in Ethiopia in particular current study area so far. Therefore the objective of this study was to assess determinants of primary infertility and outcome among married women attending obstetrics and gynecology specialty centers at Adama Town, Oromia, Ethiopia, 2020. Methods: Institution based unmatched case control study was conducted from November 16 to December 30, 2020. A sample of 178 married women with 1:2 ratio (59: cases and 119; controls) who attended obstetrics and gynecology clinic at Adama Town were included in the study by stratified random sampling technique. Data were collected using structured interview-administered questionnaire. Then data were entered in to Epi-Info version 7 then exported to SPSS version 24 for processing and analysis. To identify determinants of primary infertility, binary logistic regression model was used. In final fitted regression model a p-value of less than 0.05 was considered to declare significance of association. Result: A total of 178 participants (59 cases and 119 controls) were included in the study making a response rate of 100%. A significant determinants of primary infertility in this study were: Rural residence [AOR]: 27.95 (7.0, 111)], Husband Engaged in High Temperature Occupation [AOR]: 18.86 (3.8, 93.4)], eating diet enriched with saturated fat [AOR]: 10.97 (3, 40.1)], not undergoing adequate sex [AOR]: 0.120 (0.03, 0.57)], Menstruation flow greater than 3 days [AOR]: 4.4 (1.17, 16.6)], Ever use contraceptives [AOR]: 0.146 (0.05, 0.405)] and Chronic pelvic pain [AOR]: 18.7 (3.6, 94)]. More than one third of cases (33.9%) reported that perceived causes of infertility were punishment from God/Allah. Conclusion and recommendation: Being Rural residence, husband engaged in high temperature occupation, eating diet enriched with saturated fat, not undergoing adequate sex, Menstruation flow greater than 3 days, Ever used contraceptives and Chronic pelvic pain were identiﬁed as determinants of women’s primary infertility. Therefore we recommend all married women to take treatment of any gynecological diseases like pelvic inflammatory disease.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Determinants of Primary Infertility Among Married Women Attending Obstetrics and Gynecology Speciality Centers at Adama Town, Oromia, Ethiopia
AU  - Rehima Abdisa
AU  - Hussen Nemo
AU  - Lemlem Kebede
AU  - Legese Lemma
AU  - Chala Diriba
Y1  - 2022/03/23
PY  - 2022
N1  - https://doi.org/10.11648/j.ajls.20221001.12
DO  - 10.11648/j.ajls.20221001.12
T2  - American Journal of Life Sciences
JF  - American Journal of Life Sciences
JO  - American Journal of Life Sciences
SP  - 10
EP  - 20
PB  - Science Publishing Group
SN  - 2328-5737
UR  - https://doi.org/10.11648/j.ajls.20221001.12
AB  - Primary infertility is denoted for those women who have not been conceived previously. There are many biological causes of infertility such as ovulatory factors, utero-tubal peritoneal factor, semen migration factor and the male factor respectively. However, comprehensive epidemiological studies on the risk factors for primary infertility are not well documented in Ethiopia in particular current study area so far. Therefore the objective of this study was to assess determinants of primary infertility and outcome among married women attending obstetrics and gynecology specialty centers at Adama Town, Oromia, Ethiopia, 2020. Methods: Institution based unmatched case control study was conducted from November 16 to December 30, 2020. A sample of 178 married women with 1:2 ratio (59: cases and 119; controls) who attended obstetrics and gynecology clinic at Adama Town were included in the study by stratified random sampling technique. Data were collected using structured interview-administered questionnaire. Then data were entered in to Epi-Info version 7 then exported to SPSS version 24 for processing and analysis. To identify determinants of primary infertility, binary logistic regression model was used. In final fitted regression model a p-value of less than 0.05 was considered to declare significance of association. Result: A total of 178 participants (59 cases and 119 controls) were included in the study making a response rate of 100%. A significant determinants of primary infertility in this study were: Rural residence [AOR]: 27.95 (7.0, 111)], Husband Engaged in High Temperature Occupation [AOR]: 18.86 (3.8, 93.4)], eating diet enriched with saturated fat [AOR]: 10.97 (3, 40.1)], not undergoing adequate sex [AOR]: 0.120 (0.03, 0.57)], Menstruation flow greater than 3 days [AOR]: 4.4 (1.17, 16.6)], Ever use contraceptives [AOR]: 0.146 (0.05, 0.405)] and Chronic pelvic pain [AOR]: 18.7 (3.6, 94)]. More than one third of cases (33.9%) reported that perceived causes of infertility were punishment from God/Allah. Conclusion and recommendation: Being Rural residence, husband engaged in high temperature occupation, eating diet enriched with saturated fat, not undergoing adequate sex, Menstruation flow greater than 3 days, Ever used contraceptives and Chronic pelvic pain were identiﬁed as determinants of women’s primary infertility. Therefore we recommend all married women to take treatment of any gynecological diseases like pelvic inflammatory disease.
VL  - 10
IS  - 1
ER  -

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