The study was aimed at determining the concept and factors associated with infertility among married couples in Obonnoma community of Rivers State. A descriptive, cross-sectional study conducted at the Family Planning Clinic of the community’s health center between July and December, 2017, among 76 persons, out of 96 married couples that attended the facility. The mean score for knowledge of infertility showed that 39(51.32%) respondents had good knowledge, while 37(48.68%) had poor knowledge. Also, 41(53.95%) had positive attitude towards infertility while 35(46.05%) had negative attitude. Semen abnormalities, assumed spiritual forces, unknown cause, undescended testes, erectile dysfunction, menstrual disorders, previous reproductive tract infections/STIs, age, improper/poor sexual practices and fallopian tube dysfunction were the main factors indicated to be associated with infertility. Infertility is a common reproductive problem, with about one-fifth of the world population affected. There is still low poor knowledge about the true factors associated with it, hence, a lot of misconceptions, such as beliefs that IUCDs and supernatural powers can cause infertility, thus, most affected persons seek treatment from faith or traditional healers. Alternative medicine remains a popular option for couples, when they are unsatisfied with orthodox medicine. There is also poor knowledge about treatment options available, with cultural and religious beliefs masking most of such, resulting in reduced acceptability of assisted reproductive technologies. Vigorous enlightenment, especially, of rural dwellers, is pertinent and will produce better results of acceptability and utilization of available options.
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