Concept and factors associated with infertility among married couples in Obonnoma community, Akuku-toru Local Government Area, Rivers State, Nigeria (Published)
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.
Concern for hyperglycemia due to diabetes mellitus and its complications in male diabetics prompted the need for this study. Making use of body fluids such as urine, seminal fluid, serum sample and excised tissues, we examined factors that can potentiate complications. Batteries of tests conducted includes insulin, glucose, glycated haemoglobin, urea, creatinine and some male sex hormones, FSH, LH and testosterone. Spectrophotometric, radioimmunoassay and histopathological approach were adopted for the analytical methods. A total of 100 subjects were studied out of which 50 were non diabetics as defined by their glucose concentration (3.5-5.6 mmol) and 50 diabetics with glucose concentration ranging from (15.5-35.5 mmol/l). Our findings portray a correlation among the factors and elicit a nexus that interrelate to cause complication in diabetes. Values of the analyte measured after a 24 hour fast showed a significant difference (p<0.05) between the diabetics and non diabetics while no statistical significant difference was observed among the normal subjects. We submit that variation in the values of biochemical parameters measured and their interactive interplay act in uncommon way to exercerbate diabetic complications and reduce fertility in males. Inhibiting these factors highlighted from rising will improve fertility among male diabetics.
A COMPARATIVE ANALYSIS OF IN-VITRO FERTILIZATION FROM THE CHRISTIAN AND ISLAMIC POINT OF VIEW (Published)
The act of procreation exists vehemently for all people in their quest to producing and this idea (procreation) is common to all humans whether religious or impious. However, most couples have this dream of bringing forth children of their own shattered. Childlessness is often stigmatized and leads to profound social suffering for couples especially women in the developing nations. So, in the wake of infertility, many individuals may seek assistance elsewhere (scientific means) and very common is by the use of In-Vitro Fertilisation (IVF). The birth of Louise Joy Brown in 1978; the world’s first successful In-Vitro Fertilization with the expertise and assistance of Drs. Patrick Steptoe and Robert Edward was the start of a revolution in infertility treatment. What was then an innovative scientific advancement now has become a routine medical treatment. Beside these help that is being brought to humanity by these advances in biomedical technologies, the adverse effects of them should not be overlooked. In line with this, the article has examined the technique involving In-Vitro Fertilization as well as some ethical concerns from the Christian and Islamic points of view.