Nigerian medical journal : journal of the Nigeria Medical Association · 2026
Prevalence of Sexual Dysfunction among Infertile Women Attending Gynaecology Outpatient Clinic in a Tertiary Hospital in Northwest Nigeria.
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AdeniyiAminu Kasheem, ShuaibuUmar Hauwa, Madugu Nana Hauwa, Usman Suleiman, Ismail Sada Shafa'atu, Muhammad Aliyu Rabi'at
Аннотация
BACKGROUND: Infertility adversely affects sexual well-being, but the prevalence and correlates of female sexual dysfunction (FSD) among infertile women in northwest Nigeria remain understudied. This study assessed FSD prevalence and associated factors in women attending gynaecology outpatient clinics of Ahmadu Bello University Teaching Hospital (ABUTH), Zaria.
METHODOLOGY: A descriptive cross-sectional study of 194 sexually active women with infertility recruited by systematic sampling from the ABUTH gynaecology outpatient clinics between January and May 2021. Data were collected using a semi-structured questionnaire and the 19-item Female Sexual Function Index (FSFI), which was translated into Hausa for non-literate respondents. FSD was defined by FSFI scores ≤26.55. Associations were tested with χ2/Fisher's exact tests and multivariable logistic regression to determine adjusted odds ratios (aOR) at 95% confidence intervals (CI). Statistical significance was set at p<0.05.
RESULTS: The overall prevalence of FSD (FSFI ≤26.55) was 56.7% (110/194). Hypoactive sexual desire disorder was the most common.The significant independent predictors of FSD werepremarital sexual abuse (aOR = 5.77, p = 0.036), male-factor infertility (aOR = 4.94, p = 0.006), and spousal erectile dysfunction (aOR = 9.05, p = <0.001).
CONCLUSION: Over half of infertile women at ABUTH reported sexual dysfunction, mainly low desire. These findings emphasize the importance of integrating routine psychosexual screening and counseling into infertility care to improve treatment outcomes and quality of life.
METHODOLOGY: A descriptive cross-sectional study of 194 sexually active women with infertility recruited by systematic sampling from the ABUTH gynaecology outpatient clinics between January and May 2021. Data were collected using a semi-structured questionnaire and the 19-item Female Sexual Function Index (FSFI), which was translated into Hausa for non-literate respondents. FSD was defined by FSFI scores ≤26.55. Associations were tested with χ2/Fisher's exact tests and multivariable logistic regression to determine adjusted odds ratios (aOR) at 95% confidence intervals (CI). Statistical significance was set at p<0.05.
RESULTS: The overall prevalence of FSD (FSFI ≤26.55) was 56.7% (110/194). Hypoactive sexual desire disorder was the most common.The significant independent predictors of FSD werepremarital sexual abuse (aOR = 5.77, p = 0.036), male-factor infertility (aOR = 4.94, p = 0.006), and spousal erectile dysfunction (aOR = 9.05, p = <0.001).
CONCLUSION: Over half of infertile women at ABUTH reported sexual dysfunction, mainly low desire. These findings emphasize the importance of integrating routine psychosexual screening and counseling into infertility care to improve treatment outcomes and quality of life.